AHRQ Patient Safety Network

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The Collection

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Safety Target

•Device-related Complications (42)

•Diagnostic Errors (99)

•Identification Errors (41)

•Discontinuities, Gaps, and Hand-Off Problems (130)

•Fatigue and Sleep Deprivation (23)

•Medication Safety (370)

•Medical Complications (129)

•Nonsurgical Procedural Complications (27)

•Surgical Complications (177)

•Transfusion Complications (11)

•Psychological and Social Complications (32)

Origin/Sponsor

•Africa (3)

•Asia (27)

•Australia and New Zealand (46)

•Central and South America (5)

•Europe (348)

•North America (660)

Resource Types
< All

Study

Error Types

•Epidemiology of Errors and Adverse Events (751)

•Active Errors (315)

•Latent Errors (44)

•Near Miss (33)

Approach to Improving Safety

•Quality Improvement Strategies (214)

•Legal and Policy Approaches (40)

•Error Reporting and Analysis (321)

•Communication Improvement (245)

•Human Factors Engineering (121)

•Teamwork (90)

•Specialization of Care (53)

•Logistical Approaches (78)

•Culture of Safety (77)

•Technologic Approaches (175)

•Education and Training (301)

Clinical Areas

•Allied Health Services (4)

Target Audience

•Health Care Providers (949)

•Health Care Executives and Administrators (875)

•Non-Health Care Professionals (452)

•Patients (6)

Setting of Care

•Hospitals (763)

•Psychiatric Facilities (5)

•Residential Facilities (25)

•Ambulatory Care (131)

•Outpatient Surgery (10)

•Patient Transport (17)

1 - 20 of 1084

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STUDY

Error tracking in a clinical biochemistry laboratory.

Szecsi PB, Ødum L. Clin Chem Lab Med. 2009;47:1253-1257.

STUDY

Surgeon's vigilance in the operating room.

Zheng B, Tien G, Atkins SM, et al. Am J Surg. 2011;201:667-671.

STUDY

Does the implementation of an electronic prescribing system create unintended medication errors? A study of the sociotechnical context through the analysis of reported medication incidents.

Redwood S, Rajakumar A, Hodson J, Coleman JJ. BMC Med Inform Decis Mak. 2011;11:29.

STUDY

Optimising surgical training: use of feedback to reduce errors during a simulated surgical procedure.

Boyle E, Al-Akash M, Gallagher AG, Traynor O, Hill AD, Neary PC. Postgrad Med J. 2011;87:524-528.

STUDY

Patient safety: numerical skills and drug calculation abilities of nursing students and Registered Nurses.

McMullan M, Jones R, Lea S. J Adv Nurs. 2010;66:891-899.

STUDY

Incorrect surgical procedures within and outside of the operating room: a follow-up report.

Neily J, Mills PD, Eldridge N, et al. Arch Surg. 2011;146 1235-1239.

STUDY

Assessing the impact of an educational program on decreasing prescribing errors at a university hospital.

Peeters MJ, Pinto SL. J Hosp Med. 2009;4:97-101.

STUDY

Medication safety initiative in reducing medication errors.

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

STUDY

Potential unintended consequences due to Medicare's "No Pay for Errors Rule"? A randomized controlled trial of an educational intervention with internal medicine residents.

Mookherjee S, Vidyarthi AR, Ranji SR, Maselli J, Wachter RM, Baron RB. J Gen Intern Med. 2010;25:1097-1101.

STUDY

Didactic and simulation nontechnical skills team training to improve perinatal patient outcomes in a community hospital.

Riley W, Davis S, Miller K, Hansen H, Sainfort F, Sweet R. Jt Comm J Qual Patient Saf. 2011;37:357-364.

STUDY

Content analysis of team communication in an obstetric emergency scenario.

Siassakos D, Draycott T, Montague I, Harris M. J Obstet Gynaecol. 2009;29:499-503.

STUDY

Simulation as a tool to improve the safety of pre-hospital anaesthesia—a pilot study.

Batchelder AJ, Steel A, Mackenzie R, Hormis AP, Daniels TS, Holding N. Anaesthesia. 2009;64:978-983.

STUDY

More to teamwork than knowledge, skill and attitude.

Siassakos D, Draycott TJ, Crofts JF, Hunt LP, Winter C, Fox R. BJOG. 2010;117:1262-1269.

STUDY

Medicines reconciliation using a shared electronic health care record.

Moore P, Armitage G, Wright J, Dobrzanski S, Ansari N, Hammond I, Scally A. J Patient Saf. 2011;7:147-153.

STUDY

Using an objective structured clinical examination to test adherence to Joint Commission National Patient Safety Goal–associated behaviors.

Pernar LIM, Shaw TJ, Pozner CN, et al. Jt Comm J Qual Patient Saf. 2012;38:414-418.

STUDY

Pharmacists' interventions in prescribing errors at hospital discharge: an observational study in the context of an electronic prescribing system in a UK teaching hospital.

Abdel-Qader DH, Harper L, Cantrill JA, Tully MP. Drug Saf. 2010;33:1027-1044.

STUDY

High risk prescribing in primary care patients particularly vulnerable to adverse drug events: cross sectional population database analysis in Scottish general practice.

Guthrie B, McCowan C, Davey P, Simpson CR, Dreischulte T, Barnett K. BMJ. 2011;342:d3514.

STUDY

Systematic assessment of culture review as a tool to assess errors in the clinical microbiology laboratory.

Goodyear N, Ulness BK, Prentice JL, Cookson BT, Limaye AP. Arch Pathol Lab Med. 2008;132:1792-1795.

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

Care homes' use of medicines study: prevalence, causes and potential harm of medication errors in care homes for older people.

Barber ND, Alldred DP, Raynor DK, et al. Qual Saf Health Care. 2009;18:341-346.

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