AHRQ Patient Safety Network

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•Device-related Complications (4)

•Diagnostic Errors (2)

•Identification Errors (2)

•Discontinuities, Gaps, and Hand-Off Problems (10)

•Medication Safety (11)

•Medical Complications (7)

•Nonsurgical Procedural Complications (3)

•Surgical Complications (11)

•Psychological and Social Complications (1)

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•Book/Report (1)

•Journal Article (60)

•Newspaper/Magazine Article (5)

•Special or Theme Issue (1)

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Error Types

•Epidemiology of Errors and Adverse Events (3)

•Active Errors (6)

•Latent Errors (4)

Approach to Improving Safety
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Simulators

Clinical Areas

•Medicine (47)

•Nursing (22)

•Pharmacy (1)

Target Audience

•Health Care Providers (56)

•Health Care Executives and Administrators (57)

•Non-Health Care Professionals (45)

•Patients (3)

Setting of Care

•Hospitals (40)

•Ambulatory Care (1)

•Outpatient Surgery (1)

1 - 20 of 71

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STUDY

Nurses' perceptions of simulation-based interprofessional training program for rapid response and code blue events.

Wehbe-Janek H, Lenzmeier CR, Ogden PE, et al. J Nurs Care Qual. 2012;27:43-50.

MULTI-USE WEBSITE

Simulation Training for Rapid Assessment & Improved Teamwork (STRAIT) Project.

Center for Perioperative Research in Quality, Vanderbilt University.

STUDY

Why nurses make medication errors: a simulation study.

Kazaoka T, Ohtsuka K, Ueno K, Mori M. Nurse Educ Today. 2007;27:312-17.

COMMENTARY

Using simulation to teach nursing students and licensed clinicians obstetric emergencies.

Alderman JT. MCN Am J Matern Child Nurs. 2012;37:394-400.

COMMENTARY

Defining the technical skills of teamwork in surgery.

Healey AN, Undre S, Vincent CA. Qual Saf Health Care. 2006;15:231-234.

COMMENTARY

Waiting Too Long.

Rosen MA. AHRQ WebM&M [serial online]. November 2003.

STUDY

Improving handoff communications in critical care: utilizing simulation-based training toward process improvement in managing patient risk.

Berkenstadt H, Haviv Y, Tuval A, et al. Chest. 2008;134:158-162.

NEWSPAPER/MAGAZINE ARTICLE

Medical simulations identify potential problems before they can pose a real threat.

Kleefeld E. Wisconsin Technology Network. June 15, 2005.

STUDY

Surgical crisis management skills training and assessment: a stimulation-based approach to enhancing operating room performance.

Moorthy K, Munz Y, Forrest D, et al. Ann Surg. 2006;244:139-147.

COMMENTARY

TeamSTEPPS: the patient safety tool that needs to be implemented.

Clapper TC, Kong M. Clin Simul Nurs. 2012;8:e367-e373.

COMMENTARY classic

classic

Fixing healthcare from the inside, today.

Spear SJ. Harv Bus Rev. September 2005;83:78-91.

COMMENTARY

In situ simulation: a method of experiential learning to promote safety and team behavior.

Miller KK, Riley W, Davis S, Hansen HE. J Perinat Neonatal Nurs. 2008;22:105-113.

STUDY

Not overstepping professional boundaries: the challenging role of nurses in simulated error disclosures.

Jeffs L, Espin S, Rorabeck L, et al. J Nurs Care Qual. 2011;26:320-327.

COMMENTARY

Teaching patient safety in simulated learning experiences.

Jenkins S, Blake J, Brandy-Webb P, Ashe W. Nurs Educ. 2011;36:112-117.

COMMENTARY

Human patient simulation: teaching students to provide safe care.

Henneman EA, Cunningham H, Roche JP, Curnin ME. Nurse Educ. 2007;32:212-217.

STUDY

Simulation-based medical error disclosure training for pediatric healthcare professionals.

Wayman KI, Yaeger KA, Sharek PJ, et al. J Healthc Qual. 2007;29:12-19.

STUDY

High fidelity simulation-based training in neonatal nursing.

Yaeger KA, Halamek LP, Coyle M, et al. Adv Neonatal Care. 2004;4:326-331.

STUDY

Action research, simulation, team communication, and bringing the tacit into voice. Society for Simulation in Healthcare.

Forsythe L. Simul Healthc. 2009;4:143-148.

STUDY

Fostering patient safety competencies using multiple-patient simulation experiences.

Ironside PM, Jeffries PR, Martin A. Nurs Outlook. 2009;57:332-337.

BOOK/REPORT

Training of Hospital Staff To Respond to a Mass Casualty Incident. Summary, Evidence Report/Technology Assessment.

Hsu EB, Jenckes MW, Catlett CL, et al. Summary, Evidence Report/Technology Assessment: Number 95. Rockville, MD: Agency for Healthcare Research and Quality; April 2004. AHRQ Publication Number 04-E015-1.

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