AHRQ Patient Safety Network

The Collection > United States of America

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Safety Target

•Device-related Complications (158)

•Diagnostic Errors (172)

•Identification Errors (142)

•Discontinuities, Gaps, and Hand-Off Problems (385)

•Fatigue and Sleep Deprivation (103)

•Medication Safety (973)

•Medical Complications (400)

•Nonsurgical Procedural Complications (98)

•Surgical Complications (587)

•Transfusion Complications (20)

•Psychological and Social Complications (137)

Origin/Sponsor
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United States of America

•United States Federal Government (213)

•State Governments and Agencies (30)

Resource Types

•Clinical Guideline (8)

•Journal Article (2505)

•Legislation/Regulation (58)

•Meeting/Conference (28)

•Newsletter/Journal (12)

•Newspaper/Magazine Article (423)

•Press Release/Announcement (33)

•Special or Theme Issue (55)

•Tools/Toolkit (61)

•Web Resource (108)

•Grant (8)

Error Types

•Epidemiology of Errors and Adverse Events (738)

•Active Errors (568)

•Latent Errors (329)

•Near Miss (67)

Approach to Improving Safety

•Quality Improvement Strategies (843)

•Legal and Policy Approaches (370)

•Error Reporting and Analysis (993)

•Communication Improvement (874)

•Human Factors Engineering (494)

•Teamwork (307)

•Specialization of Care (218)

•Logistical Approaches (278)

•Culture of Safety (461)

•Technologic Approaches (608)

•Education and Training (715)

Clinical Areas

•Allied Health Services (9)

Target Audience

•Health Care Providers (2834)

•Health Care Executives and Administrators (2868)

•Non-Health Care Professionals (1306)

•Patients (331)

Setting of Care

•Hospitals (2148)

•Psychiatric Facilities (12)

•Residential Facilities (64)

•Ambulatory Care (315)

•Outpatient Surgery (49)

•Patient Transport (22)

1 - 20 of 3582

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STUDY

A novel method for reproducibly measuring the effects of interventions to improve emotional climate, indices of team skills and communication, and threat to patient outcome in a high-volume thoracic surgery center.

Nurok M, Lipsitz S, Satwicz P, Kelly A, Frankel A. Arch Surg. 2010;145:489-495.

STUDY

Infrequent physician use of implantable cardioverter-defibrillators risks patient safety.

Lyman S, Sedrakyan A, Do H, Razzano R, Mushlin AI. Heart. 2011;97:1655-1660.

STUDY

What is the safety of nonemergent operative procedures performed at night?

Turrentine FE, Wang H, Young JS, Calland JF. J Trauma. 2010;69:313-319.

STUDY

Time of day effects on the incidence of anesthetic adverse events.

Wright MC, Phillips-Bute B, Mark JB, et al. Qual Saf Health Care. 2006;15:258-263.

COMMENTARY

Learning from adverse events and near misses.

Greenberg CC. J Gastrointest Surg. 2008;13:3-5.

STUDY

Effect of a 19-item surgical safety checklist during urgent operations in a global patient population.

Weiser TG, Haynes AB, Dziekan G, et al; Safe Surgery Saves Lives Investigators and Study Group. Ann Surg. 2010;251:976-980.

STUDY

Management of anesthesia equipment failure: a simulation-based resident skill assessment.

Waldrop WB, Murray DJ, Boulet JR, Kras JF. Anesth Analg. 2009;109:426-433.

COMMENTARY

Preventable errors in organ transplantation: an emerging patient safety issue?

Ison MG, Holl JL, Ladner D. Am J Transplant. 2012;12:2307-2312.

STUDY

Uncovering system errors using a rapid response team: cross-coverage caught in the crossfire.

Kaplan LJ, Maerz LL, Schuster K, et al. J Trauma. 2009;67:173-179.

COMMENTARY

What happens when things go wrong?

Brandom BW, Callahan P, Micalizzi DA. Paediatr Anaesth. 2011;21:730-736.

STUDY

Applicability of Healthcare Failure Mode and Effects Analysis to healthcare epidemiology: evaluation of the sterilization and use of surgical instruments.

Linkin DR, Sausman C, Santos L, et al. Clin Infect Dis. 2005;41:1014-1019.

STUDY

Quality improvement project to reduce perioperative opioid oversedation events in a paediatric hospital.

Vermaire D, Caruso MC, Lesko A, et al. BMJ Qual Saf. 2011;20:895-902.

STUDY

Preprinted order sets as a safety intervention in pediatric sedation.

Broussard M, Bass PF 3rd, Arnold CL, McLarty JW, Bocchini JA Jr. J Pediatr. 2009;154:865-868.

STUDY

The influence of resident involvement on surgical outcomes.

Raval MV, Wang X, Cohen ME, et al. J Am Coll Surg. 2011;212:889-898.

STUDY

Safety culture and complications after bariatric surgery.

Birkmeyer NJ, Finks JF, Greenberg CK, et al. Ann Surg. 2013;257:260-265.

STUDY

Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical safety intervention.

Haynes AB, Weiser TG, Berry WR, et al; Safe Surgery Saves Lives Study Group. BMJ Qual Saf. 2011;20:102-107.

STUDY

Patient characteristics and the occurrence of never events.

Fry DE, Pine M, Jones BL, Meimban RJ. Arch Surg. 2010;145:148-151.

STUDY

Use of failure mode and effects analysis for proactive identification of communication and handoff failures from organ procurement to transplantation.

Steinberger DM, Douglas SV, Kirschbaum MS. Prog Transplant. 2009;19:208-215.

REVIEW

Communication devices in the operating room.

Ruskin KJ. Curr Opin Anaesthesiol. 2006;19:655-659.

STUDY

Probabilistic risk assessment of accidental ABO-incompatible thoracic organ transplantation before and after 2003.

Cook RI, Wreathall J, Smith A, et al. Transplantation. 2007;84:1602-1609.

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