AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (8)

•Diagnostic Errors (33)

•Identification Errors (2)

•Discontinuities, Gaps, and Hand-Off Problems (26)

•Fatigue and Sleep Deprivation (1)

•Medication Safety (67)

•Medical Complications (17)

•Nonsurgical Procedural Complications (7)

•Surgical Complications (18)

•Transfusion Complications (2)

•Psychological and Social Complications (5)

Origin/Sponsor

•Africa (2)

•Asia (5)

•Australia and New Zealand (3)

•Central and South America (3)

•Europe (41)

•North America (136)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (168)

•Active Errors (40)

•Latent Errors (9)

•Near Miss (10)

Approach to Improving Safety

•Quality Improvement Strategies (21)

•Legal and Policy Approaches (1)

•Error Reporting and Analysis (105)

•Communication Improvement (28)

•Human Factors Engineering (19)

•Teamwork (5)

•Specialization of Care (12)

•Logistical Approaches (9)

•Culture of Safety (7)

•Technologic Approaches (19)

•Education and Training (14)

Clinical Areas

•Medicine (162)

•Nursing (7)

•Pharmacy (17)

Target Audience

•Health Care Providers (127)

•Health Care Executives and Administrators (143)

•Non-Health Care Professionals (48)

•Patients (1)

Setting of Care

•Hospitals (117)

•Psychiatric Facilities (1)

•Residential Facilities (1)

•Ambulatory Care (26)

•Outpatient Surgery (1)

•Patient Transport (4)

1 - 20 of 185

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STUDY

The use of human factors methods to identify and mitigate safety issues in radiation therapy.

Chan AJ, Islam MK, Rosewall T, Jaffray DA, Easty AC, Cafazzo JA. Radiother Oncol. 2010;97:596-600.

STUDY

Potential drug interactions and duplicate prescriptions among cancer patients.

Riechelmann RP, Tannock IF, Wang L, Saad ED, Taback NA, Krzyzanowska MK. J Natl Cancer Inst. 2007;99:592-600.

STUDY

Error rates in breast imaging reports: comparison of automatic speech recognition and dictation transcription.

Basma S, Lord B, Jacks LM, Rizk M, Scaranelo AM. AJR Am J Roentgenol. 2011;197:923-927.

STUDY

Rates of new or missed colorectal cancers after colonoscopy and their risk factors: a population-based analysis.

Bressler B, Paszat LF, Chen Z, Rothwell DM, Vinden C, Rabeneck L. Gastroenterology. 2007;132:96-102.

STUDY

Compliance to technical guidelines for radiotherapy treatment in relation to patient safety.

Simons PAM, Houben RMA, Backes HH, Pijls RFG, Groothuis S. Int J Qual Health Care. 2010;22:187-193.

STUDY

One-stop diagnostic breast clinics: how often are breast cancers missed?

Britton P, Duffy SW, Sinnatamby R, et al. Br J Cancer. 2009;100:1873-1878.

STUDY

Checking it twice: an evaluation of checklists for detecting medication errors at the bedside using a chemotherapy model.

White RE, Trbovich PL, Easty AC, Savage P, Trip K, Hyland S. Qual Saf Health Care. 2010;19:562-567.

STUDY

Modern palliative radiation treatment: do complexity and workload contribute to medical errors?

D'Souza N, Holden L, Robson S, et al. Int J Radiat Oncol Biol Phys. 2012;84:e43-e48.

STUDY

Errors in the MRI evaluation of musculoskeletal tumors and tumorlike lesions.

Heck RK, O'Malley AM, Kellum EL, Donovan TB, Ellzey A, Witte DA. Clin Orthop Rel Res. 2007;459:28-33.

STUDY

Perceptions of preventable medical errors in Alberta, Canada.

Northcott H, Vanderheyden L, Northcott J, et al. Int J Qual Health Care. 2008;20:115-122.

STUDY

Undiagnosed breast cancer at MR imaging: analysis of causes.

Pages EB, Millet I, Hoa D, Doyon FC, Taourel P. Radiology. 2012;264:40-50.

STUDY

Serious adverse drug events reported to the Food and Drug Administration, 1998-2005.

Moore TJ, Cohen MR, Furberg CD. Arch Intern Med. 2007;167:1752-1759.

STUDY

Priority patient safety issues identified by perioperative nurses.

Steelman VM, Graling PR, Perkhounkova Y. AORN J. 2013;97:402-418.

STUDY

Detection and measurement of rotator cuff tears with sonography: analysis of diagnostic errors.

Teefey SA, Middleton WD, Payne WT, Yamaguchi K. AJR Am J Roentgenol. 2005;184:1768-1773.

STUDY

Paediatric adverse drug reactions reported in Sweden from 1987 to 2001.

Kimland E, Rane A, Ufer M, Panagiotidis G. Pharmacoepidemiol Drug Saf. 2005;14:493-499.

STUDY

A systematic review to evaluate the accuracy of electronic adverse drug event detection.

Forster AJ, Jennings A, Chow C, Leeder C, van Walraven C. J Am Med Inform Assoc. 2012;19:31-38.

STUDY

Radiology errors: are we learning from our mistakes?

Mankad K, Hoey ETD, Jones JB, Tirukonda P, Smith JT. Clin Radiol. 2009;64:988-993.

STUDY

Quantitative assessment of workload and stressors in clinical radiation oncology.

Mazur LM, Mosaly PR, Jackson M, et al. Int J Radiat Oncol Biol Phys. 2012;83:e571-e576.

STUDY

Reducing clinical errors in cancer education: interpreter training.

Gany FM, Gonzalez CJ, Basu G, et al. J Cancer Educ. 2010;25:560-564.

STUDY

Types and patterns of safety concerns in home care: staff perspectives.

Craven C, Byrne K, Sims-Gould J, Martin-Matthews A. Int J Qual Health Care. 2012;24:525-531.

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