AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (6)

•Diagnostic Errors (15)

•Identification Errors (5)

•Discontinuities, Gaps, and Hand-Off Problems (31)

•Fatigue and Sleep Deprivation (8)

•Medication Safety (60)

•Medical Complications (15)

•Nonsurgical Procedural Complications (4)

•Surgical Complications (19)

•Transfusion Complications (1)

•Psychological and Social Complications (5)

Origin/Sponsor

•Australia and New Zealand (15)

•Central and South America (1)

•North America (129)

Resource Types
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Review

Error Types

•Epidemiology of Errors and Adverse Events (81)

•Active Errors (42)

•Latent Errors (20)

•Near Miss (2)

Approach to Improving Safety

•Quality Improvement Strategies (38)

•Legal and Policy Approaches (10)

•Error Reporting and Analysis (70)

•Communication Improvement (51)

•Human Factors Engineering (24)

•Teamwork (23)

•Specialization of Care (16)

•Logistical Approaches (16)

•Culture of Safety (13)

•Technologic Approaches (45)

•Education and Training (50)

Clinical Areas

•Allied Health Services (1)

•Dentistry (1)

•Medicine (165)

•Nursing (10)

•Pharmacy (19)

Target Audience

•Health Care Providers (152)

•Health Care Executives and Administrators (164)

•Non-Health Care Professionals (95)

•Patients (2)

Setting of Care

•Hospitals (125)

•Residential Facilities (3)

•Ambulatory Care (19)

•Outpatient Surgery (1)

•Patient Transport (3)

1 - 20 of 211

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REVIEW

Clinical errors and medical negligence.

Oyebode F. Med Princ Pract. 2013 Jan 18; [Epub ahead of print].

REVIEW

Addressing postdischarge adverse events: a neglected area.

Tsilimingras D, Bates DW. Jt Comm J Qual Patient Saf. 2008;34:85-97.

REVIEW

Medication safety in acute care in Australia: where are we now? Part 1: a review of the extent and causes of medication problems 2002-2008.

Roughead EE, Semple SJ. Aust New Zealand Health Policy. 2009;6:18.

REVIEW

Improving patient safety through the systematic evaluation of patient outcomes.

Forster AJ, Dervin G, Martin C, Papp S. Can J Surg. 2012;55:418-425.

REVIEW

The economic burden of patient safety targets in acute care: a systematic review.

Mittmann N, Koo M, Daneman N, et al. Drug Healthc Patient Saf. 2012;4:141-165.

REVIEW

Inappropriateness of medication prescriptions to elderly patients in the primary care setting: a systematic review.

Opondo D, Eslami S, Visscher S, et al. PLoS One. 2012;7:e43617.

REVIEW

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Systematic review: association of shift length, protected sleep time, and night float with patient care, residents' health, and education.

Reed DA, Fletcher KE, Arora VM. Ann Intern Med. 2010;153:829-842.

REVIEW

Double checking the administration of medicines: what is the evidence? A systematic review.

Alsulami Z, Conroy S, Choonara I. Arch Dis Child. 2012;97:833-837.

REVIEW

The efficacy of computer-enabled discharge communication interventions: a systematic review.

Motamedi SM, Posadas-Calleja J, Straus S, et al. BMJ Qual Saf. 2011;20:403-415.

REVIEW

Medication errors in critical care: risk factors, prevention and disclosure.

Camiré E, Moyen E, Stelfox HT. CMAJ. 2009;180:936-943.

REVIEW

The effectiveness of integrated health information technologies across the phases of medication management: a systematic review of randomized controlled trials.

McKibbon KA, Lokker C, Handler SM, et al. J Am Med Inform Assoc. 2012;19:22-30.

REVIEW

Medication safety in acute care in Australia: where are we now? Part 2: a review of strategies and activities for improving medication safety 2002-2008.

Semple SJ, Roughead EE. Aust New Zealand Health Policy. 2009;6:24.

REVIEW

classic

Clinical pharmacists and inpatient medical care: a systematic review.

Kaboli PJ, Hoth AB, McClimon BJ, Schnipper JL. Arch Intern Med. 2006;166:955-964.

REVIEW

Use of information technology in medication reconciliation: a scoping review.

Bassi J, Lau F, Bardal S. Ann Pharmacother. 2010;44:885-897.

REVIEW

Prescribing errors in hospital practice.

Tully MP. Br J Clin Pharmacol. 2012;74:668-675.

REVIEW

An integrative review of the current evidence on the relationship between hand hygiene interventions and the incidence of health care-associated infections.

Backman C, Zoutman DE, Marck PB. Am J Infect Control. 2008;36:333-348.

REVIEW

Bar code technology and medication administration error.

Young J, Slebodnik M, Sands L. J Patient Saf. 2010;6;115-120.

REVIEW

Prevalence and nature of medication administration errors in health care settings: a systematic review of direct observational evidence.

Keers RN, Williams SD, Cooke J, Ashcroft DM. Ann Pharmacother. 2013;47:237-256.

REVIEW

Interdisciplinary teamwork in hospitals: a review and practical recommendations for improvement.

O'Leary KJ, Sehgal NL, Terrell G, Williams MV; High Performance Teams and the Hospital of the Future Project Team. J Hosp Med. 2011 Oct 31; [Epub ahead of print].

REVIEW

Team working in intensive care: current evidence and future endeavors.

Richardson J, West MA, Cuthbertson BH. Curr Opin Crit Care. 2010;16:643-648.

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