AHRQ Patient Safety Network

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The Collection

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Safety Target

•Device-related Complications (80)

•Diagnostic Errors (144)

•Identification Errors (60)

•Discontinuities, Gaps, and Hand-Off Problems (288)

•Fatigue and Sleep Deprivation (51)

•Medication Safety (760)

•Medical Complications (262)

•Nonsurgical Procedural Complications (48)

•Surgical Complications (299)

•Transfusion Complications (12)

•Psychological and Social Complications (78)

Origin/Sponsor

•Africa (4)

•Asia (41)

•Australia and New Zealand (71)

•Central and South America (6)

•Europe (321)

•North America (1744)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (1185)

•Active Errors (391)

•Latent Errors (90)

•Near Miss (60)

Approach to Improving Safety

•Quality Improvement Strategies (417)

•Legal and Policy Approaches (89)

•Error Reporting and Analysis (721)

•Communication Improvement (475)

•Human Factors Engineering (227)

•Teamwork (161)

•Specialization of Care (164)

•Logistical Approaches (173)

•Culture of Safety (190)

•Technologic Approaches (414)

•Education and Training (356)

Clinical Areas

•Allied Health Services (6)

Target Audience

•Health Care Providers (1659)

•Health Care Executives and Administrators (1845)

•Non-Health Care Professionals (769)

•Patients (25)

Setting of Care

•Hospitals (1528)

•Psychiatric Facilities (8)

•Residential Facilities (57)

•Ambulatory Care (251)

•Outpatient Surgery (18)

•Patient Transport (25)

1 - 20 of 2182

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STUDY

Accuracy of radiographic readings in the emergency department.

Petinaux B, Bhat R, Boniface K, Aristizabal J. Am J Emerg Med. 2011;29:18-25.

STUDY

The frequency of diagnostic errors in radiologic reports depends on the patient's age.

Diaz S, Ekberg O. Acta Radiol. 2010;51:934-938.

STUDY

Eight CT lessons that we learned the hard way: an analysis of current patterns of radiological error and discrepancy with particular emphasis on CT.

McCreadie G, Oliver TB. Clin Radiol. 2009;64:491-499; discussion 500-501.

STUDY

Diagnostic errors with inserted tubes, lines and catheters in children.

Fuentealba I, Taylor GA. Pediatr Radiol. 2012;42:1305-1315.

STUDY

Diagnostic errors in pediatric radiology.

Taylor GA, Voss SD, Melvin PR, Graham DA. Pediatr Radiol. 2011;41:327-334.

STUDY

Time trends in pulmonary embolism in the United States: evidence of overdiagnosis.

Wiener RS, Schwartz LM, Woloshin S. Arch Intern Med. 2011;171:831-837.

STUDY

Disclosing harmful mammography errors to patients.

Gallagher TH, Cook AJ, Brenner RJ, et al. Radiology. 2009;253:443-452.

STUDY

Unintentional therapeutic errors involving insulin in the ambulatory setting reported to poison centers.

Spiller HA, Borys DJ, Ryan ML, Sawyer TS, Wilson BL. Ann Pharmacother. 2011;45:17-22.

STUDY

Incidence and root cause analysis of wrong-site pain management procedures: a multicenter study.

Cohen SP, Hayek SM, Datta S, et al. Anesthesiology. 2010;112:711-718.

STUDY

Consistency between coded poison center data and fatality abstract narratives for therapeutic error deaths in older adults.

Hayes BD, Klein-Schwartz W. Clin Toxicol (Phila). 2010;48:68-71.

STUDY

Identifying and reducing medication errors in psychiatry: creating a culture of safety through the use of an adverse event reporting mechanism.

Jayaram G, Doyle D, Steinwachs D, Samuels J. J Psychiatr Pract. 2011;17:81–88.

STUDY

Medication error reporting in nursing homes: identifying targets for patient safety improvement.

Greene SB, Williams CE, Pierson S, Hansen RA, Carey TS. Qual Saf Health Care. 2010;19:218-222.

STUDY

Analysis and prioritization of near-miss adverse events in a radiology department.

Thornton RH, Miransky J, Killen AR, Solomon SB, Brody LA. AJR Am J Roentgenol. 2011;196:1120-1124.

STUDY

Quality improvement project to reduce perioperative opioid oversedation events in a paediatric hospital.

Vermaire D, Caruso MC, Lesko A, et al. BMJ Qual Saf. 2011;20:895-902.

STUDY

National study on the frequency, types, causes, and consequences of voluntarily reported emergency department medication errors.

Pham JC, Story JL, Hicks RW, et al. J Emerg Med. 2011;40:485-492.

STUDY

Accuracy of interpretation of preparticipation screening electrocardiograms.

Hill AC, Miyake CY, Grady S, Dubin AM. J Pediatr. 2011;159:783-788.

STUDY

Computerized decision support for medication dosing in renal insufficiency: a randomized, controlled trial.

Terrell KM, Perkins AJ, Hui SL, Callahan CM, Dexter PR, Miller DK. Ann Emerg Med. 2010;56:623-629.

STUDY

"Sign right here and you're good to go": a content analysis of audiotaped emergency department discharge instructions.

Vashi A, Rhodes KV. Ann Emerg Med. 2011;57:315-322.e1.

STUDY

Infection control assessment of ambulatory surgical centers.

Schaefer MK, Jhung M, Dahl M, et al. JAMA. 2010;303:2273-2279.

STUDY

Medication errors resulting from computer entry by nonprescribers.

Santell JP, Kowiatek JG, Weber RJ, Hicks RW, Sirio CA. Am J Health Syst Pharm. 2009;66:843-853.

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