AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (2)

•Diagnostic Errors (5)

•Identification Errors (7)

•Discontinuities, Gaps, and Hand-Off Problems (19)

•Fatigue and Sleep Deprivation (3)

•Medication Safety (44)

•Medical Complications (20)

•Nonsurgical Procedural Complications (3)

•Surgical Complications (18)

•Psychological and Social Complications (17)

Origin/Sponsor
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United Kingdom

Resource Types

•Audiovisual (2)

•Book/Report (37)

•Journal Article (155)

•Legislation/Regulation (1)

•Meeting/Conference (1)

•Newspaper/Magazine Article (14)

•Special or Theme Issue (7)

•Tools/Toolkit (2)

•Web Resource (8)

Error Types

•Epidemiology of Errors and Adverse Events (36)

•Active Errors (19)

•Latent Errors (10)

•Near Miss (2)

Approach to Improving Safety

•Quality Improvement Strategies (64)

•Legal and Policy Approaches (28)

•Error Reporting and Analysis (91)

•Communication Improvement (66)

•Human Factors Engineering (27)

•Teamwork (24)

•Specialization of Care (7)

•Logistical Approaches (5)

•Culture of Safety (50)

•Technologic Approaches (25)

•Education and Training (53)

Clinical Areas

•Medicine (132)

•Pharmacy (10)

Target Audience

•Health Care Providers (145)

•Health Care Executives and Administrators (213)

•Non-Health Care Professionals (111)

•Patients (26)

Setting of Care

•Hospitals (119)

•Psychiatric Facilities (2)

•Residential Facilities (2)

•Ambulatory Care (22)

•Outpatient Surgery (1)

•Patient Transport (3)

1 - 20 of 227

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COMMENTARY

Communication with patients, suffering severe, avoidable harm as a result of treatment.

Cornwell J. Saferhealthcare. April 26, 2007.

BOOK/REPORT classic

classic

Learning from Bristol: The Report of the Public Inquiry into Children's Heart Surgery at the Bristol Royal Infirmary 1984–1995.

London, England: The Stationery Office; July 2001.

NEWSPAPER/MAGAZINE ARTICLE

NHS drug error 'crackdown' urged.

BBC News. August 11, 2006.

BOOK/REPORT

Managing Patients' Medicines after Discharge from Hospital.

London, UK: Care Quality Commission; October 2009. CQC-039-500-ESP-102009. ISBN: 9781845622442.

COMMENTARY

How to discuss errors and adverse events with cancer patients.

Yardley IE, Yardley SJ, Wu AW. Curr Oncol Rep. 2010;12:253-260.

STUDY

A qualitative exploration of patients' attitudes towards the 'Participate Inform Notice Know' (PINK) patient safety video.

Pinto A, Vincent C, Darzi A, Davis R. Int J Qual Health Care. 2013;25:29-34.

MULTI-USE WEBSITE

Being open: communicating patient safety incidents with patients and their carers.

National Patient Safety Agency.

COMMENTARY

Advising patients about patient safety: current initiatives risk shifting responsibility.

Entwistle VA, Mello MM, Brennan TA. Jt Comm J Qual Patient Saf. 2005;31:483-494.

FACT SHEET/FAQS

Questions Are the Answer! Seven Questions Every Board Member Should Ask About Patient Safety.

London, UK: National Patient Safety Agency; June 2009.

AUDIOVISUAL

It's time to say sorry.

Coombes R. BMJ Podcast. June 1, 2012.

BOOK/REPORT

A safer place for patients: learning to improve patient safety.

Fifty-first Report of Session 2005-06. House of Commons Committee on Public Accounts. London, England: The Stationary Office; July 6, 2006. Publication HC 831.

STUDY

classic

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.

REVIEW

What have we learned about interventions to reduce medical errors?

Woodward HI, Mytton OT, Lemer C, et al. Annu Rev Public Health. 2010;31:479-497.

COMMENTARY

You can say sorry.

Feinmann J. BMJ. 2009;339:b3057.

NEWSPAPER/MAGAZINE ARTICLE

Medical error led to death of patient, 77.

Gledhill V. The Evening Chronicle. January 25, 2007;News section:9.

COMMENTARY

An alternative to the clinical negligence system.

Furniss R, Ormond-Walshe S. BMJ. 2007;334:400-402.

BOOK/REPORT

Improving safety in maternity services: a toolkit for teams.

Thomas V, Dixon A. London, UK: The King's Fund; March 2012. ISBN: 9781857176384.

STUDY

Prescription errors in psychiatry - a multi-centre study.

Stubbs J, Haw C, Taylor D. J Psychopharmacol. 2006;20:553-61.

COMMENTARY

Human factors and error prevention in emergency medicine.

Bleetman A, Sanusi S, Dale T, Brace S. Emerg Med J. 2012;29:389-393.

NEWSPAPER/MAGAZINE ARTICLE

Doctor administered fatal dose of calcium to baby, inquest told.

Morris S. Guardian. February 13, 2007.

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