AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (163)

•Diagnostic Errors (160)

•Identification Errors (120)

•Discontinuities, Gaps, and Hand-Off Problems (475)

•Fatigue and Sleep Deprivation (110)

•Medication Safety (1092)

•Medical Complications (471)

•Nonsurgical Procedural Complications (92)

•Surgical Complications (388)

•Transfusion Complications (21)

•Psychological and Social Complications (157)

Origin/Sponsor
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United States of America

•United States Federal Government (334)

•State Governments and Agencies (56)

Resource Types

•Audiovisual (56)

•Bibliography (3)

•Book/Report (291)

•Clinical Guideline (9)

•Journal Article (2703)

•Legislation/Regulation (68)

•Meeting/Conference (39)

•Newsletter/Journal (15)

•Newspaper/Magazine Article (578)

•Press Release/Announcement (30)

•Special or Theme Issue (60)

•Tools/Toolkit (83)

•Web Resource (134)

Error Types

•Epidemiology of Errors and Adverse Events (744)

•Active Errors (529)

•Latent Errors (267)

•Near Miss (67)

Approach to Improving Safety

•Quality Improvement Strategies (1015)

•Legal and Policy Approaches (515)

•Error Reporting and Analysis (1113)

•Communication Improvement (1073)

•Human Factors Engineering (481)

•Teamwork (398)

•Specialization of Care (291)

•Logistical Approaches (376)

•Culture of Safety (652)

•Technologic Approaches (737)

•Education and Training (785)

Clinical Areas

•Allied Health Services (9)

•Dentistry (2)

•Medicine (2530)

•Nursing (329)

•Pharmacy (437)

Target Audience

•Health Care Providers (2968)

•Health Care Executives and Administrators (3149)

•Non-Health Care Professionals (1592)

•Patients (407)

Setting of Care

•Hospitals (2662)

•Psychiatric Facilities (17)

•Residential Facilities (101)

•Ambulatory Care (399)

•Outpatient Surgery (50)

•Patient Transport (21)

1 - 20 of 4126

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BOOK/REPORT

Adverse Health Events in Minnesota: Ninth Annual Public Report.

St. Paul, MN: Minnesota Department of Health; January 2013.

STUDY

Role of medical students in preventing patient harm and enhancing patient safety.

Seiden SC, Galvan C, Lamm R. Qual Saf Health Care. 2006;15:272-276.

BOOK/REPORT

Health Care Leader Action Guide to Reduce Avoidable Readmissions.

Osei-Anto A, Joshi M, Audet AJ, Berman A, Jencks SF. New York, NY: The Commonwealth Fund, The John Hartford Foundation, Health Research and Educational Trust; January 25, 2010.

BOOK/REPORT

Improving Communication During Transitions of Care.

Oakbrook Terrace, IL: Joint Commission Resources; 2010. ISBN: 9781599404097.

STUDY

Patient safety climate in primary care: age matters.

Holden LM, Watts DD, Hinton WP. J Patient Saf. 2009;5:23-28.

COMMENTARY

Safe use of cellular telephones in hospitals: fundamental principles and case studies.

Cohen T, Ellis WS, Morrissey JJ, Bakuzonis C, David Y, Paperman WD. J Healthc Inf Manag. Fall 2005;19:38-48.

BOOK/REPORT classic

classic

Safe Patients, Smart Hospitals: How One Doctor's Checklist Can Help Us Change Health Care from the Inside Out.

Pronovost P, Vohr E. New York, NY: Hudson Street Press; 2010. ISBN: 9781594630644.

COMMENTARY

No excuses: the reality that demands action.

Denham C, Bagian J, Daley J, et al. J Patient Safety. 2005;1:154-169.

AUDIOVISUAL

How a simple checklist can dramatically reduce medical errors.

Pronovost PJ. On Call. IHI Open School for Health Professionals. November 3, 2008.

REVIEW

Interdisciplinary teamwork in hospitals: a review and practical recommendations for improvement.

O'Leary KJ, Sehgal NL, Terrell G, Williams MV; High Performance Teams and the Hospital of the Future Project Team. J Hosp Med. 2011 Oct 31; [Epub ahead of print].

COMMENTARY

Learning accountability for patient outcomes.

Pronovost PJ. JAMA. 2010;304:204-205.

NEWSPAPER/MAGAZINE ARTICLE

Health-care industry agrees on patient safety rules.

Landro L. Wall Street Journal (Eastern Edition). November 1, 2006:D1. [reprinted on Post-gazette.com].

STUDY

Are opioid dependence and methadone maintenance treatment (MMT) documented in the medical record? A patient safety issue.

Walley AY, Farrar D, Cheng DM, Alford DP, Samet JH. J Gen Intern Med. 2009;24:1007-1011.

MULTI-USE WEBSITE

National Patient Safety Awareness Week.

National Patient Safety Foundation.

NEWSPAPER/MAGAZINE ARTICLE

State starts project to track serious hospital mistakes.

Colburn D. The Oregonian. February 1, 2006:B1.

COMMENTARY

Developing a medication patient safety program — infrastructure and strategy.

Mark SM, Weber RJ. Hosp Pharm. 2007;42:149-156.

COMMENTARY

The disruptive orthopaedic surgeon: implications for patient safety and malpractice liability.

Patel P, Robinson BS, Novicoff WM, Dunnington GL, Brenner MJ, Saleh KJ. J Bone Joint Surg Am. 2011;93:e1261-e1266.

STUDY

The Schwartz Center Rounds: evaluation of an interdisciplinary approach to enhancing patient-centered communication, teamwork, and provider support.

Lown BA, Manning CF. Acad Med. 2010;85:1073-1081.

NEWSPAPER/MAGAZINE ARTICLE

Perfect is possible.

Berwick DM, Leape LL. Newsweek. October 16, 2006:70-71.

NEWSPAPER/MAGAZINE ARTICLE

Inquiry into reporter's death finds multiple failures in care.

Stout D. New York Times. June 17, 2006;National desk:9.

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