AHRQ Patient Safety Network

The Collection > United States Federal Government

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Safety Target

•Device-related Complications (47)

•Diagnostic Errors (55)

•Identification Errors (21)

•Discontinuities, Gaps, and Hand-Off Problems (94)

•Fatigue and Sleep Deprivation (16)

•Medication Safety (224)

•Medical Complications (104)

•Nonsurgical Procedural Complications (17)

•Surgical Complications (63)

•Transfusion Complications (6)

•Psychological and Social Complications (23)

Origin/Sponsor
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United States Federal Government

•Department of Defense (DOD) (12)

•Department of Health and Human Services (HHS) (587)

•Department of Veterans Affairs (VA) (144)

Resource Types

•Audiovisual (25)

•Award (5)

•Book/Report (101)

•Clinical Guideline (2)

•Journal Article (368)

•Legislation/Regulation (23)

•Meeting/Conference (17)

•Newsletter/Journal (2)

•Newspaper/Magazine Article (12)

•Press Release/Announcement (65)

•Special or Theme Issue (9)

•Tools/Toolkit (57)

•Web Resource (70)

•Grant (16)

Error Types

•Epidemiology of Errors and Adverse Events (101)

•Active Errors (127)

•Latent Errors (91)

•Near Miss (15)

Approach to Improving Safety

•Quality Improvement Strategies (237)

•Legal and Policy Approaches (101)

•Error Reporting and Analysis (226)

•Communication Improvement (185)

•Human Factors Engineering (108)

•Teamwork (56)

•Specialization of Care (27)

•Logistical Approaches (59)

•Culture of Safety (102)

•Technologic Approaches (148)

•Education and Training (177)

Clinical Areas

•Allied Health Services (2)

•Medicine (425)

•Nursing (52)

•Pharmacy (88)

Target Audience

•Health Care Providers (513)

•Health Care Executives and Administrators (490)

•Non-Health Care Professionals (323)

•Patients (100)

Setting of Care

•Hospitals (361)

•Psychiatric Facilities (4)

•Residential Facilities (18)

•Ambulatory Care (92)

•Outpatient Surgery (8)

1 - 20 of 772

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MULTI-USE WEBSITE classic

Patient Safety Organizations.

Agency for Healthcare Research and Quality.

GOVERNMENT RESOURCE classic

Partnership for Patients.

Washington, DC: US Department of Health and Human Services.

BOOK/REPORT classic

Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices.

Shekelle PG, Wachter RM, Pronovost PJ, eds. Rockville, MD: Agency for Healthcare Research and Quality; March 2013. AHRQ Publication No. 13-E001-EF.

SPECIAL OR THEME ISSUE classic

Making Health Care Safer: A Critical Review of Modern Evidence Supporting Strategies to Improve Patient Safety.

Shekelle PG, Pronovost PJ, Wachter RM, Rao JK, Mulrow CD, eds. Ann Intern Med. 2013;158(5 Pt 2):365-440.

TOOLKIT

CUSP Toolkit.

Rockville, MD: Agency for Healthcare Research and Quality; September 10, 2012.

PRESS RELEASE/ANNOUNCEMENT classic

AHRQ Patient Safety Project Reduces Bloodstream Infections by 40 Percent.

Rockville, MD: Agency for Healthcare Research and Quality; September 10, 2012.

STUDY

Effect of nonpayment for preventable infections in U.S. hospitals.

Lee GM, Kleinman K, Soumerai SB, et al. N Engl J Med. 2012;367:1428-1437.

BOOK/REPORT classic

Hospital Incident Reporting Systems Do Not Capture Most Patient Harm.

Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; January 2012. Report No. OEI-06-09-00091.

STUDY

Automated identification of postoperative complications within an electronic medical record using natural language processing.

Murff HJ, FitzHenry F, Matheny ME, et al. JAMA. 2011;306:848-855.

COMMENTARY classic

Advancing the science of patient safety.

Shekelle PG, Pronovost PJ, Wachter RM, et al. Ann Intern Med. 2011;154:693-696.

STUDY

Veterans Affairs initiative to prevent methicillin-resistant Staphylococcus aureus infections.

Jain R, Kralovic SM, Evans ME, et al. N Engl J Med. 2011;364:1419-1430.

BOOK/REPORT classic

Hospital Survey on Patient Safety Culture: 2011 User Comparative Database Report.

Sorra J, Famolaro T, Dyer N, Khanna K, Nelson D. Rockville, MD: Agency for Healthcare Research and Quality; April 2011. AHRQ Publication No. 11-0030.

STUDY

Association between implementation of a medical team training program and surgical mortality.

Neily J, Mills PD, Young-Xu Y, et al. JAMA. 2010;304:1693-1700.

BOOK/REPORT classic

Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries.

Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; November 2010. Report No. OEI-06-09-00090.

MEASUREMENT TOOL/INDICATOR classic

Patient Safety Culture Surveys.

Rockville, MD: Agency for Healthcare Research and Quality; September 2012.

MEASUREMENT TOOL/INDICATOR classic

Patient Safety Indicators Download.

AHRQ Quality Indicators. Rockville, MD: Agency for Healthcare Research and Quality; March 2012.

STUDY

Contextual errors and failures in individualizing patient care: a multicenter study.

Weiner SJ, Schwartz A, Weaver F, et al. Ann Intern Med. 2010;153:69-75.

STUDY

Notification of abnormal lab test results in an electronic medical record: do any safety concerns remain?

Singh H, Thomas EJ, Sittig DF, et al. Am J Med. 2010;123:238-244.

STUDY

Mixed results in the safety performance of computerized physician order entry.

Metzger J, Welebob E, Bates DW, Lipsitz S, Classen DC. Health Aff (Millwood). 2010;29:655-663.

STUDY

Timely follow-up of abnormal diagnostic imaging test results in an outpatient setting: are electronic medical records achieving their potential?

Singh H, Thomas EJ, Mani S, et al. Arch Intern Med. 2009;169:1578-1586.

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