AHRQ Patient Safety Network

The Collection > United States of America

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Safety Target

•Device-related Complications (150)

•Diagnostic Errors (158)

•Identification Errors (114)

•Discontinuities, Gaps, and Hand-Off Problems (355)

•Fatigue and Sleep Deprivation (78)

•Medication Safety (951)

•Medical Complications (392)

•Nonsurgical Procedural Complications (110)

•Surgical Complications (413)

•Transfusion Complications (16)

•Psychological and Social Complications (126)

Origin/Sponsor
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United States of America

•United States Federal Government (166)

•State Governments and Agencies (24)

Resource Types

•Clinical Guideline (7)

•Journal Article (2365)

•Legislation/Regulation (54)

•Meeting/Conference (34)

•Newsletter/Journal (13)

•Newspaper/Magazine Article (412)

•Press Release/Announcement (29)

•Special or Theme Issue (51)

•Tools/Toolkit (57)

•Web Resource (112)

•Grant (11)

Error Types

•Epidemiology of Errors and Adverse Events (668)

•Active Errors (607)

•Latent Errors (200)

•Near Miss (66)

Approach to Improving Safety

•Quality Improvement Strategies (1019)

•Legal and Policy Approaches (362)

•Error Reporting and Analysis (940)

•Communication Improvement (819)

•Human Factors Engineering (453)

•Teamwork (287)

•Specialization of Care (220)

•Logistical Approaches (235)

•Culture of Safety (483)

•Technologic Approaches (580)

•Education and Training (670)

Clinical Areas

•Allied Health Services (10)

Target Audience

•Health Care Providers (2684)

•Health Care Executives and Administrators (2795)

•Non-Health Care Professionals (1254)

•Patients (308)

Setting of Care

•Hospitals (2016)

•Psychiatric Facilities (11)

•Residential Facilities (61)

•Ambulatory Care (323)

•Outpatient Surgery (45)

•Patient Transport (24)

1 - 20 of 3446

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COMMENTARY

Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery.

Lutgendorf MA, Schindler LL, Hill JB, Magann EF, O'Boyle JD. Mil Med. 2011;176:702-704.

SPECIAL OR THEME ISSUE

Obstetric Issues.

PA-PSRS Patient Saf Advis. December 2009;6(suppl 1):1-32.

COMMENTARY

A simple checklist for preventing major complications associated with cesarean delivery.

Duff P. Obstet Gynecol. 2010;116:1393-1396.

REVIEW

Overview of progress on patient safety.

Pronovost PJ, Holzmueller CG, Ennen CS, Fox HE. Am J Obstet Gynecol. 2011;204:5-10.

COMMENTARY

Epidural pump programming error leading to inadvertent 10-fold dosing error during epidural labor analgesia with ropivacaine.

Thyen AB, McAllister RK, Councilman LM. J Patient Saf. 2010;6:244-246.

STUDY

Skilful anticipation: maternity nurses' perspectives on maintaining safety.

Lyndon A. Qual Saf Health Care. 2010;19:e8.

COMMENTARY

Safety strategies in an academic radiation oncology department and recommendations for action.

Terezakis SA, Pronovost P, Harris K, Deweese T, Ford E. Jt Comm J Qual Patient Saf. 2011;37:291-299.

STUDY

Effect of a comprehensive obstetric patient safety program on compensation payments and sentinel events.

Grunebaum A, Chervenak F, Skupski D. Am J Obstet Gynecol. 2011;204:97-105.

COMMENTARY

Tubing safety in the obstetric setting: preventing medication errors.

Broussard BS. Nurs Womens Health. 2009;13:155-158.

COMMENTARY

Level IV evidence—adverse anecdote and clinical practice.

Stuebe AM. N Engl J Med. 2011;365:8-9.

REVIEW

Simulation in obstetric anesthesia.

Pratt SD. Anesth Analg. 2012;114:186-190.

COMMENTARY

Building team and technical competency for obstetric emergencies: the mobile obstetric emergencies simulator (MOES) system.

Deering S, Rosen MA, Salas E, King HB. Simul Healthc. 2009;4:166-173.

STUDY

Interdisciplinary team training identifies discrepancies in institutional policies and practices.

Andreatta P, Frankel J, Smith SB, Bullough A, Marzano D. Am J Obstet Gynecol. 2011;205:298-230.

STUDY

Gossypiboma: tales of lost sponges and lessons learned.

McIntyre LK, Jurkovich GJ, Gunn MLD, Maier RV. Arch Surg. 2010;145:770-775.

REVIEW

The case for simulation as part of a comprehensive patient safety program.

Argani CH, Eichelberger M, Deering S, Satin AJ. Am J Obstet Gynecol. 2012;206:451-455.

REVIEW

Perinatal high reliability.

Knox GE, Simpson KR. Am J Obstet Gynecol. 2011;204: 373-377.

STUDY

A comprehensive obstetrics patient safety program improves safety climate and culture.

Pettker CM, Thung SF, Raab CA, et al. Am J Obstet Gynecol. 2011;204:216.e1-e6.

STUDY

Didactic and simulation nontechnical skills team training to improve perinatal patient outcomes in a community hospital.

Riley W, Davis S, Miller K, Hansen H, Sainfort F, Sweet R. Jt Comm J Qual Patient Saf. 2011;37:357-364.

BOOK/REPORT

Achieving Strong Teamwork Practices in Hospital Labor and Delivery Units.

Farley DO, Sorbero ME, Lovejoy SL, Salisbury M. Santa Monica, CA: Rand Corporation; 2010. ISBN: 9780833050557.

COMMENTARY

Perinatal patient safety and quality.

Simpson KR. J Perinat Neonatal Nurs. 2011;25:103-107.

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