AHRQ Patient Safety Network

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The Collection

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Safety Target

•Device-related Complications (61)

•Diagnostic Errors (88)

•Identification Errors (34)

•Discontinuities, Gaps, and Hand-Off Problems (235)

•Fatigue and Sleep Deprivation (50)

•Medication Safety (704)

•Medical Complications (221)

•Nonsurgical Procedural Complications (30)

•Surgical Complications (172)

•Transfusion Complications (12)

•Psychological and Social Complications (62)

Origin/Sponsor

•Africa (2)

•Asia (31)

•Australia and New Zealand (44)

•Central and South America (3)

•Europe (155)

•North America (1592)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (781)

•Active Errors (231)

•Latent Errors (87)

•Near Miss (47)

Approach to Improving Safety

•Quality Improvement Strategies (327)

•Legal and Policy Approaches (89)

•Error Reporting and Analysis (684)

•Communication Improvement (382)

•Human Factors Engineering (148)

•Teamwork (112)

•Specialization of Care (147)

•Logistical Approaches (167)

•Culture of Safety (169)

•Technologic Approaches (328)

•Education and Training (280)

Clinical Areas

•Allied Health Services (3)

•Medicine (1341)

•Nursing (173)

•Pharmacy (223)

Target Audience

•Health Care Providers (1391)

•Health Care Executives and Administrators (1426)

•Non-Health Care Professionals (609)

•Patients (23)

Setting of Care

•Hospitals (1389)

•Psychiatric Facilities (8)

•Residential Facilities (45)

•Ambulatory Care (206)

•Outpatient Surgery (10)

•Patient Transport (16)

1 - 20 of 1822

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STUDY

The costs of adverse drug events in hospitalized patients.

Bates DW, Spell N, Cullen DJ, et al. JAMA. 1997;277:307-311.

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.

STUDY

Supratherapeutic dosing of acetaminophen among hospitalized patients.

Zhou L, Maviglia SM, Mahoney LM, et al. Arch Intern Med. 2012;172:1721-1728.

STUDY

Developing indicators of inpatient adverse drug events through nonlinear analysis using administrative data.

Nebeker JR, Yarnold PR, Soltysik RC, et al. Med Care. 2007;45(suppl 2):S81-S88.

STUDY

The safety of hospital stroke care.

Holloway RG, Tuttle D, Baird T, Skelton WK. Neurology. 2007;68:550-555.

STUDY

A July spike in fatal medication errors: a possible effect of new medical residents.

Phillips DP, Barker GEC. J Gen Intern Med. 2010;25:774-779.

STUDY

Effect of patient- and medication-related factors on inpatient medication reconciliation errors.

Salanitro AH, Osborn CY, Schnipper JL, et al. J Gen Intern Med. 2012;27:924-932.

STUDY

Effect of computerized physician order entry and a team intervention on prevention of serious medication errors.

Bates DW, Leape LL, Cullen DJ, et al. JAMA. 1998;280:1311-1316.

STUDY

An exploratory study measuring verbal order content and context.

Wakefield DS, Brokel J, Ward MM, Schwichtenberg T, Groath D, Kolb M, Davis JW, Crandall D. Qual Saf Health Care. 2009;18:169-173.

STUDY

Pediatric antidepressant medication errors in a national error reporting database.

Rinke ML, Bundy DG, Shore AD, Colantuoni E, Morlock LL, Miller MR. J Dev Behav Pediatr. 2010;31:129-136.

STUDY

A framework for evaluating the appropriateness of clinical decision support alerts and responses.

McCoy AB, Waitman LR, Lewis JB, et al. J Am Med Inform Assoc. 2012;19:346-352.

STUDY

Venous thromboembolism after trauma: a never event?

Thorson CM, Ryan ML, Van Haren RM, et al. Crit Care Med. 2012;40:2967-2973.

STUDY

Reducing warfarin medication interactions: an interrupted time series evaluation.

Feldstein AC, Smith DH, Perrin N, et al. Arch Intern Med. 2006;166:1009-1015.

STUDY

Reliability evaluation of the adapted National Coordinating Council Medication Error Reporting and Prevention (NCC MERP) index.

Snyder RA, Abarca J, Meza JL, Rothschild JM, Rizos A, Bates DW. Pharmacoepidemiol Drug Saf. 2007:16:1006-1013.

STUDY

Active surveillance using electronic triggers to detect adverse events in hospitalized patients.

Szekendi MK, Sullivan C, Bobb A, et al. Qual Saf Health Care. 2006;15:184-190.

STUDY

The economic consequences of medical injuries: implications for a no-fault insurance plan.

Johnson WG, Brennan TA, Newhouse JP, et al. JAMA. 1992;267:2487-2492.

STUDY

Complexity of medication-related verbal orders.

Wakefield DS, Ward MM, Groath D, et al. Am J Med Qual. 2008;23:7-17.

STUDY

Reducing adverse drug events: lessons from a breakthrough series collaborative.

Leape LL, Kabcenell A, Gandhi TK, Carver P, Nolan TW, Berwick DM. Jt Comm J Qual Improv. 2000;26:321-331.

STUDY

Pediatric medication errors in the postanesthesia care unit: analysis of MEDMARX data.

Payne CH, Smith CR, Newkirk LE, Hicks RW. AORN J. 2007;85:731-740.

STUDY

Medication safety in a psychiatric hospital.

Rothschild JM, Mann K, Keohane CA, et al. Gen Hosp Psychiatry. 2007;29:156-162.

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