AHRQ Patient Safety Network

The Collection > United States of America

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Safety Target

•Device-related Complications (165)

•Diagnostic Errors (133)

•Identification Errors (125)

•Discontinuities, Gaps, and Hand-Off Problems (420)

•Fatigue and Sleep Deprivation (101)

•Medication Safety (1127)

•Medical Complications (411)

•Nonsurgical Procedural Complications (92)

•Surgical Complications (381)

•Transfusion Complications (19)

•Psychological and Social Complications (119)

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United States of America

•United States Federal Government (148)

•State Governments and Agencies (25)

Resource Types

•Audiovisual (50)

•Award (22)

•Book/Report (161)

•Clinical Guideline (9)

•Journal Article (2510)

•Legislation/Regulation (58)

•Meeting/Conference (28)

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•Newspaper/Magazine Article (565)

•Press Release/Announcement (23)

•Special or Theme Issue (42)

•Tools/Toolkit (53)

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•Grant (5)

Error Types

•Epidemiology of Errors and Adverse Events (719)

•Active Errors (638)

•Latent Errors (249)

•Near Miss (75)

Approach to Improving Safety

•Quality Improvement Strategies (870)

•Legal and Policy Approaches (354)

•Error Reporting and Analysis (945)

•Communication Improvement (829)

•Human Factors Engineering (584)

•Teamwork (283)

•Specialization of Care (258)

•Logistical Approaches (364)

•Culture of Safety (494)

•Technologic Approaches (643)

•Education and Training (714)

Clinical Areas

•Allied Health Services (6)

Target Audience

•Health Care Providers (2420)

•Health Care Executives and Administrators (2882)

•Non-Health Care Professionals (1243)

•Patients (334)

Setting of Care

•Hospitals (2567)

•Psychiatric Facilities (11)

•Residential Facilities (63)

•Ambulatory Care (286)

•Outpatient Surgery (37)

•Patient Transport (22)

1 - 20 of 3601

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SPECIAL OR THEME ISSUE

CMS 30-minute rule for drug administration needs revision.

ISMP Medication Safety Alert! Acute Care Edition. September 9, 2010;15:1-6.

STUDY

Empowering frontline nurses: a structured intervention enables nurses to improve medication administration accuracy.

Kliger J, Blegen MA, Gootee D, O'Neil E. Jt Comm J Qual Patient Saf. 2009;35:604-612.

COMMENTARY

Implementing a safe and reliable process for medication administration.

Richardson B, Bromirski B, Hayden A. Clin Nurse Spec. 2012;26:169-176.

STUDY

Nurse interruptions pre- and post-implementation of a point-of-care medication administration system.

Stamp KD, Willis DG. J Nurs Care Qual. 2010;25:231-239.

NEWSPAPER/MAGAZINE ARTICLE

Design for reliability: barcoded medication administration.

Hayden AC, Lanoue ET, Still CJ. Patient Saf Qual Healthc. July/August 2011;8:12-20.

STUDY

Medication safety initiative in reducing medication errors.

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

STUDY

Nursing care quality and adverse events in US hospitals.

Lucero RJ, Lake ET, Aiken LH. J Clin Nurs. 2010;19:2185-2195.

STUDY

Medication Administration Time Study (MATS): nursing staff performance of medication administration.

Elganzouri ES, Standish CA, Androwich I. J Nurs Adm. 2009;39:204-210.

NEWSPAPER/MAGAZINE ARTICLE

Guidelines for timely medication administration: response to the CMS "30-minute rule."

ISMP Medication Safety Alert! Acute Care Edition. January 13, 2011;16:1-4.

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.

STUDY

Adverse drug events in hospitalized cardiac patients.

Fanikos J, Cina JL, Baroletti S, Fiumara K, Matta L, Goldhaber SZ. Am J Cardiol. 2007;100:1465-1469.

REVIEW

Fall prevention in hospitals: an integrative review.

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

COMMENTARY

Using simulation to teach nursing students and licensed clinicians obstetric emergencies.

Alderman JT. MCN Am J Matern Child Nurs. 2012;37:394-400.

STUDY

A case of mistaken identity: staff input on patient ID errors.

Ortiz J, Amatucci C. Nurs Manage. April 2009;4:37-41.

COMMENTARY

Nursing student medication errors: a case study using root cause analysis.

Dolansky MA, Druschel K, Helba M, Courtney K. J Prof Nurs. 2013;29:102-108.

STUDY

Do nurse and patient injuries share common antecedents? An analysis of associations with safety climate and working conditions.

Taylor JA, Dominici F, Agnew J, Gerwin D, Morlock L, Miller MR. BMJ Qual Saf. 2012;21:101-111.

STUDY

Effects of technological interventions on the safety of a medication-use system.

Skibinski KA, White BA, Lin LI, Dong Y, Wu W. Am J Health Syst Pharm. 2007;64:90-96.

STUDY

A human factors framework and study of the effect of nursing workload on patient safety and employee quality of working life.

Holden RJ, Scanlon MC, Patel NR, et al. BMJ Qual Saf. 2011;20:15-24.

STUDY

Implementing a fatigue countermeasures program for nurses: a focus group analysis.

Scott LD, Hofmeister N, Rogness N, Rogers AE. J Nurs Adm. 2010;40:233-240.

STUDY

Expanding what we know about off-peak mortality in hospitals.

Hamilton P, Mathur S, Gemeinhardt G, Eschiti V, Campbell M. J Nurs Admin. 2010;40:124-128.

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