AHRQ Patient Safety Network

The Collection > United States of America

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Safety Target

•Device-related Complications (177)

•Diagnostic Errors (159)

•Identification Errors (114)

•Discontinuities, Gaps, and Hand-Off Problems (471)

•Fatigue and Sleep Deprivation (106)

•Medication Safety (1030)

•Medical Complications (471)

•Nonsurgical Procedural Complications (89)

•Surgical Complications (409)

•Transfusion Complications (21)

•Psychological and Social Complications (171)

Origin/Sponsor
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United States of America

•United States Federal Government (276)

•State Governments and Agencies (36)

Resource Types

•Audiovisual (46)

•Award (32)

•Book/Report (237)

•Clinical Guideline (8)

•Journal Article (2752)

•Legislation/Regulation (55)

•Meeting/Conference (30)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (532)

•Press Release/Announcement (21)

•Special or Theme Issue (58)

•Tools/Toolkit (64)

•Web Resource (89)

•Grant (15)

Error Types

•Epidemiology of Errors and Adverse Events (768)

•Active Errors (515)

•Latent Errors (236)

•Near Miss (72)

Approach to Improving Safety

•Quality Improvement Strategies (1000)

•Legal and Policy Approaches (419)

•Error Reporting and Analysis (1071)

•Communication Improvement (945)

•Human Factors Engineering (508)

•Teamwork (396)

•Specialization of Care (277)

•Logistical Approaches (353)

•Culture of Safety (773)

•Technologic Approaches (684)

•Education and Training (857)

Clinical Areas

•Allied Health Services (8)

Target Audience

•Health Care Providers (2539)

•Health Care Executives and Administrators (3168)

•Non-Health Care Professionals (1577)

•Patients (319)

Setting of Care

•Hospitals (2723)

•Psychiatric Facilities (16)

•Residential Facilities (70)

•Ambulatory Care (329)

•Outpatient Surgery (38)

•Patient Transport (19)

1 - 20 of 3942

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STUDY

Creating safety culture on nursing units: human performance and organizational system factors that make a difference.

Moody RF, Pesut DJ, Harrington CF. J Patient Saf. 2006;2:198-206.

BOOK/REPORT

Pulse Report 2009: Safety Culture: Staff Perspectives on American Health Care.

South Bend, IN: Press Ganey Associates, Inc: 2009.

STUDY

Assessment of teamwork during structured interdisciplinary rounds on medical units.

O'Leary KJ, Boudreau YN, Creden AJ, Slade ME, Williams MV. J Hosp Med. 2012;7:679-683.

STUDY

Improving patient safety using the sterile cockpit principle during medication administration: a collaborative, unit-based project.

Fore AM, Sculli GL, Albee D, Neily J. J Nurs Manag. 2013;21:106-111.

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.

ORGANIZATIONAL POLICY/GUIDELINES

Preventing violence in the health care setting.

Sentinel Event Alert. June 3, 2010;(45):1-3.

STUDY

Do nurse and patient injuries share common antecedents? An analysis of associations with safety climate and working conditions.

Taylor JA, Dominici F, Agnew J, Gerwin D, Morlock L, Miller MR. BMJ Qual Saf. 2012;21:101-111.

STUDY

A theory-driven, longitudinal evaluation of the impact of team training on safety culture in 24 hospitals.

Jones KJ, Skinner AM, High R, Reiter-Palmon R. BMJ Qual Saf. 2013;22:394-404.

COMMENTARY

A new frontier in patient safety.

McCannon J, Berwick DM. JAMA. 2011;305:2221-2222.

MULTI-USE WEBSITE

BOOSTing Care Transitions Resource Room.

Project BOOST (Better Outcomes for Older adults through Safe Transitions), Society of Hospital Medicine.

STUDY

Nurse decision making in the prearrest period.

Gazarian PK, Henneman EA, Chandler GE. Clin Nurs Res. 2010;19:21-37.

REVIEW

Fall prevention in hospitals: an integrative review.

Spoelstra SL, Given BA, Given CW. Clin Nurs Res. 2012;21:92-112.

STUDY

Adoption of National Quality Forum safe practices by magnet hospitals.

Jayawardhana J, Welton JM, Lindrooth R. J Nurs Adm. 2011;41:350-356.

STUDY

A survey of the impact of disruptive behaviors and communication defects on patient safety.

Rosenstein AH, O'Daniel M. Jt Comm J Qual Patient Saf. 2008;34:464-471.

BOOK/REPORT classic

The Silent Treatment: Why Safety Tools and Checklists Aren't Enough to Save Lives.

Maxfield D, Grenny J, Lavandero R, Groah L. Provo, UT: VitalSmarts; 2011.

STUDY

Improving teamwork on general medical units: when teams do not work face-to-face.

McComb SA, Henneman EA, Hinchey KT, et al. Jt Comm J Qual Patient Saf. 2012;38:471-478.

MEETING/CONFERENCE PROCEEDINGS

The Role of HR in Quality and Patient Safety.

The American Society for Healthcare Human Resources Administration. San Diego, CA: July 24, 2008.

BOOK/REPORT

The Patient Safety Initiative at America’s Public Hospitals: The Year One Overview.

Research Brief. Washington, DC: National Association of Public Hospitals and Health Systems; January 2011.

STUDY

Exploring relationships between hospital patient safety culture and adverse events.

Mardon RE, Khanna K, Sorra J, Dyer N, Famolaro T. J Patient Saf. 2010;6:226-232.

STUDY

Collaboration between pharmacists, physicians and nurse practitioners: a qualitative investigation of working relationships in the inpatient medical setting.

Makowsky MJ, Schindel TJ, Rosenthal M, Campbell K, Tsuyuki RT, Madill HM. J Interprof Care. 2009;23:169-84.

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