AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (16)

•Diagnostic Errors (12)

•Identification Errors (12)

•Discontinuities, Gaps, and Hand-Off Problems (50)

•Fatigue and Sleep Deprivation (8)

•Medication Safety (129)

•Medical Complications (36)

•Nonsurgical Procedural Complications (11)

•Surgical Complications (70)

•Transfusion Complications (5)

•Psychological and Social Complications (15)

Origin/Sponsor
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United Kingdom

Resource Types

•Audiovisual (2)

•Book/Report (44)

•Clinical Guideline (1)

•Journal Article (404)

•Legislation/Regulation (4)

•Newspaper/Magazine Article (17)

•Special or Theme Issue (11)

•Tools/Toolkit (3)

•Web Resource (12)

Error Types

•Epidemiology of Errors and Adverse Events (126)

•Active Errors (60)

•Latent Errors (36)

•Near Miss (7)

Approach to Improving Safety

•Quality Improvement Strategies (121)

•Legal and Policy Approaches (31)

•Error Reporting and Analysis (197)

•Communication Improvement (107)

•Human Factors Engineering (75)

•Teamwork (60)

•Specialization of Care (16)

•Logistical Approaches (18)

•Culture of Safety (78)

•Technologic Approaches (50)

•Education and Training (100)

Clinical Areas

•Allied Health Services (2)

•Complementary and Alternative Medicine (1)

Target Audience

•Health Care Providers (321)

•Health Care Executives and Administrators (431)

•Non-Health Care Professionals (214)

•Patients (27)

Setting of Care

•Hospitals (318)

•Psychiatric Facilities (5)

•Residential Facilities (3)

•Ambulatory Care (45)

•Outpatient Surgery (2)

•Patient Transport (3)

1 - 20 of 498

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STUDY

The struggle to improve patient care in the face of professional boundaries.

Powell AE, Davies HT. Soc Sci Med. 2012;75:807-814.

COMMENTARY

Why patients need leaders: introducing a ward safety checklist.

Amin Y, Grewcock D, Andrews S, Halligan A. J R Soc Med. 2012;105:377-383.

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.

COMMENTARY

Implementing a systematic response to medication errors.

Larsen D, Cole R, Higton P. Nurs Stand. 2007;21:35-40.

STUDY

Relationships of multitasking, physicians' strain, and performance: an observational study in ward physicians.

Weigl M, Müller A, Sevdalis N, Angerer P. J Patient Saf. 2013;9:18-23.

STUDY

Challenges and opportunities to prevent transfusion errors: a Qualitative Evaluation for Safer Transfusion (QUEST).

Heddle NM, Fung M, Hervig T, et al; BEST Collaborative. Transfusion. 2012;52:1687-1695.

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.

REVIEW

Development of an evidence-based framework of factors contributing to patient safety incidents in hospital settings: a systematic review.

Lawton R, McEachan RRC, Giles SJ, Sirriyeh R, Watt IS, Wright J. BMJ Qual Saf. 2012;21:369-380.

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.

NEWSPAPER/MAGAZINE ARTICLE

Following the patient journey to improve medicines management and reduce errors.

Crocker C. Nurs Times. 2009 Nov 24;105:12-15.

STUDY

What do hospital staff in the UK think are the causes of penicillin medication errors?

Wilcock M, Harding G, Moore L, Nicholls I, Powell N, Stratton J. Int J Clin Pharm. 2013;35:72-78.

NEWSPAPER/MAGAZINE ARTICLE

Medication errors common for hospital diabetes.

Nursing Times. April 1, 2011.

COMMENTARY

Toward the modelling of safety violations in healthcare systems.

Catchpole K. BMJ Qual Saf. 2013 Apr 11; [Epub ahead of print].

STUDY

Decision-making processes used by nurses during intravenous drug preparation and administration.

Dougherty L, Sque M, Crouch R. J Adv Nurs. 2012;68:1302-1311.

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

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.

STUDY

An observational study of the frequency, severity, and etiology of failures in postoperative care after major elective general surgery.

Symons NR, Almoudaris AM, Nagpal K, Vincent CA, Moorthy K. Ann Surg. 2013;257:1-5.

STUDY

An observational study of medication administration errors in old-age psychiatric inpatients.

Haw C, Stubbs J, Dickens G. Int J Qual Health Care. 2007;19:210-216.

REVIEW

Do calculation errors by nurses cause medication errors in clinical practice? A literature review.

Wright K. Nurse Educ Today. 2010;30:85-97.

COMMENTARY

Practising safely in the foundation years.

Long S, Neale G, Vincent C. BMJ. 2009;338:1046.

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