AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (15)

•Diagnostic Errors (18)

•Identification Errors (14)

•Discontinuities, Gaps, and Hand-Off Problems (47)

•Fatigue and Sleep Deprivation (8)

•Medication Safety (121)

•Medical Complications (42)

•Nonsurgical Procedural Complications (15)

•Surgical Complications (64)

•Transfusion Complications (4)

•Psychological and Social Complications (22)

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United Kingdom

Resource Types

•Audiovisual (2)

•Book/Report (56)

•Journal Article (398)

•Legislation/Regulation (6)

•Meeting/Conference (2)

•Newspaper/Magazine Article (22)

•Press Release/Announcement (1)

•Special or Theme Issue (14)

•Tools/Toolkit (5)

•Web Resource (14)

Error Types

•Epidemiology of Errors and Adverse Events (110)

•Active Errors (63)

•Latent Errors (28)

•Near Miss (10)

Approach to Improving Safety

•Quality Improvement Strategies (124)

•Legal and Policy Approaches (49)

•Error Reporting and Analysis (181)

•Communication Improvement (123)

•Human Factors Engineering (89)

•Teamwork (57)

•Specialization of Care (18)

•Logistical Approaches (19)

•Culture of Safety (108)

•Technologic Approaches (60)

•Education and Training (107)

Clinical Areas

•Allied Health Services (2)

•Complementary and Alternative Medicine (1)

Target Audience

•Health Care Providers (364)

•Health Care Executives and Administrators (428)

•Non-Health Care Professionals (235)

•Patients (33)

Setting of Care

•Hospitals (299)

•Psychiatric Facilities (2)

•Residential Facilities (4)

•Ambulatory Care (46)

•Outpatient Surgery (2)

•Patient Transport (5)

1 - 20 of 520

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BOOK/REPORT

External Inquiry into the adverse incident that occurred at Queen's Medical Centre, Nottingham, 4th January 2001.

Toft B. London, England: Department of Health; 2001.

SPECIAL OR THEME ISSUE

Safety in Anaesthesia.

Staender S, ed. Best Pract Res Clin Anaesthesiol. 2011;25:109-304.

BOOK/REPORT

Safety First: Top of Your Board's Agenda: 100 Day Challenge Survey Report.

The Patients Association. Harrow, Middlesex, UK: The Patients Association; June 2009.

BOOK/REPORT classic

Patient Safety, 2nd edition.

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

COMMENTARY

Establishing a culture for patient safety - the role of education.

Milligan FJ. Nurse Educ Today. 2007;27:95-102.

MULTI-USE WEBSITE

Organisation Patient Safety Incident Reports.

National Patient Safety Agency.

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

Developing a 'critical' approach to patient and public involvement in patient safety in the NHS: learning lessons from other parts of the public sector?

Ocloo JE, Fulop NJ. Health Expect. 2012;15:424-432.

STUDY

Adverse event rates as measures of hospital performance.

Hauck K, Zhao X, Jackson T. Health Policy. 2012;104:146-154.

BOOK/REPORT

Coding for Success: Simple Technology for Safer Patient Care.

Healthcare Quality Directorate, Department of Health. London, England: Crown Publishing; February 16, 2007.

BOOK/REPORT

Standing Up for Doctors, Speaking Out for Patients. Final Report.

London, UK: Health Policy & Economic Research Unit, British Medical Association Scotland; May 2010.

BOOK/REPORT

State of Healthcare 2006.

The Healthcare Commission. London, England: Commission for Healthcare Audit and Inspection; 2006. ISBN: 1845621182.

SPECIAL OR THEME ISSUE

The English Patient Safety Programme.

J Health Serv Research Pol. 2010;15(suppl 1):S1-S91.

BOOK/REPORT

Report of the Mid Staffordshire NHS Foundation Trust: Public Inquiry.

Francis R. London, UK: The Stationary Office; 2013. ISBN: 9780102981469.

BOOK/REPORT 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.

BOOK/REPORT

The Measurement and Monitoring of Safety.

Vincent C, Burnett S, Carthey J. London, UK: Health Foundation; April 2013. ISBN: 9781906461447.

NEWSPAPER/MAGAZINE ARTICLE

A hospital races to learn lessons of Ferrari pit stop.

Naik G. Wall Street Journal. November 14, 2006:A1. [reprinted on Post-gazette.com].

STUDY

Hospital safety climate surveys: measurement issues.

Jackson J, Sarac C, Flin R. Curr Opin Crit Care. 2010;16:632-638.

BOOK/REPORT

How Safe Is Your Hospital?

Dr Foster Intelligence Unit. London, UK: Imperial College London; 2009.

STUDY

The limits of knowledge management for UK public services modernization: the case of patient safety and service quality.

Currie G, Waring J, Finn R. Public Admin. 2008;86:363-385.

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