AHRQ Patient Safety Network

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The Collection

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Safety Target

•Device-related Complications (68)

•Diagnostic Errors (83)

•Identification Errors (59)

•Discontinuities, Gaps, and Hand-Off Problems (243)

•Fatigue and Sleep Deprivation (60)

•Medication Safety (687)

•Medical Complications (237)

•Nonsurgical Procedural Complications (43)

•Surgical Complications (210)

•Transfusion Complications (12)

•Psychological and Social Complications (73)

Origin/Sponsor

•Asia (53)

•Australia and New Zealand (66)

•Central and South America (5)

•Europe (240)

•North America (1635)

Resource Types
< All

Study

Error Types

•Epidemiology of Errors and Adverse Events (746)

•Active Errors (375)

•Latent Errors (102)

•Near Miss (62)

Approach to Improving Safety

•Quality Improvement Strategies (376)

•Legal and Policy Approaches (86)

•Error Reporting and Analysis (615)

•Communication Improvement (399)

•Human Factors Engineering (251)

•Teamwork (144)

•Specialization of Care (143)

•Logistical Approaches (230)

•Culture of Safety (223)

•Technologic Approaches (368)

•Education and Training (367)

Clinical Areas

•Allied Health Services (3)

•Medicine (1413)

•Nursing (354)

•Pharmacy (219)

Target Audience

•Health Care Providers (1408)

•Health Care Executives and Administrators (1751)

•Non-Health Care Professionals (735)

•Patients (13)

Setting of Care

•Hospitals (1551)

•Psychiatric Facilities (11)

•Residential Facilities (45)

•Ambulatory Care (158)

•Outpatient Surgery (10)

•Patient Transport (18)

1 - 20 of 1999

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STUDY

Empowering frontline nurses: a structured intervention enables nurses to improve medication administration accuracy.

Kliger J, Blegen MA, Gootee D, O'Neil E. Jt Comm J Qual Patient Saf. 2009;35:604-612.

STUDY

Association of interruptions with an increased risk and severity of medication administration errors.

Westbrook JI, Woods A, Rob MI, Dunsmuir WTM, Day RO. Arch Intern Med. 2010;170:683-690.

STUDY

Nurse interruptions pre- and post-implementation of a point-of-care medication administration system.

Stamp KD, Willis DG. J Nurs Care Qual. 2010;25:231-239.

STUDY

Medication safety initiative in reducing medication errors.

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

STUDY

Nursing care quality and adverse events in US hospitals.

Lucero RJ, Lake ET, Aiken LH. J Clin Nurs. 2010;19:2185-2195.

STUDY

Medication Administration Time Study (MATS): nursing staff performance of medication administration.

Elganzouri ES, Standish CA, Androwich I. J Nurs Adm. 2009;39:204-210.

STUDY

The application of Aronson's taxonomy to medication errors in nursing.

Johnson M, Young H. J Nurs Care Qual. 2011;26:128-135.

STUDY

Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station.

Colligan L, Guerlain S, Steck SE, Hoke TR. BMJ Qual Saf. 2012;21:939-947.

STUDY

Adverse drug events in hospitalized cardiac patients.

Fanikos J, Cina JL, Baroletti S, Fiumara K, Matta L, Goldhaber SZ. Am J Cardiol. 2007;100:1465-1469.

STUDY

Going blank: factors contributing to interruptions to nurses' work and related outcomes.

Hall LM, Ferguson-Paré M, Peter E, et al. J Nurs Manag. 2010;18:1040-1047.

STUDY

A case of mistaken identity: staff input on patient ID errors.

Ortiz J, Amatucci C. Nurs Manage. April 2009;4:37-41.

STUDY

Do nurse and patient injuries share common antecedents? An analysis of associations with safety climate and working conditions.

Taylor JA, Dominici F, Agnew J, Gerwin D, Morlock L, Miller MR. BMJ Qual Saf. 2012;21:101-111.

STUDY

Effects of technological interventions on the safety of a medication-use system.

Skibinski KA, White BA, Lin LI, Dong Y, Wu W. Am J Health Syst Pharm. 2007;64:90-96.

STUDY

A human factors framework and study of the effect of nursing workload on patient safety and employee quality of working life.

Holden RJ, Scanlon MC, Patel NR, et al. BMJ Qual Saf. 2011;20:15-24.

STUDY

Implementing a fatigue countermeasures program for nurses: a focus group analysis.

Scott LD, Hofmeister N, Rogness N, Rogers AE. J Nurs Adm. 2010;40:233-240.

STUDY

Expanding what we know about off-peak mortality in hospitals.

Hamilton P, Mathur S, Gemeinhardt G, Eschiti V, Campbell M. J Nurs Admin. 2010;40:124-128.

STUDY

The impact of traditional and smart pump infusion technology on nurse medication administration performance in a simulated inpatient unit.

Trbovich PL, Pinkney S, Cafazzo JA, Easty AC. Qual Saf Health Care. 2010;19:430-434.

STUDY

Patient perceptions of missed nursing care.

Kalisch BJ, McLaughlin M, Dabney BW. Jt Comm J Qual Patient Saf. 2012;38:161-167.

STUDY

Nurses relate the contributing factors involved in medication errors.

Tang FI, Sheu SJ, Yu S, Wei IL, Chen CH. J Clin Nurs. 2007;16:447-457.

STUDY

Relationship between systems-level factors and hand hygiene adherence.

Dunn-Navarra AM, Cohen B, Stone PW, Pogorzelska M, Jordan S, Larson E. J Nurs Care Qual. 2011;26:30-38.

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