AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (21)

•Diagnostic Errors (25)

•Identification Errors (19)

•Discontinuities, Gaps, and Hand-Off Problems (60)

•Fatigue and Sleep Deprivation (9)

•Medication Safety (163)

•Medical Complications (47)

•Nonsurgical Procedural Complications (17)

•Surgical Complications (96)

•Transfusion Complications (7)

•Psychological and Social Complications (31)

Origin/Sponsor
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United Kingdom

Resource Types

•Audiovisual (3)

•Book/Report (65)

•Clinical Guideline (1)

•Journal Article (560)

•Legislation/Regulation (6)

•Meeting/Conference (1)

•Newspaper/Magazine Article (31)

•Press Release/Announcement (1)

•Special or Theme Issue (19)

•Tools/Toolkit (5)

•Web Resource (17)

Error Types

•Epidemiology of Errors and Adverse Events (151)

•Active Errors (83)

•Latent Errors (37)

•Near Miss (12)

Approach to Improving Safety

•Quality Improvement Strategies (170)

•Legal and Policy Approaches (56)

•Error Reporting and Analysis (246)

•Communication Improvement (153)

•Human Factors Engineering (101)

•Teamwork (86)

•Specialization of Care (21)

•Logistical Approaches (21)

•Culture of Safety (117)

•Technologic Approaches (71)

•Education and Training (152)

Clinical Areas

•Allied Health Services (3)

•Complementary and Alternative Medicine (1)

Target Audience

•Health Care Providers (442)

•Health Care Executives and Administrators (550)

•Non-Health Care Professionals (316)

•Patients (36)

Setting of Care

•Hospitals (380)

•Psychiatric Facilities (7)

•Residential Facilities (5)

•Ambulatory Care (55)

•Outpatient Surgery (3)

•Patient Transport (8)

1 - 20 of 709

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STUDY

Preventable deaths due to problems in care in English acute hospitals: a retrospective case record review study.

Hogan H, Healey F, Neale G, Thomson R, Vincent C, Black N. BMJ Qual Saf. 2012;21:737-745.

STUDY

A pharmacist-led information technology intervention for medication errors (PINCER): a multicentre, cluster randomised, controlled trial and cost-effectiveness analysis.

Avery AJ, Rodgers S, Cantrill JA, et al. Lancet. 2012;379:1310-1319.

STUDY

How dangerous is a day in hospital?: A model of adverse events and length of stay for medical inpatients.

Hauck K, Zhao X. Med Care. 2011;49:1068-1075.

STUDY

Patient involvement in patient safety: how willing are patients to participate?

Davis RE, Sevdalis N, Vincent CA. BMJ Qual Saf. 2011;20:108-114.

STUDY

Weekend mortality for emergency admissions. A large, multicentre study.

Aylin P, Yunus A, Bottle A, Majeed A, Bell D. Qual Saf Health Care. 2010;19:213-217.

STUDY

An epistemology of patient safety research: a framework for study design and interpretation.

Brown C, Hofer T, Johal A, Thomson R, et al. Qual Saf Health Care. 2008;17(3, pt 1, pt 2, pt 3, pt 4):158-181.

BOOK/REPORT classic

Just Culture: Balancing Safety and Accountability, Second Edition.

Dekker S. Aldershot, England: Ashgate Publishing Limited; 2012. ISBN: 9781409440604.

STUDY

Postoperative handover: problems, pitfalls, and prevention of error.

Nagpal K, Arora S, Abboudi M, et al. Ann Surg. 2010;252:171-176.

STUDY

Patient handovers within the hospital: translating knowledge from motor racing to healthcare.

Catchpole K, Sellers R, Goldman A, McCulloch P, Hignett S. Qual Saf Health Care. 2010;19:318-322.

BOOK/REPORT classic

Patient Safety, 2nd edition.

Vincent C. West Sussex, UK: Wiley-Blackwell; 2010. ISBN: 9781405192217.

STUDY

Perceptions of safety culture vary across the intensive care units of a single institution.

Huang DT, Clermont G, Sexton JB, et al. Crit Care Med. 2007;35:165-176.

BOOK/REPORT classic

The Human Contribution: Unsafe Acts, Accidents and Heroic Recoveries.

Reason J. Farnham Surrey, UK: Ashgate; 2008. ISBN: 9780754674023.

STUDY

Why do people sue doctors? A study of patients and relatives taking legal action.

Vincent C, Young M, Phillips A. Lancet. 1994;343:1609-1613.

STUDY

Research designs for studies evaluating the effectiveness of change and improvement strategies.

Eccles M, Grimshaw J, Campbell M, Ramsay C. Qual Saf Health Care. 2003;12:47-52.

REVIEW

Human factor in cardiac surgery: errors and near misses in a high technology medical domain.

Carthey J, de Leval MR, Reason JT. Ann Thorac Surg. 2001;72:300-305.

COMMENTARY classic

Human error: models and management.

Reason J. BMJ. 2000;320:768-770.

COMMENTARY classic

Understanding and responding to adverse events.

Vincent C. N Engl J Med. 2003;348:1051-1056.

COMMENTARY classic

Patient safety: what about the patient?

Vincent CA, Coulter A. Qual Saf Health Care. 2002;11:76-80.

BOOK/REPORT classic

An Organisation with a Memory: Report of an Expert Group on Learning from Adverse Events in the NHS Chaired by the Chief Medical Officer.

Donaldson L. London, England: The Stationery Office; 2000.

BOOK/REPORT classic

Culture at Work in Aviation and Medicine: National, Organizational, and Professional Influences.

Helmreich RL, Merritt AC. Aldershot, Hampshire, England: Ashgate; 1998.

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