AHRQ Patient Safety Network

The Collection > United States of America

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Safety Target

•Device-related Complications (127)

•Diagnostic Errors (136)

•Identification Errors (87)

•Discontinuities, Gaps, and Hand-Off Problems (287)

•Fatigue and Sleep Deprivation (96)

•Medication Safety (742)

•Medical Complications (299)

•Nonsurgical Procedural Complications (89)

•Surgical Complications (334)

•Transfusion Complications (12)

•Psychological and Social Complications (139)

Origin/Sponsor
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United States of America

•United States Federal Government (112)

•State Governments and Agencies (13)

Resource Types

•Audiovisual (29)

•Award (27)

•Book/Report (149)

•Clinical Guideline (5)

•Journal Article (2201)

•Legislation/Regulation (40)

•Meeting/Conference (21)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (284)

•Press Release/Announcement (15)

•Special or Theme Issue (54)

•Tools/Toolkit (33)

•Web Resource (69)

•Grant (6)

Error Types

•Epidemiology of Errors and Adverse Events (566)

•Active Errors (432)

•Latent Errors (164)

•Near Miss (55)

Approach to Improving Safety

•Quality Improvement Strategies (758)

•Legal and Policy Approaches (270)

•Error Reporting and Analysis (768)

•Communication Improvement (691)

•Human Factors Engineering (379)

•Teamwork (334)

•Specialization of Care (184)

•Logistical Approaches (247)

•Culture of Safety (698)

•Technologic Approaches (475)

•Education and Training (855)

Clinical Areas

•Allied Health Services (9)

Target Audience

•Health Care Providers (1982)

•Health Care Executives and Administrators (2484)

•Non-Health Care Professionals (1371)

•Patients (158)

Setting of Care

•Hospitals (1774)

•Psychiatric Facilities (6)

•Residential Facilities (47)

•Ambulatory Care (206)

•Outpatient Surgery (28)

•Patient Transport (18)

1 - 20 of 2936

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COMMENTARY

A case of the birth and death of a high reliability healthcare organisation.

Roberts KH, Madsen P, Desai V, Van Stralen D. Qual Saf Health Care. 2005;14:216-220.

COMMENTARY

A leadership initiative to improve communication and enhance safety.

Donahue M, Miller M, Smith L, Dykes P, Fitzpatrick JJ. Am J Med Qual. 2011;26:206-211.

STUDY

Can teaching medical students to investigate medication errors change their attitudes towards patient safety?

Dudas RA, Bundy DG, Miller MR, Barone M. BMJ Qual Saf. 2011;20:319-325.

STUDY

Peer review comments augment diagnostic error characterization and departmental quality assurance: 1-year experience from a children's hospital.

Iyer RS, Swanson JO, Otto RK, Weinberger E. AJR Am J Roentgenol. 2013;200:132-137.

STUDY

Improving team performance during the preprocedure time-out in pediatric interventional radiology.

Gottumukkala R, Street M, Fitzpatrick M, Tatineny P, Duncan JR. Jt Comm J Qual Patient Saf. 2012;38:387-394.

STUDY

Patient safety attitudes of paediatric trainee physicians.

Parry G, Horowitz L, Goldmann D. Qual Saf Health Care. 2009;18:462-466.

STUDY

Family-centered rounds on pediatric wards: a PRIS network survey of US and Canadian hospitalists.

Mittal VS, Sigrest T, Ottolini MC, et al. Pediatrics. 2010;126:37-43.

STUDY

The safety culture in a children's hospital.

Grant MJC, Donaldson AE, Larsen GY. J Nurs Care Qual. 2006;21:223-229.

STUDY

Structured interdisciplinary rounds in a medical teaching unit: improving patient safety.

O’Leary KJ, Buck R, Fligiel HM, et al. Arch Intern Med. 2011;171:678-684.

STUDY

Assessing and improving safety culture throughout an academic medical centre: a prospective cohort study.

Paine LA, Rosenstein BJ, Sexton JB, Kent P, Holzmueller CG, Pronovost PJ. Qual Saf Health Care. 2010;19:547-554.

STUDY

Impact of a comprehensive patient safety strategy on obstetric adverse events.

Pettker CM, Thung SF, Norwitz ER, et al. Am J Obstet Gynecol. 2009 May;200:492.e1-8.

STUDY

Factors associated with disclosure of medical errors by housestaff.

Kronman AC, Paasche-Orlow M, Orlander JD. BMJ Qual Saf. 2012;21:271-278.

STUDY

An intervention to decrease patient identification band errors in a children's hospital.

Hain PD, Joers B, Rush M, et al. Qual Saf Health Care. 2010;19:244-247.

NEWSPAPER/MAGAZINE ARTICLE

At VA hospital, a rogue cancer unit.

Bogdanich W. New York Times. June 20, 2009;National Desk:1.

REVIEW

What is patient safety culture? A review of the literature.

Sammer CE, Lykens K, Singh KP, Mains DA, Lackan NA. J Nurs Scholarsh. 2010;42:156-165.

STUDY

The relationship of the emotional climate of work and threat to patient outcome in a high-volume thoracic surgery operating room team.

Nurok M, Evans LA, Lipsitz S, Satwicz P, Kelly A, Frankel A. BMJ Qual Saf. 2011;20:237-242.

COMMENTARY

Description and evaluation of an interprofessional patient safety course for health professions and related sciences students.

Galt KA, Paschal KA, O'Brien RL, et al. J Patient Saf. 2006;2:207-216.

NEWSPAPER/MAGAZINE ARTICLE

First, protect the patient from harm: applying adult learning principles to patient safety.

Duffy B. Patient Saf Qual Healthc. July/August 2010;7:32-36.

STUDY

A human factors framework and study of the effect of nursing workload on patient safety and employee quality of working life.

Holden RJ, Scanlon MC, Patel NR, et al. BMJ Qual Saf. 2011;20:15-24.

STUDY

Assessing controlled substance prescribing errors in a pediatric teaching hospital: an analysis of the safety of analgesic prescription practice in the transition from the hospital to home.

Lee BH, Lehmann CU, Jackson EV, et al. J Pain. 2009;10:160-166.

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