AHRQ Patient Safety Network

The Collection > Canada

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Safety Target

•Device-related Complications (10)

•Diagnostic Errors (15)

•Identification Errors (3)

•Discontinuities, Gaps, and Hand-Off Problems (35)

•Fatigue and Sleep Deprivation (4)

•Medication Safety (72)

•Medical Complications (38)

•Nonsurgical Procedural Complications (6)

•Surgical Complications (25)

•Transfusion Complications (3)

•Psychological and Social Complications (8)

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Canada

Resource Types

•Book/Report (16)

•Journal Article (222)

•Legislation/Regulation (1)

•Meeting/Conference (3)

•Newspaper/Magazine Article (5)

•Special or Theme Issue (12)

•Tools/Toolkit (3)

•Web Resource (9)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (77)

•Active Errors (45)

•Latent Errors (15)

•Near Miss (8)

Approach to Improving Safety

•Quality Improvement Strategies (58)

•Legal and Policy Approaches (17)

•Error Reporting and Analysis (92)

•Communication Improvement (55)

•Human Factors Engineering (35)

•Teamwork (22)

•Specialization of Care (13)

•Logistical Approaches (24)

•Culture of Safety (40)

•Technologic Approaches (41)

•Education and Training (50)

Clinical Areas

•Allied Health Services (2)

•Medicine (179)

•Nursing (21)

•Pharmacy (18)

Target Audience

•Health Care Providers (193)

•Health Care Executives and Administrators (207)

•Non-Health Care Professionals (102)

•Patients (12)

Setting of Care

•Hospitals (174)

•Psychiatric Facilities (1)

•Residential Facilities (2)

•Ambulatory Care (24)

•Outpatient Surgery (2)

•Patient Transport (4)

1 - 20 of 272

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STUDY

Catching and correcting near misses: the collective vigilance and individual accountability trade-off.

Jeffs LP, Lingard L, Berta W, Baker GR. J Interprof Care. 2012;26:121-126.

BOOK/REPORT

HSMR: A New Approach for Measuring Hospital Mortality Trends in Canada.

Ottawa, ON, Canada: Canadian Institute for Health Information; 2007. ISBN: 9781554651849.

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

Taking a detour: positive and negative effects of supervisors' interruptions during admission case review discussions.

Goldszmidt M, Aziz N, Lingard L. Acad Med. 2012;87:1382-1388.

STUDY

Frequency and clinical importance of pages sent to the wrong physician.

Wong BM, Quan S, Cheung CM, et al. Arch Intern Med. 2009;169:1072-1073.

COMMENTARY

Achieving the 'perfect handoff' in patient transfers: building teamwork and trust.

Clarke D, Werestiuk K, Schoffner A, et al. J Nurs Manag. 2012;20:592-598.

BOOK/REPORT

Patient Safety in Canada: An Update.

Ottawa, ON, Canada: Canadian Institute for Health Information; August 14, 2007.

STUDY

The intended and unintended consequences of communication systems on general internal medicine inpatient care delivery: a prospective observational case study of five teaching hospitals.

Wu RC, Lo V, Morra D, et al. J Am Med Inform Assoc. 2013 Jan 25; [Epub ahead of print].

STUDY

Information exchange among physicians caring for the same patient in the community.

van Walraven C, Taljaard M, Bell CM, et al. CMAJ. 2008;179:1013-1018.

REVIEW

The efficacy of computer-enabled discharge communication interventions: a systematic review.

Motamedi SM, Posadas-Calleja J, Straus S, et al. BMJ Qual Saf. 2011;20:403-415.

SPECIAL OR THEME ISSUE

Elderly Falls.

J Safety Res. 2011;42:415-542.

REVIEW

The economic burden of patient safety targets in acute care: a systematic review.

Mittmann N, Koo M, Daneman N, et al. Drug Healthc Patient Saf. 2012;4:141-165.

STUDY

Identifying, understanding and overcoming barriers to medication error reporting in hospitals: a focus group study.

Hartnell N, MacKinnon N, Sketris I, Fleming M. BMJ Qual Saf. 2012;21:361-368.

NEWSPAPER/MAGAZINE ARTICLE

A failing grade on patient safety.

Victoria Times Colonist. March 26, 2007.

STUDY

The sensitivity of adverse event cost estimates to diagnostic coding error.

Wardle G, Wodchis WP, Laporte A, Anderson GM, Ross Baker G. Health Serv Res. 2012;47:984-1007.

STUDY

Learning from near misses: from quick fixes to closing off the Swiss-cheese holes.

Jeffs L, Berta W, Lingard L, Baker GR. BMJ Qual Saf. 2012;21:287-294.

REVIEW

Improving patient safety through the systematic evaluation of patient outcomes.

Forster AJ, Dervin G, Martin C, Papp S. Can J Surg. 2012;55:418-425.

COMMENTARY

Single-patient rooms for safe patient-centered hospitals.

Detsky ME, Etchells E. JAMA. 2008;300:954-956.

STUDY

What near misses tell us about risk and safety in mental health care.

Jeffs L, Rose D, Macrae C, Maione M, Macmillan KM. J Psychiatr Ment Health Nurs. 2012;19:430-437.

STUDY

Perspective: a business school view of medical interprofessional rounds: transforming rounding groups into rounding teams.

Bharwani AM, Harris GC, Southwick FS. Acad Med. 2012;87:1768-1771.

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