AHRQ Patient Safety Network

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The Collection

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Safety Target

•Device-related Complications (80)

•Diagnostic Errors (89)

•Identification Errors (56)

•Discontinuities, Gaps, and Hand-Off Problems (256)

•Fatigue and Sleep Deprivation (50)

•Medication Safety (686)

•Medical Complications (245)

•Nonsurgical Procedural Complications (46)

•Surgical Complications (254)

•Transfusion Complications (13)

•Psychological and Social Complications (70)

Origin/Sponsor

•Africa (2)

•Asia (34)

•Australia and New Zealand (71)

•Central and South America (6)

•Europe (247)

•North America (1638)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (791)

•Active Errors (318)

•Latent Errors (82)

•Near Miss (49)

Approach to Improving Safety

•Quality Improvement Strategies (403)

•Legal and Policy Approaches (77)

•Error Reporting and Analysis (554)

•Communication Improvement (465)

•Human Factors Engineering (266)

•Teamwork (170)

•Specialization of Care (165)

•Logistical Approaches (168)

•Culture of Safety (182)

•Technologic Approaches (481)

•Education and Training (331)

Clinical Areas

•Allied Health Services (4)

Target Audience

•Health Care Providers (1538)

•Health Care Executives and Administrators (1727)

•Non-Health Care Professionals (815)

•Patients (19)

Setting of Care

•Hospitals (1427)

•Psychiatric Facilities (8)

•Residential Facilities (44)

•Ambulatory Care (211)

•Outpatient Surgery (12)

•Patient Transport (22)

1 - 20 of 1995

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STUDY

Collaborative cohort study of an intervention to reduce ventilator-associated pneumonia in the intensive care unit.

Berenholtz SM, Pham JC, Thompson DA, et al. Infect Control Hosp Epidemiol. 2011;32:305-314.

STUDY

Trends in central line–associated bloodstream infections in a trauma-surgical intensive care unit.

Ong A, Dysert K, Herbert C, et al. Arch Surg. 2011;146:302-307.

STUDY

Prevalence of copied information by attendings and residents in critical care progress notes.

Thornton JD, Schold JD, Venkateshaiah L, Lander B. Crit Care Med. 2013;41:382-388.

STUDY

Use of simulation to assess electronic health record safety in the intensive care unit: a pilot study.

March CA, Steiger D, Scholl G, Mohan V, Hersh WR, Gold JA. BMJ Open. 2013;3:e002549.

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

Rework and workarounds in nurse medication administration process: implications for work processes and patient safety.

Halbesleben JRB, Savage GT, Wakefield DS, Wakefield BJ. Health Care Manage Rev. 2010;35:124-133.

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.

STUDY

ICU nurses' acceptance of electronic health records.

Carayon P, Cartmill R, Blosky MA, et al. J Am Med Inform Assoc. 2011;18:812-819.

STUDY

Errors of diagnosis in pediatric practice: a multisite survey.

Singh H, Thomas EJ, Wilson L, et al. Pediatrics. 2010;126:70-79.

STUDY

Effect of bar-code technology on the safety of medication administration.

Poon EG, Keohane CA, Yoon CS, et al. N Engl J Med. 2010;362:1698-1707.

STUDY

Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events.

Nuckols TK, Bower AG, Paddock SM, et al. J Gen Intern Med. 2008;23(suppl 1):41-45.

STUDY

Retrospective review of emergency response activations during a 13-year period at a tertiary care children's hospital.

Wang GS, Erwin N, Zuk J, Henry DB, Dobyns EL. J Hosp Med. 2011;6:131-135.

STUDY

Structured interdisciplinary rounds in a medical teaching unit: improving patient safety.

O’Leary KJ, Buck R, Fligiel HM, et al. Arch Intern Med. 2011;171:678-684.

STUDY

Unplanned transfers to a medical intensive care unit: causes and relationship to preventable errors in care.

Bapoje SR, Gaudiani JL, Narayanan V, Albert RK. J Hosp Med. 2011;6:68-72.

STUDY

Improving patient safety in intensive care units in Michigan.

Pronovost PJ, Berenholtz SM, Goeschel C, et al. J Crit Care. 2008;23:207-221.

STUDY

Handling anticipated exceptions in clinical care: investigating clinician use of 'exit strategies' in an electronic health records system.

Zheng K, Hanauer DA, Padman R, et al. J Am Med Inform Assoc. 2011;18:883-889.

STUDY

The impact of a tele-ICU on provider attitudes about teamwork and safety climate.

Chu-Weininger MYL, Wueste L, Lucke JF, Weavind L, Mazabob J, Thomas EJ. Qual Saf Health Care. 2010;19:e39.

STUDY

Preventing potentially inappropriate medication use in hospitalized older patients with a computerized provider order entry warning system.

Mattison MLP, Afonso KA, Ngo LH, Mukamal KJ. Arch Intern Med. 2010;170:1331-1336.

STUDY

Implementation of a mandatory checklist of protocols and objectives improves compliance with a wide range of evidence-based intensive care unit practices.

Byrnes MC, Schuerer DJ, Schallom ME, et al. Crit Care Med. 2009; 37:2775-2781.

STUDY

Changes in end-user satisfaction with computerized provider order entry over time among nurses and providers in intensive care units.

Hoonakker PL, Carayon P, Brown RL, Cartmill RS, Wetterneck TB, Walker JM. J Am Med Inform Assoc. 2013;20:252-259.

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