AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (19)

•Diagnostic Errors (18)

•Identification Errors (15)

•Discontinuities, Gaps, and Hand-Off Problems (51)

•Fatigue and Sleep Deprivation (6)

•Medication Safety (129)

•Medical Complications (37)

•Nonsurgical Procedural Complications (13)

•Surgical Complications (72)

•Transfusion Complications (5)

•Psychological and Social Complications (22)

Origin/Sponsor
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United Kingdom

Resource Types

•Audiovisual (1)

•Book/Report (44)

•Journal Article (413)

•Legislation/Regulation (4)

•Meeting/Conference (2)

•Newspaper/Magazine Article (21)

•Press Release/Announcement (1)

•Special or Theme Issue (12)

•Tools/Toolkit (5)

•Web Resource (13)

Error Types

•Epidemiology of Errors and Adverse Events (147)

•Active Errors (61)

•Latent Errors (26)

•Near Miss (8)

Approach to Improving Safety

•Quality Improvement Strategies (134)

•Legal and Policy Approaches (32)

•Error Reporting and Analysis (198)

•Communication Improvement (119)

•Human Factors Engineering (78)

•Teamwork (60)

•Specialization of Care (18)

•Logistical Approaches (16)

•Culture of Safety (81)

•Technologic Approaches (57)

•Education and Training (106)

Clinical Areas

•Allied Health Services (1)

•Complementary and Alternative Medicine (1)

Target Audience

•Health Care Providers (367)

•Health Care Executives and Administrators (445)

•Non-Health Care Professionals (221)

•Patients (25)

Setting of Care

•Hospitals (295)

•Psychiatric Facilities (4)

•Residential Facilities (5)

•Ambulatory Care (42)

•Outpatient Surgery (3)

•Patient Transport (7)

1 - 20 of 516

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STUDY

Review of patient safety incidents submitted from critical care units in England & Wales to the UK National Patient Safety Agency.

Thomas AN, Panchagnula U, Taylor RJ. Anaesthesia. 2009;64:1178-1185.

STUDY

An educational and audit tool to reduce prescribing error in intensive care.

Thomas AN, Boxall EM, Laha SK, Day AJ, Grundy D. Qual Saf Health Care. 2008;17:360-363.

STUDY

Improving reliability of clinical care practices for ventilated patients in the context of a patient safety improvement initiative.

Pinto A, Burnett S, Benn J, et al. J Eval Clin Pract. 2011;17:180-187.

STUDY

'Matching Michigan': a 2-year stepped interventional programme to minimise central venous catheter-blood stream infections in intensive care units in England.

Bion J, Richardson A, Hibbert P; Matching Michigan Collaboration & Writing Committee. BMJ Qual Saf. 2013;22:110-123.

STUDY

An observational study of changes to long-term medication after admission to an intensive care unit.

Campbell AJ, Bloomfield R, Noble DW. Anaesthesia. 2006;61:1087-1092.

STUDY

Patient handover from surgery to intensive care: using Formula 1 pit-stop and aviation models to improve safety and quality.

Catchpole KR, de Leval MR, McEwan A, et al. Paediatr Anaesth. 2007;17:470-478.

REVIEW

Interventions to improve hand hygiene compliance in patient care.

Gould DJ, Moralejo D, Drey N, Chudleigh JH. Cochrane Database Syst Rev. 2010;9:CD005186.

REVIEW

Understanding factors that impact on health care professionals' risk perceptions and responses toward Clostridium difficile and methicillin-resistant Staphylococcus aureus: a structured literature review.

Burnett E, Kearney N, Johnston B, Corlett J, Macgillivray S. Am J Infect Control. 2013;41:394-400.

STUDY

Patient safety incidents associated with equipment in critical care: a review of reports to the UK National Patient Safety Agency.

Thomas AN, Galvin I. Anaesthesia. 2008;63:1193-1197.

STUDY

The incidence and nature of prescribing and medication administration errors in paediatric inpatients.

Ghaleb MA, Barber N, Franklin BD, Wong ICK. Arch Dis Child. 2010;95:113-118.

STUDY

Team situation awareness and the anticipation of patient progress during ICU rounds.

Reader TW, Flin R, Mearns K, Cuthbertson BH. BMJ Qual Saf. 2011;20:1035-1042.

STUDY

Development of a core drug list towards improving prescribing education and reducing errors in the UK.

Baker E, Roberts AP, Wilde K, et al. Br J Clin Pharmacol. 2011;71:190-198.

STUDY

Review of patient safety incidents reported from critical care units in North-West England in 2009 and 2010.

Thomas AN, Taylor RJ. Anaesthesia. 2012;67:706-713.

STUDY

A prevalence study of errors in opioid prescribing in a large teaching hospital.

Davies ED, Schneider F, Childs S, et al. Int J Clin Pract. 2011;65:923-929.

STUDY

Association between license status and medication errors.

Conroy S. Arch Dis Child. 2011;96:305-306.

STUDY

Multiple component patient safety intervention in English hospitals: controlled evaluation of second phase.

Benning A, Dixon-Woods M, Nwulu U, et al. BMJ. 2011;342:d199.

STUDY

Medication errors with electronic prescribing (eP): two views of the same picture.

Savage I, Cornford T, Klecun E, Barber N, Clifford S, Franklin BD. BMC Health Serv Res. 2010;10:135.

STUDY

Variability in the concentrations of intravenous drug infusions prepared in a critical care unit.

Wheeler DW, Degnan BA, Sehmi JS, et al. Intensive Care Med. 2008;34:1441-1447.

STUDY

Thomas AN, Panchagnula U. Anaesthesia. 2008;63:726-733.

NEWSPAPER/MAGAZINE ARTICLE

Ferrari's Formula One handovers and handovers from surgery to intensive care.

Sower VE, Duffy JA, Kohers G. American Society for Quality. August 2008.

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