AHRQ Patient Safety Network

The Collection > United States of America

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Safety Target

•Device-related Complications (164)

•Diagnostic Errors (152)

•Identification Errors (105)

•Discontinuities, Gaps, and Hand-Off Problems (452)

•Fatigue and Sleep Deprivation (106)

•Medication Safety (1061)

•Medical Complications (480)

•Nonsurgical Procedural Complications (86)

•Surgical Complications (368)

•Transfusion Complications (20)

•Psychological and Social Complications (149)

Origin/Sponsor
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United States of America

•United States Federal Government (323)

•State Governments and Agencies (55)

Resource Types

•Clinical Guideline (10)

•Journal Article (2659)

•Legislation/Regulation (65)

•Meeting/Conference (40)

•Newsletter/Journal (13)

•Newspaper/Magazine Article (554)

•Press Release/Announcement (31)

•Special or Theme Issue (65)

•Tools/Toolkit (82)

•Web Resource (136)

•Grant (14)

Error Types

•Epidemiology of Errors and Adverse Events (738)

•Active Errors (497)

•Latent Errors (248)

•Near Miss (62)

Approach to Improving Safety

•Quality Improvement Strategies (1029)

•Legal and Policy Approaches (515)

•Error Reporting and Analysis (1114)

•Communication Improvement (954)

•Human Factors Engineering (464)

•Teamwork (333)

•Specialization of Care (286)

•Logistical Approaches (320)

•Culture of Safety (772)

•Technologic Approaches (719)

•Education and Training (777)

Clinical Areas

•Allied Health Services (10)

Target Audience

•Health Care Providers (2879)

•Health Care Executives and Administrators (3128)

•Non-Health Care Professionals (1578)

•Patients (402)

Setting of Care

•Hospitals (2655)

•Psychiatric Facilities (15)

•Residential Facilities (77)

•Ambulatory Care (380)

•Outpatient Surgery (42)

•Patient Transport (21)

1 - 20 of 4073

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STUDY

A multidisciplinary approach to reduce central line–associated bloodstream infections.

McMullan C, Propper G, Schuhmacher C, et al. Jt Comm J Qual Patient Saf. 2013;39:61-69.

REVIEW

Responsibility for quality improvement and patient safety: hospital board and medical staff leadership challenges.

Goeschel CA, Wachter RM, Pronovost PJ. Chest. 2010;138:171-178.

BOOK/REPORT

Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2012.

Oakbrook Terrace, IL: The Joint Commission; September 2012.

BOOK/REPORT

Safer Hospital Care: Strategies for Continuous Innovation.

Raheja D. New York, NY: Productivity Press; 2011. ISBN: 9781439821022.

NEWSPAPER/MAGAZINE ARTICLE

That’s the way we do things around here!

ISMP Medication Safety Alert! Acute Care Edition. February 24, 2011;16:1-2.

NEWSPAPER/MAGAZINE ARTICLE

Raising the index of suspicion: red flags that represent credible threats to patient safety.

ISMP Medication Safety Alert! Acute Care Edition. July 26, 2012;17:1-3.

BOOK/REPORT 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.

BOOK/REPORT

First, Do Less Harm: Confronting the Inconvenient Problems of Patient Safety.

Koppel R, Gordon S, ed. Ithaca, NY: Cornell University Press; 2012. ISBN: 9780801450778.

STUDY

Evaluation of organizational culture among different levels of healthcare staff participating in the Institute for Healthcare Improvement's 100,000 Lives Campaign.

Sinkowitz-Cochran RL, Garcia-Williams A, Hackbarth AD, et al. Infect Control Hosp Epidemiol. 2012;33:135-143.

COMMENTARY

Frontline hospital workers and the worker safety/patient safety nexus.

Sokas R, Braun B, Chenven L, et al. Jt Comm J Qual Patient Saf. 2013;39:185-192.

STUDY

Variations in surgical outcomes associated with hospital compliance with safety practices.

Brooke BS, Dominici F, Pronovost PJ, Makary MA, Schneider E, Pawlik TM. Surgery. 2012;151:651-659.

STUDY

Safety leadership: a meta-analytic review of transformational and transactional leadership styles as antecedents of safety behaviours.

Clarke S. J Occup Organ Psychol. 2013;86:22-49.

COMMENTARY

Integrating CUSP and TRIP to improve patient safety.

Romig M, Goeschel C, Pronovost P, Berenholtz SM. Hosp Pract (Minneap). 2010;38:114-121.

BOOK/REPORT

Patient-Centered Care Improvement Guide.

Frampton S, Guastello S, Brady C, et al. Derby, CT: Planetree; Camden, ME: Picker Institute; 2008.

SPECIAL OR THEME ISSUE

Front-Line Ownership: Generating a Cure Mindset for Patient Safety.

Kitts J, ed. Healthcare Papers. 2013;13:1-82.

STUDY

Improving safety culture on adult medical units through multidisciplinary teamwork and communication interventions: the TOPS Project.

Blegen MA, Sehgal NL, Alldredge BK, Gearhart S, Auerbach AD, Wachter RM. Qual Saf Health Care. 2010;19:346-350.

STUDY

The importance of leadership in preventing healthcare–associated infection: results of a multisite qualitative study.

Saint S, Kowalski CP, Banaszak-Holl J, Forman J, Damschroder L, Krein SL. Infect Control Hosp Epidemiol. 2010;31:901-907.

STUDY

Analysis of staff safety concerns.

Davidson J, Lamontagne G, Burnell L, et al. J Nurs Care Qual. 2013;28:147-152.

STUDY

Impact of a statewide intensive care unit quality improvement initiative on hospital mortality and length of stay: retrospective comparative analysis.

Lipitz-Snyderman A, Steinwachs D, Needham DM, Colantuoni E, Morlock LL, Pronovost PJ. BMJ. 2011;342:d219.

BOOK/REPORT

A Randomized Field Study of a Leadership WalkRounds-Based Intervention.

Tucker AL, Singer SJ. Cambridge, MA: Harvard Business School; June 25, 2012. HBS Working Paper No. 12-113.

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