AHRQ Patient Safety Network

The Collection > Commentary

The Collection

Narrow By

clear selections

Safety Target

•Device-related Complications (50)

•Diagnostic Errors (65)

•Identification Errors (30)

•Discontinuities, Gaps, and Hand-Off Problems (116)

•Fatigue and Sleep Deprivation (27)

•Medication Safety (227)

•Medical Complications (99)

•Nonsurgical Procedural Complications (33)

•Surgical Complications (87)

•Transfusion Complications (7)

•Psychological and Social Complications (43)

Origin/Sponsor

•Asia (3)

•Australia and New Zealand (15)

•Central and South America (1)

•Europe (58)

•North America (865)

Resource Types
< All

Commentary

Error Types

•Epidemiology of Errors and Adverse Events (48)

•Active Errors (197)

•Latent Errors (101)

•Near Miss (17)

Approach to Improving Safety

•Quality Improvement Strategies (275)

•Legal and Policy Approaches (114)

•Error Reporting and Analysis (290)

•Communication Improvement (258)

•Human Factors Engineering (150)

•Teamwork (93)

•Specialization of Care (82)

•Logistical Approaches (77)

•Culture of Safety (164)

•Technologic Approaches (164)

•Education and Training (218)

Clinical Areas

•Allied Health Services (3)

Target Audience

•Health Care Providers (782)

•Health Care Executives and Administrators (799)

•Non-Health Care Professionals (381)

•Patients (27)

Setting of Care

•Hospitals (638)

•Psychiatric Facilities (3)

•Residential Facilities (7)

•Ambulatory Care (74)

•Outpatient Surgery (8)

•Patient Transport (3)

1 - 20 of 1004

Show ExcerptDon't Show Excerpt

dropdown

COMMENTARY

Reducing methicillin-resistant Staphylococcus aureus (MRSA) infections.

Griffin FA. Jt Comm J Qual Patient Saf. 2007;33:726-731.

COMMENTARY

Infusing fun into quality and safety initiatives.

Foulk KC, Tocydlowski P, Snow TM, et al. Nursing. 2012;42:14-16.

COMMENTARY classic

Balancing "no blame" with accountability in patient safety.

Wachter RM, Pronovost PJ. N Engl J Med. 2009;361:1401-1406.

COMMENTARY

Mitigating error vulnerability at the transition of care through the use of health IT applications.

Cortelyou-Ward K, Swain A, Yeung T. J Med Syst. 2012;36:3825-3831.

COMMENTARY

The Team Checkup Tool: evaluating QI team activities and giving feedback to senior leaders.

Lubomski LH, Marsteller JA, Hsu YJ, et al. Jt Comm J Qual Patient Saf. 2008;34:619-623.

COMMENTARY

Keeping an eye on patient safety using human factors engineering (HFE): a family affair for the hospitalized child.

Wilson BL. J Spec Pediatr Nurs. 2010;15:84-87.

COMMENTARY

Nosocomial infection, the Deficit Reduction Act, and incentives for hospitals.

Graves N, McGowan JE Jr. JAMA. 2008;300:1577-1579.

COMMENTARY

Complementary telephone strategies to improve postdischarge communication.

Rennke S, Kesh S, Neeman N, Sehgal NL. Am J Med. 2012;125:28-30.

COMMENTARY

I-CaRe: a case review tool focused on improving inpatient care.

Huang Lee J, Vidyarthi AR, Sehgal NL, Auerbach AD, Wachter RM. Jt Comm J Qual Patient Saf. 2009;35:115-119.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2009;44:654-657.

COMMENTARY

Learning accountability for patient outcomes.

Pronovost PJ. JAMA. 2010;304:204-205.

COMMENTARY

Implementing a team-based daily goals sheet in a non-ICU setting.

Holzmueller CG, Timmel J, Kent PS, Schulick RD, Pronovost PJ. Jt Comm J Qual Patient Saf. 2009;35:384-388.

COMMENTARY

Academic year-end transfers of outpatients from outgoing to incoming residents: an unaddressed patient safety issue.

Young JQ, Wachter RM. JAMA. 2009;302:1327-1329.

COMMENTARY

2009 National Patient Safety Goals.

Saufl NM. J Perianesth Nurs. 2009;24:114-118.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2008;43:696–698.

COMMENTARY

Achieving a high-reliability organization through implementation of the ARCC model for systemwide sustainability of evidence-based practice.

Melnyk BM. Nurs Adm Q. 2012;36:127-135.

COMMENTARY

View the world through a different lens: shadowing another provider.

Thompson DA, Holzmueller CG, Lubomski L, Pronovost PJ. Jt Comm J Qual Patient Saf. 2008;34:614-618.

COMMENTARY

Infection preventionist checklist to improve culture and reduce central line–associated bloodstream infections.

Goeschel CA, Holzmueller CG, Cosgrove SE, Ristaino P, Pronovost PJ. Jt Comm J Qual Patient Saf. 2010;36:571-575.

COMMENTARY

Implementation of a specialized pharmacy team to monitor high-risk medications during discharge.

Martin ES III, Overstreet RL, Jackson-Khalil LR, McCollough HL, Meyer TA, Xu Q. Am J Health Syst Pharm. 2013;70:18-21.

COMMENTARY

Introducing the patient safety professional: why, what, who, how, and where?

Saint S, Krein SL, Manojlovich M, Kowalski CP, Zawol D, Shojania KG. J Patient Saf. 2011;7:175-180.

1 2 3 4 5 6 7 8 9 10 11 Next >