AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (17)

•Diagnostic Errors (18)

•Identification Errors (15)

•Discontinuities, Gaps, and Hand-Off Problems (54)

•Fatigue and Sleep Deprivation (8)

•Medication Safety (132)

•Medical Complications (38)

•Nonsurgical Procedural Complications (13)

•Surgical Complications (73)

•Transfusion Complications (4)

•Psychological and Social Complications (23)

Origin/Sponsor
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United Kingdom

Resource Types

•Audiovisual (2)

•Book/Report (51)

•Journal Article (431)

•Legislation/Regulation (5)

•Meeting/Conference (2)

•Newspaper/Magazine Article (22)

•Press Release/Announcement (1)

•Special or Theme Issue (16)

•Tools/Toolkit (5)

•Web Resource (13)

Error Types

•Epidemiology of Errors and Adverse Events (125)

•Active Errors (62)

•Latent Errors (29)

•Near Miss (7)

Approach to Improving Safety

•Quality Improvement Strategies (137)

•Legal and Policy Approaches (41)

•Error Reporting and Analysis (198)

•Communication Improvement (124)

•Human Factors Engineering (95)

•Teamwork (65)

•Specialization of Care (19)

•Logistical Approaches (18)

•Culture of Safety (90)

•Technologic Approaches (61)

•Education and Training (115)

Clinical Areas

•Allied Health Services (1)

•Complementary and Alternative Medicine (1)

Target Audience

•Health Care Providers (373)

•Health Care Executives and Administrators (466)

•Non-Health Care Professionals (243)

•Patients (30)

Setting of Care

•Hospitals (325)

•Psychiatric Facilities (4)

•Residential Facilities (4)

•Ambulatory Care (48)

•Outpatient Surgery (3)

•Patient Transport (6)

1 - 20 of 548

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ORGANIZATIONAL POLICY/GUIDELINES

Standardising wristbands improves patient safety.

Safe Practice Notice 24. London, England: National Patient Safety Agency; July 3, 2007.

STUDY

Wristbands as aids to reduce misidentification: an ethnographically guided task analysis.

Smith AF, Casey K, Wilson J, Fischbacher-Smith D. Int J Qual Health Care. 2011;23:590-599.

STUDY

Does the implementation of an electronic prescribing system create unintended medication errors? A study of the sociotechnical context through the analysis of reported medication incidents.

Redwood S, Rajakumar A, Hodson J, Coleman JJ. BMC Med Inform Decis Mak. 2011;11:29.

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.

SPECIAL OR THEME ISSUE

Proceedings from the European Handover Research Collaborative.

Philibert I, Barach P, eds. BMJ Qual Saf. 2012;21(suppl 1):i1-i128.

REVIEW

A systematic review of evidence on the links between patient experience and clinical safety and effectiveness.

Doyle C, Lennox L, Bell D. BMJ Open. 2013;3:e001570.

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

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.

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

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

Large scale organisational intervention to improve patient safety in four UK hospitals: mixed method evaluation.

Benning A, Ghaleb M, Suokas A, et al. BMJ. 2011;342:d195.

STUDY

Improving RCA performance: the Cornerstone Award and the power of positive reinforcement.

Bagian JP, King BJ, Mills PD, McKnight SD. BMJ Qual Saf. 2011;20:974-982.

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

Staff perceptions of quality of care: an observational study of the NHS Staff Survey in hospitals in England.

Pinder RJ, Greaves FE, Aylin PP, Jarman B, Bottle A. BMJ Qual Saf. 2013 Feb 20; [Epub ahead of print].

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.

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

Errors during the preparation of drug infusions: a randomized controlled trial.

Adapa RM, Mani V, Murray LJ, et al. Br J Anaesth. 2012;109:729-734.

STUDY

Failure mode and effects analysis outputs: are they valid?

Shebl NA, Franklin BD, Barber N. BMC Health Serv Res. 2012;12:150.

STUDY

Patient safety in patients who occupy beds on clinically inappropriate wards: a qualitative interview study with NHS staff.

Goulding L, Adamson J, Watt I, Wright J. BMJ Qual Saf. 2012;21;218-224.

STUDY

Improvement in the detection of adverse drug events by the use of electronic health and prescription records: an evaluation of two trigger tools.

Nwulu U, Nirantharakumar K, Odesanya R, McDowell SE, Coleman JJ. Eur J Clin Pharmacol. 2013;69:255-259.

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