AHRQ Patient Safety Network

The Collection > United States of America

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Safety Target

•Device-related Complications (170)

•Diagnostic Errors (52)

•Identification Errors (49)

•Discontinuities, Gaps, and Hand-Off Problems (178)

•Fatigue and Sleep Deprivation (53)

•Medication Safety (578)

•Medical Complications (194)

•Nonsurgical Procedural Complications (36)

•Surgical Complications (145)

•Transfusion Complications (8)

•Psychological and Social Complications (61)

Origin/Sponsor
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United States of America

•United States Federal Government (72)

•State Governments and Agencies (7)

Resource Types

•Journal Article (1291)

•Legislation/Regulation (34)

•Meeting/Conference (30)

•Newsletter/Journal (5)

•Newspaper/Magazine Article (329)

•Press Release/Announcement (13)

•Special or Theme Issue (42)

•Tools/Toolkit (25)

•Web Resource (51)

•Grant (8)

Error Types

•Epidemiology of Errors and Adverse Events (302)

•Active Errors (180)

•Latent Errors (129)

•Near Miss (22)

Approach to Improving Safety

•Quality Improvement Strategies (557)

•Legal and Policy Approaches (293)

•Error Reporting and Analysis (515)

•Communication Improvement (379)

•Human Factors Engineering (321)

•Teamwork (136)

•Specialization of Care (131)

•Logistical Approaches (149)

•Culture of Safety (374)

•Technologic Approaches (685)

•Education and Training (327)

Clinical Areas

•Allied Health Services (7)

•Medicine (1136)

•Nursing (95)

•Pharmacy (223)

Target Audience

•Health Care Providers (1265)

•Health Care Executives and Administrators (1852)

•Non-Health Care Professionals (1157)

•Patients (174)

Setting of Care

•Hospitals (1158)

•Psychiatric Facilities (6)

•Residential Facilities (32)

•Ambulatory Care (162)

•Outpatient Surgery (18)

•Patient Transport (6)

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AUDIOVISUAL

Software glitches pose new, potentially dangerous problems for medical devices.

Kennedy D. "iHealthBeat." California Healthcare Foundation. July 25, 2008.

COMMENTARY

Smart pumps: advanced capabilities and continuous quality improvement.

Vanderveen T. Patient Saf Quality Healthc. January/February 2007.

NEWSPAPER/MAGAZINE ARTICLE

FDA discusses oversight, regulation of HIT at ONC Workgroup hearing on patient safety.

Health IT Law & Industry Report; February 26, 2010.

NEWSPAPER/MAGAZINE ARTICLE

Medication errors: a year in review.

Institute for Safe Medication Practices. Pharmacy Practice News. October 2011:7-14.

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.

NEWSPAPER/MAGAZINE ARTICLE

Preventing catheter/tubing misconnections: much needed help is on the way.

ISMP Medication Safety Alert! Acute Care Edition. July 15, 2010;15:1-2.

STUDY

Evaluation of a Web-based education program on reducing medication dosing error: a multicenter, randomized controlled trial.

Frush K, Hohenhaus S, Luo X, Gerardi M, Wiebe RA. Pediatr Emerg Care. 2006;22:62-70.

NEWSPAPER/MAGAZINE ARTICLE

Computer viruses are "rampant" on medical devices in hospitals.

Talbot D. MIT Technology Review. October 17, 2012.

COMMENTARY

Error reporting as a preventive force.

Simpson RL. Nurs Manage. June 2005;36:21-24,56.

STUDY

Evaluation of consistency in dosing directions and measuring devices for pediatric nonprescription liquid medications.

Yin HS, Wolf MS, Dreyer BP, Sanders LM, Parker RM. JAMA. 2010;304:2595-2602.

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

Sharkey JE, Van Leuven K, Radovich P. J Nurs Care Qual. 2012;27:346-351.

NEWSPAPER/MAGAZINE ARTICLE

Still hard to share. PSOs making progress but still face tech hurdles.

DerGurahian J. Mod Healthc. October 12, 2009;39:30.

STUDY

Use of cellular telephones in the hospital environment.

Tri JL, Severson RP, Hyberger LK, Hayes DL. Mayo Clin Proc. 2007;82:282-285.

AUDIOVISUAL

Notre Dame students design to save lives.

McFadden M. WNDU. February 21, 2012.

COMMENTARY

Medical librarians supporting information systems project lifecycles toward improved patient safety.

Saimbert MK, Zhang Y, Pierce J, Moncrief ES, O'Hagan KB, Cole P. J Healthc Inf Manag. 2010;24:52-56.

COMMENTARY

A vision for patient-centered health information systems.

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

COMMENTARY

Duke Surgery Patient Safety: an open-source application for anonymous reporting of adverse and near-miss surgical events.

Pietrobon R, Lima R, Shah A, et al. Ann Surg Innov Res. 2007;1:5.

STUDY

Predictive combinations of monitor alarms preceding in-hospital code blue events.

Hu X, Sapo M, Nenov V, et al. J Biomed Inform. 2012;45:913-921.

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