AHRQ Patient Safety Network

The Collection > United States of America

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Safety Target

•Device-related Complications (75)

•Diagnostic Errors (56)

•Identification Errors (97)

•Discontinuities, Gaps, and Hand-Off Problems (513)

•Fatigue and Sleep Deprivation (71)

•Medication Safety (445)

•Medical Complications (189)

•Nonsurgical Procedural Complications (33)

•Surgical Complications (572)

•Transfusion Complications (5)

•Psychological and Social Complications (63)

Origin/Sponsor
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United States of America

•United States Federal Government (106)

•State Governments and Agencies (12)

Resource Types

•Audiovisual (21)

•Award (4)

•Book/Report (50)

•Clinical Guideline (6)

•Journal Article (1334)

•Legislation/Regulation (28)

•Meeting/Conference (9)

•Newsletter/Journal (4)

•Newspaper/Magazine Article (234)

•Press Release/Announcement (3)

•Special or Theme Issue (29)

•Tools/Toolkit (31)

•Web Resource (56)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (351)

•Active Errors (280)

•Latent Errors (117)

•Near Miss (33)

Approach to Improving Safety

•Quality Improvement Strategies (372)

•Legal and Policy Approaches (136)

•Error Reporting and Analysis (385)

•Communication Improvement (598)

•Human Factors Engineering (252)

•Teamwork (193)

•Specialization of Care (102)

•Logistical Approaches (223)

•Culture of Safety (211)

•Technologic Approaches (229)

•Education and Training (456)

Clinical Areas

•Allied Health Services (4)

Target Audience

•Health Care Providers (1401)

•Health Care Executives and Administrators (1333)

•Non-Health Care Professionals (517)

•Patients (172)

Setting of Care

•Hospitals (1304)

•Psychiatric Facilities (4)

•Residential Facilities (30)

•Ambulatory Care (113)

•Outpatient Surgery (44)

•Patient Transport (9)

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MULTI-USE WEBSITE

National Time Out Day.

AORN Patient Safety First.

COMMENTARY

The top 10 list for a safe and effective sign-out.

Kemp CD, Bath JM, Berger J, et al. Arch Surg. 2008;143:1008-1010.

STUDY

Adherence to a medication safety protocol: current practice for labeling medications and solutions on the sterile field.

Brown-Brumfield D, DeLeon A. AORN J. 2010;91:610-617.

STUDY

Causes of near misses: perceptions of perioperative nurses.

Cohoon B. AORN J. 2011;93:551-565.

STUDY

Barriers and facilitators to nursing handoffs: recommendations for redesign.

Welsh CA, Flanagan ME, Ebright P. Nurs Outlook. 2010;58:148-154.

REVIEW

Can technology improve intershift report? What the research reveals.

Strople B, Ottani P. J Prof Nurs. 2006;22:197-204.

COMMENTARY

Implementing AORN recommended practices for laser safety.

Castelluccio D. AORN J. 2012;95:612-627.

COMMENTARY

Blending evidence and innovation: improving intershift handoffs in a multihospital setting.

Thomas L, Donohue-Porter P. J Nurs Care Qual. 2012;27:116-124.

STUDY

Making the transition to nursing bedside shift reports.

Wakefield DS, Ragan R, Brandt J, Tregnago M. Jt Comm J Qual Patient Saf. 2012;38:243-253.

REVIEW

Nursing handoffs: a systematic review of the literature.

Riesenberg LA, Leisch J, Cunningham JM. Am J Nurs. 2010;110:24-34.

COMMENTARY

A team training program using human factors to enhance patient safety.

Marshall DA, Manus DA. AORN J. 2007;86:994-1011.

REVIEW

Research on nursing handoffs for medical and surgical settings: an integrative review.

Staggers N, Blaz JW. J Adv Nurs. 2013;69:247-262.

COMMENTARY

Communication in the perioperative setting.

Cvetic E. AORN J. 2011;94:261-270.

COMMENTARY

Counting for patient safety.

Watson DS. AORN J. 2006;84:273-275.

COMMENTARY

Knowledge is power: averting safety-compromising events in the OR.

Catalano K. AORN J. 2008;88:987-995.

ORGANIZATIONAL POLICY/GUIDELINES

AORN Guidance Statement: Safe Medication Practices in Perioperative Settings Across the Life Span.

AORN J. 2006;84:276-278, 280-283.

STUDY

Why patient summaries in electronic health records do not provide the cognitive support necessary for nurses' handoffs on medical and surgical units: insights from interviews and observations.

Staggers N, Clark L, Blaz JW, Kapsandoy S. Health Informatics J. 2011;17:209-223.

COMMENTARY

Instrument readiness: an important link to patient safety.

McNamara SA. AORN J. 2011;93:160-164.

COMMENTARY

The normalization of deviance: what are the perioperative risks?

McNamara SA. AORN J. 2011;93:796-801.

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.

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