AHRQ Patient Safety Network

The Collection > United States of America

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Safety Target

•Device-related Complications (182)

•Diagnostic Errors (160)

•Identification Errors (142)

•Discontinuities, Gaps, and Hand-Off Problems (585)

•Fatigue and Sleep Deprivation (107)

•Medication Safety (1191)

•Medical Complications (516)

•Nonsurgical Procedural Complications (89)

•Surgical Complications (406)

•Transfusion Complications (22)

•Psychological and Social Complications (127)

Origin/Sponsor
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United States of America

•United States Federal Government (274)

•State Governments and Agencies (38)

Resource Types

•Audiovisual (52)

•Award (23)

•Book/Report (201)

•Clinical Guideline (11)

•Journal Article (2727)

•Legislation/Regulation (57)

•Meeting/Conference (27)

•Newsletter/Journal (7)

•Newspaper/Magazine Article (561)

•Press Release/Announcement (23)

•Special or Theme Issue (49)

•Tools/Toolkit (72)

•Web Resource (79)

•Grant (7)

Error Types

•Epidemiology of Errors and Adverse Events (803)

•Active Errors (559)

•Latent Errors (260)

•Near Miss (69)

Approach to Improving Safety

•Quality Improvement Strategies (980)

•Legal and Policy Approaches (378)

•Error Reporting and Analysis (1024)

•Communication Improvement (980)

•Human Factors Engineering (602)

•Teamwork (310)

•Specialization of Care (281)

•Logistical Approaches (381)

•Culture of Safety (535)

•Technologic Approaches (718)

•Education and Training (752)

Clinical Areas

•Allied Health Services (7)

Target Audience

•Health Care Providers (2605)

•Health Care Executives and Administrators (3073)

•Non-Health Care Professionals (1351)

•Patients (351)

Setting of Care

•Hospitals (2762)

•Psychiatric Facilities (13)

•Residential Facilities (70)

•Ambulatory Care (363)

•Outpatient Surgery (41)

•Patient Transport (19)

1 - 20 of 3896

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COMMENTARY

Ticket to ride: reducing handoff risk during hospital patient transport.

Pesanka DA, Greenhouse PK, Rack LL, et al. J Nurs Care Qual. 2009;24:109-115.

REVIEW

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

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

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.

STUDY

Innovation in patient safety: a new task design in reducing patient falls.

Tzeng HM, Yin CY. J Nurs Care Qual. 2008;23:34-42.

REVIEW

Fall prevention in hospitals: an integrative review.

Spoelstra SL, Given BA, Given CW. Clin Nurs Res. 2012;21:92-112.

COMMENTARY

Implementing handoff communication.

Ardoin KB, Broussard L. J Nurses Staff Dev. 2011;27:128-135.

COMMENTARY

Implementing AORN recommended practices for transfer of patient care information.

Seifert PC. AORN J. 2012;96:475-493.

NEWSPAPER/MAGAZINE ARTICLE

Patients taking their own medications while in the hospital.

PA-PSRS Patient Saf Advis. June 2012;9:50-57.

STUDY

Medication safety initiative in reducing medication errors.

Nguyen EE, Connolly PM, Wong V. J Nurs Care Qual. 2010;25:224-230.

BOOK/REPORT

To Err Is Human—But Don't Expect to Get Paid For It.

ASQ Quarterly Quality Report. Milwaukee, WI: American Society of Quality; October 2008.

STUDY

Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station.

Colligan L, Guerlain S, Steck SE, Hoke TR. BMJ Qual Saf. 2012;21:939-947.

COMMENTARY

Preparing your hospital for compliance with The Joint Commission's National Patient Safety Goals.

Murdaugh L, Jordin R. Hosp Pharm. 2008;43:728-733.

BOOK/REPORT

Meeting the Joint Commission's 2013 National Patient Safety Goals.

Oakbrook Terrace, IL: The Joint Commission; September 2012. ISBN: 9781599407555.

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

Racial disparities in the frequency of patient safety events: results from the National Medicare Patient Safety Monitoring System.

Metersky ML, Hunt DR, Kliman R, et al. Med Care. 2011;49:504-510.

STUDY

The ins and outs of change of shift handoffs between nurses: a communication challenge.

Carroll JS, Williams M, Gallivan TM. BMJ Qual Saf. 2012 21:586-593.

COMMENTARY

Smart pumps: implications for nurse leaders.

Kirkbride G, Vermace B. Nurs Adm Q. 2011;35:110-118.

STUDY

Barriers and facilitators to nursing handoffs: recommendations for redesign.

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

REVIEW

Nursing handoffs: a systematic review of the literature.

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

NEWSPAPER/MAGAZINE ARTICLE

Oops, sorry, wrong patient! A patient verification process is needed everywhere, not just at the bedside.

ISMP Medication Safety Alert! Acute Care Edition. March 10, 2011;16:1-4.

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