AHRQ Patient Safety Network

The Collection > United States of America

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Safety Target

•Device-related Complications (170)

•Diagnostic Errors (188)

•Identification Errors (143)

•Discontinuities, Gaps, and Hand-Off Problems (574)

•Fatigue and Sleep Deprivation (121)

•Medication Safety (1114)

•Medical Complications (432)

•Nonsurgical Procedural Complications (98)

•Surgical Complications (535)

•Transfusion Complications (20)

•Psychological and Social Complications (144)

Origin/Sponsor
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United States of America

•United States Federal Government (251)

•State Governments and Agencies (35)

Resource Types

•Clinical Guideline (8)

•Journal Article (2837)

•Legislation/Regulation (59)

•Meeting/Conference (30)

•Newsletter/Journal (12)

•Newspaper/Magazine Article (432)

•Press Release/Announcement (34)

•Special or Theme Issue (50)

•Tools/Toolkit (65)

•Web Resource (110)

•Grant (9)

Error Types

•Epidemiology of Errors and Adverse Events (1043)

•Active Errors (566)

•Latent Errors (226)

•Near Miss (71)

Approach to Improving Safety

•Quality Improvement Strategies (897)

•Legal and Policy Approaches (375)

•Error Reporting and Analysis (1120)

•Communication Improvement (994)

•Human Factors Engineering (498)

•Teamwork (317)

•Specialization of Care (251)

•Logistical Approaches (331)

•Culture of Safety (473)

•Technologic Approaches (665)

•Education and Training (756)

Clinical Areas

•Allied Health Services (9)

Target Audience

•Health Care Providers (3026)

•Health Care Executives and Administrators (3068)

•Non-Health Care Professionals (1381)

•Patients (344)

Setting of Care

•Hospitals (2421)

•Psychiatric Facilities (12)

•Residential Facilities (75)

•Ambulatory Care (368)

•Outpatient Surgery (51)

•Patient Transport (25)

1 - 20 of 3934

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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.

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

Postoperative sepsis in the United States.

Vogel TR, Dombrovskiy VY, Carson JL, Graham AM, Lowry SF. Ann Surg. 2010;252:1065-1071.

STUDY

Deconstructing intraoperative communication failures.

Hu YY, Arriaga AF, Peyre SE, Corso KA, Roth EM, Greenberg CC. J Surg Res. 2012;177:37-42.

STUDY

Validity of selected patient safety indicators: opportunities and concerns.

Kaafarani HM, Borzecki AM, Itani KM, et al. J Am Coll Surg. 2011; 212:924-934.

STUDY

Risk factors and outcomes for foreign body left during a procedure: analysis of 413 incidents after 1,946,831 operations in children.

Camp M, Chang DC, Zhang Y, Chrouser K, Colombani PM, Abdullah F. Arch Surg. 2010;145:1085-1090.

STUDY

Pilot implementation of a perioperative protocol to guide operating room-to-intensive care unit patient handoffs.

Petrovic MA, Aboumatar H, Baumgartner WA, et al. J Cardiothorac Vasc Anesth. 2012;26:11-16.

REVIEW

Can we make postoperative patient handovers safer? A systematic review of the literature.

Segall N, Bonifacio AS, Schroeder RA, et al; Durham VA Patient Safety Center of Inquiry. Anesth Analg. 2012;115:102-115.

STUDY

A comparison of voluntarily reported medication errors in intensive care and general care units.

Kane-Gill SL, Kowiatek JG, Weber RJ. Qual Saf Health Care. 2010;19:55-59.

STUDY

Surgical case listing accuracy: failure analysis at a high-volume academic medical center.

Cima RR, Hale C, Kollengode A, Rogers JC, Cassivi SD, Deschamps C. Arch Surg. 2010;145:641-646.

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

Identifying and categorising patient safety hazards in cardiovascular operating rooms using an interdisciplinary approach: a multisite study.

Gurses AP, Kim G, Martinez EA, et al. BMJ Qual Saf. 2012;21:810-818.

STUDY

Integration of a formalized handoff system into the surgical curriculum: resident perspectives and early results.

Telem DA, Buch KE, Ellis S, Coakley B, Divino CM. Arch Surg. 2011;146:89-93.

STUDY

Cardiac surgery errors: results from the UK National Reporting and Learning System.

Martinez EA, Shore A, Colantuoni E, et al. Int J Qual Health Care. 2011;23:151-158.

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

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.

STUDY

Patient characteristics and the occurrence of never events.

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

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

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

Analysis of adverse events in pediatric surgery using criteria validated from the adult population: justifying the need for pediatric-focused outcome measures.

Rice-Townsend S, Hall M, Jenkins KJ, Roberson DW, Rangel SJ. J Pediatr Surg. 2010;45:1126-1136.

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