AHRQ Patient Safety Network

The Collection > United States of America

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Safety Target

•Device-related Complications (78)

•Diagnostic Errors (76)

•Identification Errors (68)

•Discontinuities, Gaps, and Hand-Off Problems (220)

•Fatigue and Sleep Deprivation (52)

•Medication Safety (557)

•Medical Complications (207)

•Nonsurgical Procedural Complications (56)

•Surgical Complications (228)

•Transfusion Complications (9)

•Psychological and Social Complications (60)

Origin/Sponsor
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United States of America

•United States Federal Government (23)

•State Governments and Agencies (3)

Resource Types

•Audiovisual (8)

•Award (6)

•Book/Report (62)

•Clinical Guideline (3)

•Journal Article (1503)

•Legislation/Regulation (29)

•Meeting/Conference (12)

•Newsletter/Journal (5)

•Newspaper/Magazine Article (131)

•Press Release/Announcement (5)

•Special or Theme Issue (16)

•Tools/Toolkit (18)

•Web Resource (30)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (461)

•Active Errors (288)

•Latent Errors (101)

•Near Miss (38)

Approach to Improving Safety

•Quality Improvement Strategies (447)

•Legal and Policy Approaches (110)

•Error Reporting and Analysis (517)

•Communication Improvement (425)

•Human Factors Engineering (263)

•Teamwork (168)

•Specialization of Care (136)

•Logistical Approaches (175)

•Culture of Safety (238)

•Technologic Approaches (352)

•Education and Training (354)

Clinical Areas

•Allied Health Services (5)

Target Audience

•Health Care Providers (1298)

•Health Care Executives and Administrators (1829)

•Non-Health Care Professionals (685)

•Patients (47)

Setting of Care

•Hospitals (1158)

•Psychiatric Facilities (5)

•Residential Facilities (43)

•Ambulatory Care (158)

•Outpatient Surgery (20)

•Patient Transport (14)

1 - 20 of 1829

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MULTI-USE WEBSITE

The National Report Card on the State of Emergency Medicine.

Dallas, TX: American College of Emergency Physicians.

STUDY

The effects of work-hour limitations on resident well-being, patient care, and education in an internal medicine residency program.

Goitein L, Shanafelt TD, Wipf JE, Slatore CG, Back AL. Arch Intern Med. 2005;165:2601-2606.

STUDY

Bridging the communication gap in the operating room with medical team training.

Awad SS, Fagan SP, Bellows C, et al. Am J Surg. 2005;190:770-774.

NEWSPAPER/MAGAZINE ARTICLE

Leveraging technical and managerial changes to improve safety.

Pronovost P, Heifetz RA. Hosp Health Netw. March 27, 2007.

NEWSPAPER/MAGAZINE ARTICLE

An overlooked condition.

Nicholas L. Modern Healthc. November 14, 2005;35:24.

COMMENTARY

A pediatric medical emergency team manages a complex child with hypoxia and a worried parent.

Shilkofski NA, Hunt EA. Jt Comm J Qual Patient Saf. 2007;33:236-241.

STUDY

What is the measure of a safe hospital? Medication errors missed by risk management, clinical staff, and surveyors.

Grasso BC, Rothschild JM, Jordan CW, Jayaram G. J Psychiatr Pract. 2005;11:268-273.

STUDY

Physician characteristics, attitudes, and use of computerized order entry.

Lindenauer PK, Ling D, Pekow PS, et al. J Hosp Med. 2006;1:221-230.

COMMENTARY

A multifaceted approach to improve patient safety, prevent medical errors and resolve the professional liability crisis.

Weinstein L. Am J Obstet Gynecol. 2006;194:1160-1165; discussion 1165-1167.

BOOK/REPORT classic

Improving Patient Safety Through Informed Consent for Patients with Limited Health Literacy.

Wu HW, Nishimi RY, Page-Lopez CM, Kizer KW. Washington, DC: National Quality Forum; 2005.

NEWSPAPER/MAGAZINE ARTICLE

Dose of technology helps Shands at UF avoid drug errors.

Chun D. Gainsville Sun. August 21, 2006.

STUDY

Decreasing errors in pediatric continuous intravenous infusions.

Lehmann CU, Kim GR, Gujral R, Veltri MA, Clark JS, Miller MR. Pediatr Crit Care Med. 2006;7:225-230.

STUDY

Complying with ACGME resident duty hours restrictions: restructuring the 80-hour workweek to enhance education and patient safety at Texas A&M/Scott & White Memorial Hospital.

Ogden PE, Sibbitt S, Howell M, et al. Acad Med. 2006;81:1026-1031.

STUDY

Patient-reported service quality on a medicine unit.

Weingart SN, Pagovich O, Sands DZ, et al. Int J Qual Health Care. 2005;18:95-101.

NEWSPAPER/MAGAZINE ARTICLE

Non-English speakers find ERs hard to reach.

Hua V. San Francisco Chronicle. February 17, 2006:B6.

NEWSPAPER/MAGAZINE ARTICLE

What pilots can teach hospitals about patient safety.

Murphy K. New York Times. October 31, 2006:F5.

COMMENTARY classic

Creating an integrated patient safety team.

Gandhi TK, Graydon-Baker E, Barnes JN, et al. Jt Comm J Qual Saf. 2003;29:383-390.

COMMENTARY

Using medical-error reporting to drive patient safety efforts.

Stow J. AORN J. 2006;84:406-408, 411-414, 417-420.

COMMENTARY classic

Fixing healthcare from the inside, today.

Spear SJ. Harv Bus Rev. September 2005;83:78-91.

NEWSPAPER/MAGAZINE ARTICLE

Trends influencing the cost of care and patient safety.

Clark R. Health Manage Tech. July 2006:18, 20-21.

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