AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (204)

•Diagnostic Errors (160)

•Identification Errors (116)

•Discontinuities, Gaps, and Hand-Off Problems (506)

•Fatigue and Sleep Deprivation (117)

•Medication Safety (1214)

•Medical Complications (545)

•Nonsurgical Procedural Complications (103)

•Surgical Complications (396)

•Transfusion Complications (24)

•Psychological and Social Complications (130)

Origin/Sponsor

•Africa (3)

•Asia (55)

•Australia and New Zealand (116)

•Central and South America (9)

•Europe (333)

•North America (3691)

Resource Types

•Clinical Guideline (9)

•Journal Article (3170)

•Legislation/Regulation (55)

•Meeting/Conference (24)

•Newsletter/Journal (9)

•Newspaper/Magazine Article (508)

•Press Release/Announcement (18)

•Special or Theme Issue (61)

•Tools/Toolkit (54)

•Web Resource (75)

•Grant (6)

Error Types

•Epidemiology of Errors and Adverse Events (934)

•Active Errors (581)

•Latent Errors (261)

•Near Miss (75)

Approach to Improving Safety

•Quality Improvement Strategies (1265)

•Legal and Policy Approaches (372)

•Error Reporting and Analysis (1158)

•Communication Improvement (932)

•Human Factors Engineering (539)

•Teamwork (353)

•Specialization of Care (370)

•Logistical Approaches (373)

•Culture of Safety (600)

•Technologic Approaches (674)

•Education and Training (813)

Clinical Areas

•Allied Health Services (9)

Target Audience

•Health Care Providers (2855)

•Health Care Executives and Administrators (3550)

•Non-Health Care Professionals (1433)

•Patients (295)

Setting of Care

•Hospitals (3186)

•Psychiatric Facilities (17)

•Residential Facilities (73)

•Ambulatory Care (273)

•Outpatient Surgery (32)

•Patient Transport (39)

1 - 20 of 4257

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STUDY

Nurses' perceptions of simulation-based interprofessional training program for rapid response and code blue events.

Wehbe-Janek H, Lenzmeier CR, Ogden PE, et al. J Nurs Care Qual. 2012;27:43-50.

STUDY

How RNs rescue patients: a qualitative study of RNs' perceived involvement in rapid response teams.

Leach LS, Mayo A, O'Rourke M. Qual Saf Health Care. 2010;19:e13.

COMMENTARY

Development of a modified early warning score using the electronic medical record.

Albert BL, Huesman L. Dimens Crit Care Nurs. 2011;30:283-292.

STUDY

Nurses' perceptions of how rapid response teams affect the nurse, team, and system.

Williams DJ, Newman A, Jones C, Woodard B. J Nurs Care Qual. 2011;26:265-272.

COMMENTARY

Clinical nurse specialists as leaders in rapid response.

Jenkins SD, Lindsey PL. Clin Nurse Spec. 2010;24:24-30.

STUDY

Rapid response teams seen through the eyes of the nurse.

Shapiro SE, Donaldson NE, Scott MB. Am J Nurs. 2010;110:28-34.

STUDY

The impact of the medical emergency team on the resuscitation practice of critical care nurses.

Santiano N, Young L, Baramy LS, et al; Clinical Analysis Group. BMJ Qual Saf. 2011;20:115-120.

COMMENTARY

Rapid response systems: from implementation to evidence base.

Sarani B, Scott S. Jt Comm J Qual Patient Saf. 2010;36:514-517.

COMMENTARY

Using an advanced practice nursing model for a rapid response team.

Benson L, Mitchell C, Link M, Carlson G, Fisher J. Jt Comm J Qual Patient Saf. 2008;34:743-747.

STUDY

The role of the non-ICU staff nurse on a medical emergency team: perceptions and understanding.

Pusateri ME, Prior MM, Kiely SC. Am J Nurs. 2011;111:22-29.

STUDY

Comparing errors in ED computer-assisted vs conventional pediatric drug dosing and administration.

Yamamoto L, Kanemori J. Am J Emerg Med. 2010;28:588-592.

REVIEW

Literature review: do rapid response systems reduce the incidence of major adverse events in the deteriorating ward patient?

Massey D, Aitken LM, Chaboyer W. J Clin Nurs. 2010;19:3260-3273.

STUDY

Leading successful rapid response teams: a multisite implementation evaluation.

Donaldson N, Shapiro S, Scott M, Foley M, Spetz J. J Nurs Adm. 2009;39:176-181.

STUDY

Nurse decision making in the prearrest period.

Gazarian PK, Henneman EA, Chandler GE. Clin Nurs Res. 2010;19:21-37.

COMMENTARY

Intrahospital transport to the radiology department: risk for adverse events, nursing surveillance, utilization of a MET and practice implications.

Ott LK, Hoffman LA, Hravnak M. J Radiol Nurs. 2011;30:49-52.

COMMENTARY

Implementation of a rapid response team: a success story.

Scott SS, Elliott S. Crit Care Nurse. 2009;29:66-75.

COMMENTARY

Identified safety risks with splitting and crushing oral medications.

Paparella S. J Emerg Nurs. 2010;36:156-158.

STUDY

Medical emergency teams: a strategy for improving patient care and nursing work environments.

Galhotra S, Scholle CC, Dew MA, Mininni NC, Clermont G, DeVita MA. J Adv Nurs. 2006;55:180-187.

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

Implementing a rapid response team: a practical guide.

Garretson S, Dip HE, Rauzi MB. Nursing. 2008;38:56cc1-56cc3.

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