AHRQ Patient Safety Network

The Collection > United States of America

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Safety Target

•Device-related Complications (90)

•Diagnostic Errors (90)

•Identification Errors (69)

•Discontinuities, Gaps, and Hand-Off Problems (248)

•Fatigue and Sleep Deprivation (42)

•Medication Safety (705)

•Medical Complications (238)

•Nonsurgical Procedural Complications (57)

•Surgical Complications (226)

•Transfusion Complications (12)

•Psychological and Social Complications (73)

Origin/Sponsor
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United States of America

•United States Federal Government (60)

•State Governments and Agencies (3)

Resource Types

•Clinical Guideline (5)

•Journal Article (1570)

•Legislation/Regulation (37)

•Meeting/Conference (28)

•Newsletter/Journal (11)

•Newspaper/Magazine Article (263)

•Press Release/Announcement (11)

•Special or Theme Issue (44)

•Tools/Toolkit (42)

•Web Resource (80)

•Grant (6)

Error Types

•Epidemiology of Errors and Adverse Events (444)

•Active Errors (317)

•Latent Errors (127)

•Near Miss (38)

Approach to Improving Safety

•Quality Improvement Strategies (530)

•Legal and Policy Approaches (235)

•Error Reporting and Analysis (556)

•Communication Improvement (577)

•Human Factors Engineering (303)

•Teamwork (174)

•Specialization of Care (137)

•Logistical Approaches (140)

•Culture of Safety (289)

•Technologic Approaches (693)

•Education and Training (405)

Clinical Areas

•Allied Health Services (7)

Target Audience

•Health Care Providers (2086)

•Health Care Executives and Administrators (1768)

•Non-Health Care Professionals (1051)

•Patients (198)

Setting of Care

•Hospitals (1265)

•Psychiatric Facilities (10)

•Residential Facilities (46)

•Ambulatory Care (261)

•Outpatient Surgery (26)

•Patient Transport (16)

1 - 20 of 2314

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COMMENTARY

Policy and the future of adverse event detection using information technology.

Bates DW, Evans RS, Murff H, Stetson PD, Pizziferri L, Hripcsak G. J Am Med Inform Assoc. 2003;10:226-228.

COMMENTARY

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:1062-1065.

COMMENTARY

Video technology to advance safety in the operating room and perioperative environment.

Xiao Y, Schimpff S, Mackenzie C, et al. Surg Innov. 2007;14:52-61.

STUDY

Patient readmissions, emergency visits, and adverse events after software-assisted discharge from hospital: cluster randomized trial.

Graumlich JF, Novotny NL, Nace GS, et al. J Hosp Med. 2009;4:E11-E19.

ORGANIZATIONAL POLICY/GUIDELINES

Challenges in ethics, safety, best practices, and oversight regarding HIT vendors, their customers, and patients: a report of an AMIA special task force.

Goodman KW, Berner ES, Dente MA, et al; AMIA Board of Directors. J Am Med Inform Assoc. 2011;18:77-81.

COMMENTARY

Responding to large-scale testing errors.

Valenstein PN, Alpern GA, Keren DF. Am J Clin Pathol. 2010;133:440-446.

NEWSPAPER/MAGAZINE ARTICLE

Can high tech save your life?

Fischman J. US News and World Report. August 1, 2005;139:45,49-50,52.

DATABASE/DIRECTORY

TMIT Briefing Center.

Austin, TX: Texas Medical Institute of Technology [SafetyLeaders.org]; 2007.

SPECIAL OR THEME ISSUE

Quality of Anesthesia Care.

Neuman MD, Martinez EA, eds. Anesthesiol Clin. 2011;29:1-178.

STUDY

Fall prevention in acute care hospitals: a randomized trial.

Dykes PC, Carroll DL, Hurley A, et al. JAMA. 2010;304:1912-1918.

STUDY

Field test results of a new ambulatory care Medication Error and Adverse Drug Event Reporting System—MEADERS.

Hickner J, Zafar A, Kuo GM, et al. Ann Fam Med. 2010;8:517-525.

COMMENTARY

The need for systems integration in health care.

Mathews SC, Pronovost PJ. JAMA. 2011;305:934-935.

STUDY

Using a data-matrix–coded sponge counting system across a surgical practice: impact after 18 months.

Cima RR, Kollengode A, Clark J, et al. Jt Comm J Qual Patient Saf. 2011;37:51-58.

STUDY

Analysis and prioritization of near-miss adverse events in a radiology department.

Thornton RH, Miransky J, Killen AR, Solomon SB, Brody LA. AJR Am J Roentgenol. 2011;196:1120-1124.

STUDY

Safety of using a computerized rounding and sign-out system to reduce resident duty hours.

Van Eaton EG, McDonough K, Lober WB, Johnson EA, Pellegrini CA, Horvath KD. Acad Med. 2010;85:1189-1195.

STUDY

What ring tone should be used for patient safety? Early results with a Blackberry-based telementoring safety solution.

Parker A, Rubinfeld I, Azuh O, et al. Am J Surg. 2010;199:336-341.

BOOK/REPORT

Health Care Comes Home: The Human Factors.

Committee on the Role of Human Factors in Home Health Care. Washington, DC: National Research Council; 2011. ISBN: 9780309212366.

COMMENTARY

A vision for patient-centered health information systems.

Krist AH, Woolf SH. JAMA. 2011;305:300-301.

COMMENTARY

Patient safety event reporting in a large radiology department.

Schultz SR, Watson RE Jr, Prescott SL, et al. AJR Am J Roentgenol. 2011;197:684-688.

COMMENTARY

Reducing diagnostic errors through effective communication: harnessing the power of information technology.

Singh H, Naik AD, Rao R, Petersen LA. J Gen Intern Med. 2008;23:489-494.

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