AHRQ Patient Safety Network

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The Collection

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Safety Target

•Device-related Complications (42)

•Diagnostic Errors (58)

•Identification Errors (29)

•Discontinuities, Gaps, and Hand-Off Problems (196)

•Fatigue and Sleep Deprivation (42)

•Medication Safety (411)

•Medical Complications (191)

•Nonsurgical Procedural Complications (24)

•Surgical Complications (141)

•Transfusion Complications (8)

•Psychological and Social Complications (50)

Origin/Sponsor

•Asia (12)

•Australia and New Zealand (24)

•Europe (89)

•North America (1282)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (543)

•Active Errors (183)

•Latent Errors (70)

•Near Miss (32)

Approach to Improving Safety

•Quality Improvement Strategies (262)

•Legal and Policy Approaches (98)

•Error Reporting and Analysis (396)

•Communication Improvement (331)

•Human Factors Engineering (115)

•Teamwork (100)

•Specialization of Care (120)

•Logistical Approaches (138)

•Culture of Safety (150)

•Technologic Approaches (247)

•Education and Training (235)

Clinical Areas

•Allied Health Services (3)

•Medicine (1037)

•Nursing (120)

•Pharmacy (128)

Target Audience

•Health Care Providers (1139)

•Health Care Executives and Administrators (1105)

•Non-Health Care Professionals (490)

•Patients (17)

Setting of Care

•Hospitals (1127)

•Psychiatric Facilities (6)

•Residential Facilities (30)

•Ambulatory Care (145)

•Outpatient Surgery (7)

•Patient Transport (11)

1 - 20 of 1397

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STUDY

Disclosure-and-resolution programs that include generous compensation offers may prompt a complex patient response.

Murtagh L, Gallagher TH, Andrew P, Mello MM. Health Aff (Millwood). 2012;31:2681-2689.

STUDY

Paid malpractice claims for adverse events in inpatient and outpatient settings.

Bishop TF, Ryan AK, Casalino LP. JAMA. 2011;305:2427-2431.

STUDY

Risk managers, physicians, and disclosure of harmful medical errors.

Loren DJ, Garbutt J, Dunagan WC, et al. Jt Comm J Qual Patient Saf. 2010;36:101-108.

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

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

Language barriers and understanding of hospital discharge instructions.

Karliner LS, Auerbach A, Nápoles A, Schillinger D, Nickleach D, Pérez-Stable EJ. Med Care. 2012;50:283-289.

STUDY

A reengineered hospital discharge program to decrease rehospitalization: a randomized trial.

Jack BW, Chetty VK, Anthony D, et al. Ann Intern Med. 2009;150:178-187.

STUDY

Role of pharmacist counseling in preventing adverse drug events after hospitalization.

Schnipper JL, Kirwin JL, Cotugno MC, et al. Arch Intern Med. 2006;166:565-571.

STUDY

Hospital discharge documentation and risk of rehospitalisation.

Hansen LO, Strater A, Smith L, et al. BMJ Qual Saf. 2011;20:773-778.

STUDY

The nurse's medication day.

Jennings BM, Sandelowski M, Mark B. Qual Health Res. 2011;21:1441-1451.

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

Reduction in pediatric identification band errors: a quality collaborative.

Phillips SC, Saysana M, Worley S, Hain PD. Pediatrics. 2012;129:e1587-e1593.

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

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

'Global Trigger Tool' shows that adverse events in hospitals may be ten times greater than previously measured.

Classen DC, Resar R, Griffin F, et al. Health Aff (Millwood). 2011;30:581-589.

STUDY

A controlled trial of a rapid response system in an academic medical center.

Rothschild JM, Woolf S, Finn KM, et al. Jt Comm J Qual Patient Saf. 2008;34:417-425.

STUDY

Thirty-day, all-cause readmissions for elderly patients who have an injury-related inpatient stay.

Spector WD, Mutter R, Owens P, Limcangco R. Med Care. 2012;50:863-869.

STUDY

Using the ISMP Medication Safety Self-Assessment to improve medication use processes.

Lesar T, Mattis A, Anderson E, et al. Jt Comm J Qual Saf. 2003;29:211-226.

STUDY

Handoff communication between hospital and outpatient dialysis units at patient discharge: a qualitative study.

Reilly JB, Marcotte LM, Berns JS, Shea JA. Jt Comm J Qual Patient Saf. 2013;39:70-76.

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