AHRQ Patient Safety Network

The Collection > United States of America

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Safety Target

•Device-related Complications (140)

•Diagnostic Errors (104)

•Identification Errors (69)

•Discontinuities, Gaps, and Hand-Off Problems (359)

•Fatigue and Sleep Deprivation (106)

•Medication Safety (834)

•Medical Complications (398)

•Nonsurgical Procedural Complications (63)

•Surgical Complications (272)

•Transfusion Complications (15)

•Psychological and Social Complications (127)

Origin/Sponsor
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United States of America

•United States Federal Government (223)

•State Governments and Agencies (46)

Resource Types

•Clinical Guideline (4)

•Journal Article (2156)

•Legislation/Regulation (60)

•Meeting/Conference (35)

•Newsletter/Journal (7)

•Newspaper/Magazine Article (537)

•Press Release/Announcement (23)

•Special or Theme Issue (65)

•Tools/Toolkit (67)

•Web Resource (93)

•Grant (11)

Error Types

•Epidemiology of Errors and Adverse Events (523)

•Active Errors (366)

•Latent Errors (311)

•Near Miss (43)

Approach to Improving Safety

•Quality Improvement Strategies (850)

•Legal and Policy Approaches (531)

•Error Reporting and Analysis (942)

•Communication Improvement (742)

•Human Factors Engineering (363)

•Teamwork (294)

•Specialization of Care (238)

•Logistical Approaches (284)

•Culture of Safety (762)

•Technologic Approaches (550)

•Education and Training (803)

Clinical Areas

•Allied Health Services (11)

Target Audience

•Health Care Providers (2128)

•Health Care Executives and Administrators (2685)

•Non-Health Care Professionals (1599)

•Patients (360)

Setting of Care

•Hospitals (2319)

•Psychiatric Facilities (11)

•Residential Facilities (66)

•Ambulatory Care (230)

•Outpatient Surgery (33)

•Patient Transport (12)

1 - 20 of 3411

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COMMENTARY classic

Structural and organizational issues in patient safety: a comparison of health care to other high-hazard industries.

Gaba DM. Calif Manage Rev. 2000;43:1-20.

REVIEW

Duty-hour limits and patient care and resident outcomes: can high-quality studies offer insight into complex relationships?

Philibert I, Nasca T, Brigham T, Shapiro J. Annu Rev Med. 2013;64:467-483.

COMMENTARY

Minnesota Hospital Association Statewide Project: SAFE from FALLS.

Apold J, Quigley PA. J Nurs Care Qual. 2012;27:299-306.

COMMENTARY classic

Organizational culture as a source of high reliability.

Weick KE. Calif Manage Rev. 1987;29:112-127.

NEWSPAPER/MAGAZINE ARTICLE

The impossible workload for doctors in training.

Chen PW. New York Times. April 18, 2013.

STUDY

Surgical training, duty-hour restrictions, and implications for meeting the Accreditation Council for Graduate Medical Education core competencies: views of surgical interns compared with program directors.

Antiel RM, Van Arendonk KJ, Reed DA, et al. Arch Surg. 2012;147:536-541.

COMMENTARY

Duty hour reform in a shifting medical landscape.

Jena AB, Prasad V. J Gen Intern Med. 2013 Apr 9; [Epub ahead of print].

BOOK/REPORT

Tennessee Center for Patient Safety Annual Report 2010.

Nashville, TN: Tennessee Center for Patient Safety; August 2011.

NEWSPAPER/MAGAZINE ARTICLE

The silent treatment: 'just be quiet about it'.

Smerd J. Workforce Management. November 19, 2007;1, 16-20.

AUDIOVISUAL

Chasing Zero: Winning the War on Healthcare Harm.

Austin, TX: Texas Medical Institute for Technology and the Quaid Foundation; 2010.

STUDY

Organizational culture, critical success factors, and the reduction of hospital errors.

Stock GN, McFadden KL, Gowen III, CR. Int J Prod Econ. 2007;106:368–392.

NEWSPAPER/MAGAZINE ARTICLE

Plan aims to cut hospital deaths.

Appleby J. USA Today. June 6, 2005.

COMMENTARY

The Henry Ford Health System No Harm Campaign: a comprehensive model to reduce harm and save lives.

Conway WA, Hawkins S, Jordan J, Voutt-Goos MJ. Jt Comm J Qual Patient Saf. 2012;38:318-327.

NEWSPAPER/MAGAZINE ARTICLE

Making hospitals accountable.

Peters PG Jr. Regulation. Summer 2009;32:30-36.

AUDIOVISUAL

Eye to eye: Donald Berwick.

"Eye to Eye with Katie Couric." CBS News Video. February 6, 2007.

MULTI-USE WEBSITE

MHA Keystone Center for Patient Safety and Quality.

Michigan Health and Hospital Association.

NEWSPAPER/MAGAZINE ARTICLE

A long way to go.

DerGurahian J. Mod Healthc. December 7, 2009.

REVIEW

Negligence, genuine error, and litigation.

Sohn DH. Int J Gen Med. 2013;6:49-56.

NEWSPAPER/MAGAZINE ARTICLE

Team-based care.

Weinstock M. Hosp Health Netw. March 2010;84:6p following 28,2.

BOOK/REPORT

Through the Eyes of the Workforce: Creating Joy, Meaning, and Safer Health Care.

Roundtable on Joy and Meaning in Work and Workforce Safety, The Lucian Leape Institute. Boston, MA: National Patient Safety Foundation; 2013.

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