AHRQ Patient Safety Network

The Collection > Canada

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Safety Target

•Device-related Complications (8)

•Diagnostic Errors (14)

•Identification Errors (4)

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

•Fatigue and Sleep Deprivation (6)

•Medication Safety (66)

•Medical Complications (32)

•Nonsurgical Procedural Complications (4)

•Surgical Complications (37)

•Transfusion Complications (2)

•Psychological and Social Complications (6)

Origin/Sponsor
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Canada

Resource Types

•Book/Report (8)

•Journal Article (213)

•Legislation/Regulation (1)

•Meeting/Conference (3)

•Newspaper/Magazine Article (2)

•Special or Theme Issue (11)

•Tools/Toolkit (3)

•Web Resource (9)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (64)

•Active Errors (40)

•Latent Errors (10)

•Near Miss (7)

Approach to Improving Safety

•Quality Improvement Strategies (59)

•Legal and Policy Approaches (13)

•Error Reporting and Analysis (84)

•Communication Improvement (54)

•Human Factors Engineering (37)

•Teamwork (21)

•Specialization of Care (14)

•Logistical Approaches (18)

•Culture of Safety (43)

•Technologic Approaches (39)

•Education and Training (44)

Clinical Areas

•Allied Health Services (2)

•Medicine (169)

•Nursing (23)

•Pharmacy (14)

Target Audience

•Health Care Providers (192)

•Health Care Executives and Administrators (207)

•Non-Health Care Professionals (102)

•Patients (8)

Setting of Care

•Hospitals (149)

•Psychiatric Facilities (2)

•Residential Facilities (2)

•Ambulatory Care (24)

•Outpatient Surgery (2)

•Patient Transport (4)

1 - 20 of 251

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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

Prospective evaluation of consultant surgeon sleep deprivation and outcomes in more than 4000 consecutive cardiac surgical procedures.

Chu MWA, Stitt LW, Fox SA, et al. Arch Surg. 2011;146:1080-1085.

STUDY

Impact of a comprehensive safety initiative on patient-controlled analgesia errors.

Paul JE, Bertram B, Antoni K, et al. Anesthesiology. 2010;113:1427-1432.

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

Drug formulations that require potentially inaccurate volumes to prepare doses for infants and children.

Uppal N, Yasseen B, Seto W, Parshuram CS. CMAJ. 2011;183:E246-E248.

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

Discontinuity of chronic medications in patients discharged from the intensive care unit.

Bell CM, Rahimi-Darabad P, Orner AI. J Gen Intern Med. 2006;21:937-941.

STUDY

Intraoperative adverse events and related postoperative complications in spine surgery: implications for enhancing patient safety founded on evidence-based protocols.

Rampersaud YR, Moro ER, Neary MA, et al. Spine. 2006;31:1503-1510.

COMMENTARY

Managing the adverse event occurring during elective, ambulatory pediatric surgery.

Skarsgard ED. Semin Pediatr Surg. 2009;18:122-124.

STUDY

Slowing down to stay out of trouble in the operating room: remaining attentive in automaticity.

Moulton CA, Regehr G, Lingard L, Merritt C, MacRae H. Acad Med. 2010;85:1571-1577.

STUDY

Evaluation of a preoperative team briefing: a new communication routine results in improved clinical practice.

Lingard L, Regehr G, Cartmill C, et al. BMJ Qual Saf. 2011;20:475-482.

STUDY

Pharmacist medication assessments in a surgical preadmission clinic.

Kwan Y, Fernandes OA, Nagge JJ, et al. Arch Intern Med. 2007;167:1034-1040.

REVIEW

What is the value and impact of quality and safety teams? A scoping review.

White DE, Straus SE, Stelfox HT, et al. Implement Sci. 2011;6:97.

REVIEW

Medication errors in critical care: risk factors, prevention and disclosure.

Camiré E, Moyen E, Stelfox HT. CMAJ. 2009;180:936-943.

STUDY

Incidence of potentially avoidable urgent readmissions and their relation to all-cause urgent readmissions.

van Walraven C, Jennings A, Taljaard M, et al. CMAJ. 2011;183:E1067-E1072.

STUDY

Increasing patient safety event reporting in 2 intensive care units: A prospective interventional study.

Ilan R, Squires M, Panopoulos C, Day A. J Crit Care. 2011;26:e11-e18.

STUDY

Impact of intensive care unit discharge time on patient outcome.

Priestap FA, Martin CM. Crit Care Med. 2006;34:2946-2951.

STUDY

Organizational and safety culture in Canadian intensive care units: relationship to size of intensive care unit and physician management model.

Dodek PM, Wong H, Jaswal D, et al. J Crit Care. 2012;27:11-17.

STUDY

Use of an electronic information system to identify adverse events resulting in an emergency department visit.

Ackroyd-Stolarz S, Mackinnon NJ, Zed PJ, Murphy N. Qual Saf Health Care. 2010;19:e53.

STUDY

A medication error prevention survey: five years of results.

Cusano F, Chambers C, Summach DL. J Oncol Pharm Pract. 2009;15:87-93.

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