AHRQ Patient Safety Network

The Collection > United States of America

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Safety Target

•Device-related Complications (176)

•Diagnostic Errors (164)

•Identification Errors (129)

•Discontinuities, Gaps, and Hand-Off Problems (437)

•Fatigue and Sleep Deprivation (112)

•Medication Safety (1109)

•Medical Complications (518)

•Nonsurgical Procedural Complications (99)

•Surgical Complications (425)

•Transfusion Complications (21)

•Psychological and Social Complications (217)

Origin/Sponsor
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United States of America

•United States Federal Government (321)

•State Governments and Agencies (61)

Resource Types

•Clinical Guideline (9)

•Journal Article (2732)

•Legislation/Regulation (66)

•Meeting/Conference (41)

•Newsletter/Journal (13)

•Newspaper/Magazine Article (642)

•Press Release/Announcement (39)

•Special or Theme Issue (61)

•Tools/Toolkit (81)

•Web Resource (135)

•Grant (16)

Error Types

•Epidemiology of Errors and Adverse Events (762)

•Active Errors (652)

•Latent Errors (267)

•Near Miss (90)

Approach to Improving Safety

•Quality Improvement Strategies (1043)

•Legal and Policy Approaches (588)

•Error Reporting and Analysis (1192)

•Communication Improvement (1027)

•Human Factors Engineering (502)

•Teamwork (348)

•Specialization of Care (293)

•Logistical Approaches (329)

•Culture of Safety (655)

•Technologic Approaches (723)

•Education and Training (815)

Clinical Areas

•Allied Health Services (13)

Target Audience

•Health Care Providers (2993)

•Health Care Executives and Administrators (3214)

•Non-Health Care Professionals (1669)

•Patients (481)

Setting of Care

•Hospitals (2722)

•Psychiatric Facilities (13)

•Residential Facilities (66)

•Ambulatory Care (360)

•Outpatient Surgery (42)

•Patient Transport (22)

1 - 20 of 4246

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STUDY

Ambulance personnel perceptions of near misses and adverse events in pediatric patients.

Cushman JT, Fairbanks RJ, O'Gara KG, et al. Prehosp Emerg Care. 2010;14:477-484.

NEWSPAPER/MAGAZINE ARTICLE

Too many abandon the "second victims" of medical errors.

ISMP Medication Safety Alert! Acute Care Edition. July 14, 2011;16:1-3.

COMMENTARY

Disclosing harmful medical errors to patients: tackling three tough cases.

Gallagher TH, Bell SK, Smith KM, Mello MM, McDonald TB. Chest. 2009;136:897-903.

NEWSPAPER/MAGAZINE ARTICLE

Program encourages reporting accidents waiting to happen: the Good Catch Awards.

McCook A. Anesthesiology News. Sept 2011;37:9.

STUDY

Peer support: healthcare professionals supporting each other after adverse medical events.

van Pelt F. Qual Saf Health Care. 2008;17:249-252.

STUDY

The many faces of error disclosure: a common set of elements and a definition.

Fein SP, Hilborne LH, Spiritus EM, et al. J Gen Intern Med. 2007;22:755-761.

BOOK/REPORT

Disclosure and Apology: What's Missing? Advancing Programs that Support Clinicians.

Carr S. Chestnut Hill, MA: Medically Induced Trauma Support Services; 2009.

NEWSPAPER/MAGAZINE ARTICLE

Fixing America's hospitals.

Newsweek. October 16, 2006:44-68, 72.

MISSOURI MEETING/CONFERENCE

The Second Victim Experience: Train-the-Trainer Workshop.

Center for Patient Safety. June 11, 2013; University of Missouri Health System Health System, Columbia, MO.

STUDY

Health care workers as second victims of medical errors.

Edrees HH, Paine LA, Feroli ER, Wu AW. Pol Arch Med Wewn. 2011;121:101-108.

COMMENTARY

Disclosing harmful pathology errors to patients.

Dintzis SM, Gallagher TH. Am J Clin Pathol. 2009;131:463-465.

NEWSPAPER/MAGAZINE ARTICLE

No bad apples.

Thrall TH. Hosp Health Netw. December 2008.

NEWSPAPER/MAGAZINE ARTICLE

Standards, audits, and saying I'm sorry: an engineer's family proposes solutions.

Wojcieszak D. Patient Safety Qual Healthc. May/June 2005;2:6, 8-9.

COMMENTARY

Anatomy of an incident disclosure: the importance of dialogue.

Iedema R, Allen S. Jt Comm J Qual Patient Saf. 2012;38:435-442.

STUDY

Patients' concerns about medical errors during hospitalization.

Burroughs TE, Waterman AD, Gallagher TH, et al. Jt Comm J Qual Patient Saf. 2007;33:5-14.

NEWSPAPER/MAGAZINE ARTICLE

Survive your doctor.

Holt TE. Men's Health. November 3, 2006.

COMMENTARY

Disruptive clinician behavior: a persistent threat to patient safety.

Porto G, Lauve R. Patient Safety Qual Healthc. July/August 2006;3:16-24.

NEWSPAPER/MAGAZINE ARTICLE

Disruptive behavior affects hospital financial health.

Crane M. Medscape Medical News. December 11, 2010.

BOOK/REPORT classic

When Things Go Wrong: Responding to Adverse Events.

A Consensus Statement of the Harvard Hospitals. Burlington: Massachusetts Coalition for the Prevention of Medical Errors; 2006.

STUDY

Professionalism: a necessary ingredient in a culture of safety.

DuPree E, Anderson R, McEvoy MD, Brodman M. Jt Comm J Qual Patient Saf. 2011;37:447-455.

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