AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (11)

•Diagnostic Errors (17)

•Identification Errors (8)

•Discontinuities, Gaps, and Hand-Off Problems (45)

•Fatigue and Sleep Deprivation (6)

•Medication Safety (117)

•Medical Complications (45)

•Nonsurgical Procedural Complications (2)

•Surgical Complications (36)

•Transfusion Complications (3)

•Psychological and Social Complications (28)

Origin/Sponsor
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Europe

•United Kingdom (198)

•The Netherlands (41)

Resource Types

•Audiovisual (2)

•Book/Report (34)

•Journal Article (382)

•Legislation/Regulation (7)

•Meeting/Conference (2)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (6)

•Special or Theme Issue (11)

•Tools/Toolkit (3)

•Web Resource (9)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (134)

•Active Errors (51)

•Latent Errors (31)

•Near Miss (5)

Approach to Improving Safety

•Quality Improvement Strategies (129)

•Legal and Policy Approaches (29)

•Error Reporting and Analysis (164)

•Communication Improvement (96)

•Human Factors Engineering (43)

•Teamwork (41)

•Specialization of Care (22)

•Logistical Approaches (15)

•Culture of Safety (93)

•Technologic Approaches (39)

•Education and Training (75)

Clinical Areas

Target Audience

•Health Care Providers (259)

•Health Care Executives and Administrators (378)

•Non-Health Care Professionals (226)

•Patients (22)

Setting of Care

•Hospitals (335)

•Psychiatric Facilities (4)

•Residential Facilities (3)

•Ambulatory Care (44)

•Patient Transport (2)

1 - 20 of 458

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REVIEW

Adverse events in hospitals: the patient's point of view.

Massó Guijarro P, Aranaz Andrés JM, Mira JJ, Perdiguero E, Aibar C. Qual Saf Health Care. 2010;19:144-147.

STUDY

Attitude is everything?: The impact of workload, safety climate, and safety tools on medical errors: a study of intensive care units.

Steyrer J, Schiffinger M, Huber C, Valentin A, Strunk G. Health Care Manage Rev. 2012 Oct 18; [Epub ahead of print].

REVIEW

Outcomes of classroom-based team training interventions for multiprofessional hospital staff. A systematic review.

Rabøl LI, Østergaard D, Mogensen T. Qual Saf Health Care. 2010;19:e27.

REVIEW

Supporting involved health care professionals (second victims) following an adverse health event: a literature review.

Seys D, Scott S, Wu A, et al. Int J Nurs Stud. 2013;50:678-687.

STUDY

The association of workflow interruptions and hospital doctors' workload: a prospective observational study.

Weigl M, Müller A, Vincent C, Angerer P, Sevdalis N. BMJ Qual Saf. 2012;21:399-407.

STUDY

Health care workers as second victims of medical errors.

Edrees HH, Paine LA, Feroli ER, Wu AW. Pol Arch Med Wewn. 2011;121:101-108.

BOOK/REPORT

IBEAS: A Pioneer Study on Patient Safety in Latin America: Towards Safer Hospital Care.

Geneva, Switzerland: World Health Organization; 2011.

MULTI-USE WEBSITE

African Partnerships for Patient Safety.

Geneva, Switzerland: WHO Patient Safety, World Health Organization.

REVIEW

Hand hygiene and healthcare system change within multi-modal promotion: a narrative review.

Allegranzi B, Sax H, Pittet D. J Hosp Infect. 2013;83(suppl 1):S3-S10.

STUDY

Frequency, types, and potential clinical significance of medication-dispensing errors.

Bohand X, Simon L, Perrier E, Mullot H, Lefeuvre L, Plotton C. Clinics. 2009;64:11-16.

STUDY

A new perspective on blame culture: an experimental study.

Gorini A, Miglioretti M, Pravettoni G. J Eval Clin Pract. 2012;18:671-675.

STUDY

The psychometric properties of the 'Hospital Survey on Patient Safety Culture' in Dutch hospitals.

Smits M, Christiaans-Dingelhoff I, Wagner C, Wal G, Groenewegen PP. BMC Health Serv Res. 2008;8:230.

STUDY

A closer look at associations between hospital leadership walkrounds and patient safety climate and risk reduction: a cross-sectional study.

Schwendimann R, Milne J, Frush K, Ausserhofer D, Frankel A, Sexton JB. Am J Med Qual. 2013 Jan 25; [Epub ahead of print].

STUDY

Using Healthcare Failure Mode and Effect Analysis to reduce medication errors in the process of drug prescription, validation and dispensing in hospitalised patients.

Vélez-Díaz-Pallarés M, Delgado-Silveira E, Carretero-Accame ME, Bermejo-Vicedo T. BMJ Qual Saf. 2013;22:42-52.

STUDY

Effect of medication reconciliation at hospital admission on medication discrepancies during hospitalization and at discharge for geriatric patients.

Cornu P, Steurbaut S, Leysen T, et al. Ann Pharmacother. 2012;46:484-494.

STUDY

Variation in safety culture dimensions within and between US and Swiss Hospital units: an exploratory study.

Schwendimann R, Zimmermann N, Küng K, Ausserhofer D, Sexton B. BMJ Qual Saf. 2013;22:32-41.

STUDY

Staff perceptions of quality of care: an observational study of the NHS Staff Survey in hospitals in England.

Pinder RJ, Greaves FE, Aylin PP, Jarman B, Bottle A. BMJ Qual Saf. 2013 Feb 20; [Epub ahead of print].

STUDY

Explaining ethnic disparities in patient safety: a qualitative analysis.

Suurmond J, Uiters E, De Bruijne MC, Stronks K, Essink-Bot ML. Am J Public Health. 2010;100 (suppl 1):S113-117.

STUDY

Using care bundles to reduce in-hospital mortality: quantitative survey.

Robb E, Jarman B, Suntharalingam G, Higgens C, Tennant R, Elcock K. BMJ. 2010;340:c1234.

STUDY

A multifaceted program for improving quality of care in intensive care units: IATROREF study.

Garrouste-Orgeas M, Soufir L, Tabah A, et al; Outcomerea Study Group. Crit Care Med. 2012;40:468-476.

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