AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (10)

•Diagnostic Errors (12)

•Identification Errors (3)

•Discontinuities, Gaps, and Hand-Off Problems (39)

•Fatigue and Sleep Deprivation (7)

•Medication Safety (76)

•Medical Complications (36)

•Nonsurgical Procedural Complications (6)

•Surgical Complications (27)

•Transfusion Complications (3)

•Psychological and Social Complications (8)

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Canada

Resource Types

•Book/Report (12)

•Journal Article (227)

•Meeting/Conference (2)

•Newspaper/Magazine Article (5)

•Special or Theme Issue (9)

•Tools/Toolkit (1)

•Web Resource (5)

Error Types

•Epidemiology of Errors and Adverse Events (72)

•Active Errors (42)

•Latent Errors (13)

•Near Miss (7)

Approach to Improving Safety

•Quality Improvement Strategies (63)

•Legal and Policy Approaches (9)

•Error Reporting and Analysis (83)

•Communication Improvement (62)

•Human Factors Engineering (38)

•Teamwork (22)

•Specialization of Care (16)

•Logistical Approaches (22)

•Culture of Safety (38)

•Technologic Approaches (43)

•Education and Training (44)

Clinical Areas

•Allied Health Services (1)

•Medicine (176)

•Nursing (26)

•Pharmacy (17)

Target Audience

•Health Care Providers (169)

•Health Care Executives and Administrators (212)

•Non-Health Care Professionals (103)

•Patients (7)

Setting of Care

•Hospitals (183)

•Psychiatric Facilities (1)

•Residential Facilities (2)

•Ambulatory Care (24)

•Outpatient Surgery (1)

•Patient Transport (2)

1 - 20 of 261

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BOOK/REPORT

Inspiring Ideas and Celebrating Successes: A Guidebook to Leading Patient Safety Practices in Ontario Hospitals.

OHA Patient Safety Support Service. Toronto, Ontario, Canada: Ontario Hospital Association; 2006.

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

Association of communication between hospital-based physicians and primary care providers with patient outcomes.

Bell CM, Schnipper JL, Auerbach AD, et al. J Gen Intern Med. 2009;24:381-386.

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.

REVIEW

Review of computerized physician handoff tools for improving the quality of patient care.

Li P, Ali S, Tang C, Ghali WA, Stelfox HT. J Hosp Med. 2012 Nov 20; [Epub ahead of print].

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.

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.

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.

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

Medication reconciliation during internal hospital transfer and impact of computerized prescriber order entry.

Lee JY, Leblanc K, Fernandes OA, et al. Ann Pharmacother. 2010;44:1887-1895.

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.

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

Getting the message: a quality improvement initiative to reduce pages sent to the wrong physician.

Wong BM, Cheung CM, Dharamshi H, et al. BMJ Qual Saf. 2012;21:855-862.

STUDY

Using an interactive voice response system to improve patient safety following hospital discharge.

Forster AJ, van Walraven C. J Eval Clin Pract. 2007;13:346-351.

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.

COMMENTARY

Medication reconciliation in the hospital: what, why, where, when, who and how?

Fernandes O, Shojania KG. Healthc Q. 2012;15:42-49.

STUDY

A prospective observational study of physician handoff for intensive-care-unit-to-ward patient transfers.

Li P, Stelfox HT, Ghali WA. Am J Med. 2011;124:860-867.

STUDY

Evaluating a new rapid response team: NP-led versus intensivist-led comparisons.

Scherr K, Wilson DM, Wagner J, Haughian M. AACN Adv Crit Care. 2012;23:32-42.

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