AHRQ Patient Safety Network

The Collection > Australia and New Zealand

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Safety Target

•Device-related Complications (2)

•Diagnostic Errors (6)

•Identification Errors (2)

•Discontinuities, Gaps, and Hand-Off Problems (18)

•Fatigue and Sleep Deprivation (2)

•Medication Safety (35)

•Medical Complications (19)

•Nonsurgical Procedural Complications (2)

•Surgical Complications (16)

•Psychological and Social Complications (11)

Origin/Sponsor
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Australia and New Zealand

Resource Types

•Bibliography (1)

•Book/Report (6)

•Journal Article (157)

•Legislation/Regulation (1)

•Newsletter/Journal (1)

•Special or Theme Issue (3)

•Tools/Toolkit (1)

•Web Resource (2)

Error Types

•Epidemiology of Errors and Adverse Events (49)

•Active Errors (24)

•Latent Errors (7)

•Near Miss (1)

Approach to Improving Safety

•Quality Improvement Strategies (31)

•Legal and Policy Approaches (19)

•Error Reporting and Analysis (54)

•Communication Improvement (51)

•Human Factors Engineering (18)

•Teamwork (19)

•Specialization of Care (24)

•Logistical Approaches (6)

•Culture of Safety (21)

•Technologic Approaches (22)

•Education and Training (40)

Clinical Areas

•Allied Health Services (4)

•Medicine (108)

•Nursing (11)

•Pharmacy (11)

Target Audience

•Health Care Providers (124)

•Health Care Executives and Administrators (154)

•Non-Health Care Professionals (78)

•Patients (6)

Setting of Care

•Hospitals (101)

•Residential Facilities (3)

•Ambulatory Care (14)

•Patient Transport (6)

1 - 20 of 172

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COMMENTARY

A root cause analysis of clinical error: confronting the disjunction between formal rules and situated clinical activity.

Iedema RA, Jorm C, Braithwaite J, Travaglia J, Lum M. Soc Sci Med. 2006;63:1201-1212.

STUDY

Doctors' stress responses and poor communication performance in simulated bad-news consultations.

Brown R, Dunn S, Byrnes K, Morris R, Heinrich P, Shaw J. Acad Med. 2009;84:1595-1602.

STUDY

Disclosing clinical adverse events to patients: can practice inform policy?

Sorensen R, Iedema R, Piper D, Manias E, Williams A, Tuckett A. Health Expect. 2010;13:148-159.

STUDY

Improving patient safety: the comparative views of patient-safety specialists, workforce staff and managers.

Braithwaite J, Westbrook MT, Robinson M, Michael S, Pirone C, Robinson P. BMJ Qual Saf. 2011;20:424-431.

COMMENTARY

Culture, language, and patient safety: making the link.

Johnstone MJ, Kanitsaki O. Int J Qual Health Care. 2006;18:383-8.

COMMENTARY

Practising open disclosure: clinical incident communication and systems improvement.

Iedema R, Jorm C, Wakefield J, Ryan C, Dunn S. Sociol Health Illn. 2009;31:262-77.

COMMENTARY

In the wake of hospital inquiries: impact on staff and safety.

Dunbar JA, Reddy P, Beresford B, Ramsey WP, Lord RS. Med J Aust. 2007;186:80-83.

BOOK/REPORT

Safe Handover: Safe Patients.

Kingston, ACT, Australia: Australian Medical Association; 2006.

STUDY

Health care professionals' views of implementing a policy of open disclosure of errors.

Sorensen R, Iedema R, Piper D, Manias E, Williams A, Tuckett A. J Health Serv Res Policy. 2008;13:227-232.

STUDY

Patients' and family members' experiences of open disclosure following adverse events.

Iedema R, Sorensen R, Manias E, et al. Int J Qual Health Care. 2008;20:421-432.

STUDY

Patients' and family members' views on how clinicians enact and how they should enact incident disclosure: the "100 patient stories" qualitative study.

Iedema R, Allen S, Britton K, et al. BMJ. 2011;343:d4423.

BOOK/REPORT

Guiding Principles to Achieve Continuity in Medication Management.

Canberra, Australia: Australian Pharmaceutical Advisory Council; July 2005. ISBN: 0642825971.

STUDY

Engineering a safe landing: engaging medical practitioners in a systems approach to patient safety.

Brand C, Ibrahim J, Bain C, Jones C, King B. Intern Med J. 2007;37:295-302.

STUDY

Approaches to reducing the most important patient errors in primary health-care: patient and professional perspectives.

Buetow S, Kiata L, Liew T, Kenealy T, Dovey S, Elwyn G. Health Soc Care Community. 2010;18:296-303.

STUDY

Identification of doctors at risk of recurrent complaints: a national study of healthcare complaints in Australia.

Bismark MM, Spittal MJ, Gurrin LC, Ward M, Studdert DM. BMJ Qual Saf. 2013 Apr 10; [Epub ahead of print].

COMMENTARY

How does the law recognize and deal with medical errors?

Merry AF. J R Soc Med. 2009;102:265-271.

STUDY

Hospital costs associated with adverse events in gynecological oncology.

Kondalsamy-Chennakesavan S, Gordon LG, Sanday K, et al. Gynecol Oncol. 2011;121:70-75.

REVIEW

Medication safety in acute care in Australia: where are we now? Part 2: a review of strategies and activities for improving medication safety 2002-2008.

Semple SJ, Roughead EE. Aust New Zealand Health Policy. 2009;6:24.

STUDY

Medical record review of deaths, unexpected intensive care unit admissions and clinician referrals: detection of adverse events and insight into the system.

Dunn KL, Reddy P, Moulden A, Bowes G. Arch Dis Child. 2006;91:169-172.

COMMENTARY

Improving hospital performance: culture change is not the answer.

Leggat SG, Dwyer J. Healthc Q. 2005;8:60-68.

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