AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (63)

•Diagnostic Errors (101)

•Identification Errors (44)

•Discontinuities, Gaps, and Hand-Off Problems (206)

•Fatigue and Sleep Deprivation (17)

•Medication Safety (679)

•Medical Complications (212)

•Nonsurgical Procedural Complications (42)

•Surgical Complications (238)

•Transfusion Complications (11)

•Psychological and Social Complications (39)

Origin/Sponsor

•Africa (3)

•Asia (48)

•Australia and New Zealand (82)

•Central and South America (7)

•Europe (466)

•North America (1068)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (1034)

•Active Errors (293)

•Latent Errors (59)

•Near Miss (45)

Approach to Improving Safety

•Quality Improvement Strategies (337)

•Legal and Policy Approaches (44)

•Error Reporting and Analysis (520)

•Communication Improvement (367)

•Human Factors Engineering (177)

•Teamwork (139)

•Specialization of Care (176)

•Logistical Approaches (95)

•Culture of Safety (136)

•Technologic Approaches (326)

•Education and Training (271)

Clinical Areas

•Allied Health Services (5)

•Complementary and Alternative Medicine (1)

Target Audience

•Health Care Providers (1313)

•Health Care Executives and Administrators (1446)

•Non-Health Care Professionals (548)

•Patients (13)

Setting of Care

•Hospitals (1240)

•Psychiatric Facilities (9)

•Residential Facilities (39)

•Ambulatory Care (186)

•Outpatient Surgery (13)

•Patient Transport (28)

1 - 20 of 1668

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STUDY

Pharmacist- versus physician-acquired medication history: a prospective study at the emergency department.

De Winter S, Spriet I, Indevuyst C, et al. Qual Saf Health Care. 2010;19:371-375.

STUDY

Results of the Medications At Transitions and Clinical Handoffs (MATCH) study: an analysis of medication reconciliation errors and risk factors at hospital admission.

Gleason KM, McDaniel MR, Feinglass J, et al. J Gen Intern Med. 2010;25:441-447.

STUDY

Do emergency physicians attribute drug-related emergency department visits to medication-related problems?

Hohl CM, Zed PJ, Brubacher JR, Abu-Laban RB, Loewen PS, Purssell RA. Ann Emerg Med. 2010;55:493-502.e4.

STUDY

Bringing patients' own medications into an emergency department by ambulance: effect on prescribing accuracy when these patients are admitted to hospital.

Chan EW, Taylor SE, Marriott JL, Barger B. Med J Aust. 2009;191:374-377.

STUDY

The effect on medication errors of pharmacists charting medication in an emergency department.

Vasileff HM, Whitten LE, Pink JA, Goldsworthy SJ, Angley MT. Pharm World Sci. 2009;31:373-379.

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

The impact of a closed-loop electronic prescribing and administration system on prescribing errors, administration errors and staff time: a before-and-after study.

Franklin BD, O'Grady K, Donyai P, Jacklin A, Barber N. Qual Saf Health Care. 2007;16:279-284.

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

Improving medication safety with accurate preadmission medication lists and postdischarge education.

Gardella JE, Cardwell TB, Nnadi M. Jt Comm J Qual Patient Saf. 2012;38:452-458.

STUDY

Medication errors recovered by emergency department pharmacists.

Rothschild JM, Churchill W, Erickson A, et al. Ann Emerg Med. 2010;55:513-521.

STUDY

A prevalence study of errors in opioid prescribing in a large teaching hospital.

Davies ED, Schneider F, Childs S, et al. Int J Clin Pract. 2011;65:923-929.

STUDY

Factors associated with medication errors in the pediatric emergency department.

Vilà-de-Muga M, Colom-Ferrer L, Gonzàlez-Herrero M, Luaces-Cubells C. Pediatr Emerg Care. 2011;27:290-294.

STUDY

Prescriptions analysis by clinical pharmacists in the post-operative period: a 4-year prospective study.

Charpiat B, Goutelle S, Schoeffler M, et al. Acta Anaesthesiol Scand. 2012;56:1047-1051.

STUDY

ED overcrowding is associated with an increased frequency of medication errors.

Kulstad EB, Sikka R, Sweis RT, Kelley KM, Rzechula KH. Am J Emerg Med. 2010;28:304-309.

STUDY

Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study.

Walker PC, Bernstein SJ, Tucker Jones JN, et al. Arch Intern Med. 2009;169:2003-2010.

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

Effect of pharmacists on medication errors in an emergency department.

Brown JN, Barnes CL, Beasley B, Cisneros R, Pound M, Herring C. Am J Health Syst Pharm. 2008;65:330-333.

STUDY

Hospital discharge documentation and risk of rehospitalisation.

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

STUDY

Accuracy of radiographic readings in the emergency department.

Petinaux B, Bhat R, Boniface K, Aristizabal J. Am J Emerg Med. 2011;29:18-25.

STUDY

Medication reconciliation at hospital discharge: evaluating discrepancies.

Wong JD, Bajcar JM, Wong GG, et al. Ann Pharmacother. 2008;42:1373-1379.

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