AHRQ Patient Safety Network

The Collection > United States of America

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Safety Target

•Device-related Complications (96)

•Diagnostic Errors (117)

•Identification Errors (46)

•Discontinuities, Gaps, and Hand-Off Problems (269)

•Fatigue and Sleep Deprivation (83)

•Medication Safety (559)

•Medical Complications (209)

•Nonsurgical Procedural Complications (35)

•Surgical Complications (238)

•Transfusion Complications (5)

•Psychological and Social Complications (94)

Origin/Sponsor
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United States of America

•United States Federal Government (92)

•State Governments and Agencies (10)

Resource Types

•Audiovisual (18)

•Award (6)

•Book/Report (51)

•Clinical Guideline (7)

•Journal Article (1546)

•Legislation/Regulation (30)

•Meeting/Conference (9)

•Newsletter/Journal (5)

•Newspaper/Magazine Article (220)

•Press Release/Announcement (14)

•Special or Theme Issue (27)

•Tools/Toolkit (22)

•Web Resource (25)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (368)

•Active Errors (259)

•Latent Errors (104)

•Near Miss (31)

Approach to Improving Safety

•Quality Improvement Strategies (417)

•Legal and Policy Approaches (143)

•Error Reporting and Analysis (465)

•Communication Improvement (593)

•Human Factors Engineering (232)

•Teamwork (215)

•Specialization of Care (151)

•Logistical Approaches (221)

•Culture of Safety (255)

•Technologic Approaches (300)

•Education and Training (420)

Clinical Areas

•Allied Health Services (3)

Target Audience

•Health Care Providers (1744)

•Health Care Executives and Administrators (1411)

•Non-Health Care Professionals (598)

•Patients (118)

Setting of Care

•Hospitals (1222)

•Psychiatric Facilities (3)

•Residential Facilities (31)

•Ambulatory Care (135)

•Outpatient Surgery (16)

•Patient Transport (7)

1 - 20 of 1981

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IMAGE/POSTER

Distributing Cognition: ICU Handoffs Conform to Grice's Maxims.

Brandwijk M, Nemeth C, O'Conner M, Kahana M, Cook RI. Departments of Pediatrics and Anesthesia and Critical Care: Chicago, IL: University of Chicago.

STUDY

In search of common ground in handoff documentation in an intensive care unit.

Collins SA, Mamykina L, Jordan D, et al. J Biomed Inform. 2012;45:307-315.

STUDY

A model of recovering medical errors in the coronary care unit.

Hurley AC, Rothschild JM, Moore ML, Snydeman C, Dykes PC, Fotakis S. Heart Lung. 2008;37:219-226.

STUDY

Discharge rounds in the 80-hour workweek: importance of the trauma nurse practitioner.

Haan JM, Dutton RP, Willis M, Leone S, Kramer ME, Scalea TM. J Trauma. 2007;63:339-343.

BOOK/REPORT

Silence Kills: The Seven Crucial Conversations for Healthcare.

Maxfield D, Grenny J, McMillan R, Patterson K, Switzler A. VitalSmarts; 2005.E45

STUDY

Implementing and validating a comprehensive unit-based safety program.

Pronovost P, Weast B, Rosenstein B. J Patient Saf. 2005;1:33-40.

STUDY

Developing and testing a tool to measure nurse/physician communication in the intensive care unit.

Manojlovich M, Saint S, Forman J, Fletcher CE, Keith R, Krein S. J Patient Saf. 2011;7:72-76.

COMMENTARY

Unreported errors in the intensive care unit: a case study of the way we work.

Henneman EA. Crit Care Nurse. 2007;27:27-34.

STUDY

Nurses' behaviors and visual scanning patterns may reduce patient identification errors.

Marquard JL, Henneman PL, He Z, Jo J, Fisher DL, Henneman EA. J Exp Psychol Appl. 2011;17:247-256.

STUDY

Checklists change communication about key elements of patient care.

Newkirk M, Pamplin JC, Kuwamoto R, Allen DA, Chung KK. J Trauma Acute Care Surg. 2012;73(2 suppl 1):S75-S82.

COMMENTARY

Changing the work environment in ICUs to achieve patient-focused care: the time has come.

McCauley K, Irwin RS. Chest. 2006;130:1571-1578.

STUDY

The effects of computerized provider order entry implementation on communication in intensive care units.

Hoonakker PL, Carayon P, Walker JM, Brown RL, Cartmill RS. Int J Med Inform. 2013;82:e107-e117.

REVIEW

Communication and teamwork in patient care: how much can we learn from aviation?

Lyndon A. J Obset Gynol Neonatal Nurs. 2006;35:538-546.

REVIEW

Patient safety in the NICU: a comprehensive review.

Samra HA, McGrath JM, Rollins W. J Perinat Neonatal Nurs. 2011;25:123-132.

STUDY

A multicenter, phased, cluster-randomized controlled trial to reduce central line–associated bloodstream infections in intensive care units.

Marsteller JA, Sexton JB, Hsu YJ, et al. Crit Care Med. 2012;40:2933-2939.

STUDY

Strategies used by critical care nurses to identify, interrupt, and correct medical errors.

Henneman EA, Gawlinski A, Blank FS, Henneman PL, Jordan D, McKenzie JB. Am J Crit Care. 2010;19:500-509.

COMMENTARY

Preventing sentinel events caused by family members.

Wall Y, Kautz DD. Dimens Crit Care Nurs. 2011;30:25-27.

STUDY

Medical errors recovered by critical care nurses.

Dykes PC, Rothschild JM, Hurley AC. J Nurs Adm. 2010;40:241-246.

MEETING/CONFERENCE PROCEEDINGS

Safety in the NICU: preventing medical errors.

Stokowski LA. Highlights of the National Association of Neonatal Nurses 22nd Annual Conference [Medscape.com]. March 8, 2007.

STUDY

Error, stress, and teamwork in medicine and aviation: cross sectional surveys.

Sexton JB, Thomas EJ, Helmreich RL. BMJ. 2000;320:745-749.

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