AHRQ Patient Safety Network

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The Collection

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Safety Target

•Device-related Complications (98)

•Diagnostic Errors (161)

•Identification Errors (66)

•Discontinuities, Gaps, and Hand-Off Problems (327)

•Fatigue and Sleep Deprivation (73)

•Medication Safety (941)

•Medical Complications (314)

•Nonsurgical Procedural Complications (54)

•Surgical Complications (325)

•Transfusion Complications (13)

•Psychological and Social Complications (98)

Origin/Sponsor

•Africa (3)

•Asia (70)

•Australia and New Zealand (116)

•Central and South America (8)

•Europe (427)

•North America (2014)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (1286)

•Active Errors (382)

•Latent Errors (100)

•Near Miss (69)

Approach to Improving Safety

•Quality Improvement Strategies (510)

•Legal and Policy Approaches (115)

•Error Reporting and Analysis (958)

•Communication Improvement (551)

•Human Factors Engineering (251)

•Teamwork (185)

•Specialization of Care (203)

•Logistical Approaches (212)

•Culture of Safety (235)

•Technologic Approaches (481)

•Education and Training (419)

Clinical Areas

•Allied Health Services (7)

•Complementary and Alternative Medicine (1)

Target Audience

•Health Care Providers (1928)

•Health Care Executives and Administrators (2200)

•Non-Health Care Professionals (899)

•Patients (29)

Setting of Care

•Hospitals (1834)

•Psychiatric Facilities (11)

•Residential Facilities (64)

•Ambulatory Care (290)

•Outpatient Surgery (17)

•Patient Transport (25)

1 - 20 of 2650

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STUDY

Prevalence of adverse events in pediatric intensive care units in the United States.

Agarwal S, Classen D, Larsen G, et al. Pediatr Crit Care Med. 2010;11:568-578.

STUDY

Adverse drug event reporting in intensive care units: a survey of current practices.

Kane-Gill SL, Devlin JW. Ann Pharmacother. 2006;40:1267-73.

STUDY

The safety of hospital stroke care.

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

STUDY

A comparison of voluntarily reported medication errors in intensive care and general care units.

Kane-Gill SL, Kowiatek JG, Weber RJ. Qual Saf Health Care. 2010;19:55-59.

STUDY

Patient safety in intensive care: results from the multinational Sentinel Events Evaluation (SEE) study.

Valentin A, Capuzzo M, Guidet B, et al. Intensive Care Med. 2006;32:1591-1598.

STUDY

Effect of illness severity and comorbidity on patient safety and adverse events.

Naessens J, Campbell CR, Shah N, et al. Am J Med Qual. 2012;27:48-57.

STUDY

Medication errors during medical emergencies in a large, tertiary care, academic medical center.

Gokhman R, Seybert AL, Phrampus P, Darby J, Kane-Gill SL. Resuscitation. 2012;83:482-487.

STUDY

Adverse drug events in a paediatric intensive care unit: a prospective cohort.

Silva DCB, Araujo OR, Arduini RG, Alonso CFR, Shibata ARO, Troster EJ. BMJ Open. 2013;3:ee001868.

STUDY

Discontinuity of chronic medications in patients discharged from the intensive care unit.

Bell CM, Rahimi-Darabad P, Orner AI. J Gen Intern Med. 2006;21:937-941.

STUDY

Improving situation awareness to reduce unrecognized clinical deterioration and serious safety events.

Brady PW, Muething S, Kotagal U, et al. Pediatrics. 2013;131:e298-e308.

STUDY

An observational study of changes to long-term medication after admission to an intensive care unit.

Campbell AJ, Bloomfield R, Noble DW. Anaesthesia. 2006;61:1087-1092.

STUDY

Analysis of risk factors for adverse drug events in critically ill patients.

Kane-Gill SL, Kirisci L, Verrico MM, Rothschild JM. Crit Care Med. 2012;40:823-828.

STUDY

Risk of adverse drug events in neonates treated with opioids and the effect of a bar-code–assisted medication administration system.

Morriss FH, Jr, Abramowitz PW, Nelson SP, Milavetz G, Michael SL, Gordon SN. Am J Health Syst Pharm. 2011;68:57-62.

STUDY

Association of ICU or hospital admission with unintentional discontinuation of medications for chronic diseases.

Bell CM, Brener SS, Gunraj N, et al. JAMA. 2011;306:840-847.

STUDY

Review of patient safety incidents submitted from critical care units in England & Wales to the UK National Patient Safety Agency.

Thomas AN, Panchagnula U, Taylor RJ. Anaesthesia. 2009;64:1178-1185.

STUDY

Costs of adverse events in intensive care units.

Kaushal R, Bates DW, Franz C, Soukup JR, Rothschild JM. Crit Care Med. 2007;35:2479-2483.

STUDY

Pediatric safety incidents from an intensive care reporting system.

Skapik JL, Pronovost PJ, Miller MR, Thompson DA, Wu AW. J Patient Saf. 2009;5:95-101.

STUDY

Patient safety factors in children dying in a paediatric intensive care unit (PICU): a case notes review study.

Monroe K, Wang D, Vincent C, Woloshynowych M, Neale G, Inwald DP. BMJ Qual Saf. 2011;20:863-868.

STUDY

Measuring communication in the surgical ICU: better communication equals better care.

Williams M, Hevelone N, Alban RF, et al. J Am Coll Surg. 2010;210:17-22.

STUDY

Effectiveness of a barcode medication administration system in reducing preventable adverse drug events in a neonatal intensive care unit: a prospective cohort study.

Morriss FH Jr, Abramowitz PW, Nelson SP, et al. J Pediatr. 2009;197:678-685.

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