AHRQ Patient Safety Network

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The Collection

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Safety Target

•Device-related Complications (78)

•Diagnostic Errors (120)

•Identification Errors (48)

•Discontinuities, Gaps, and Hand-Off Problems (269)

•Fatigue and Sleep Deprivation (75)

•Medication Safety (873)

•Medical Complications (297)

•Nonsurgical Procedural Complications (38)

•Surgical Complications (232)

•Transfusion Complications (8)

•Psychological and Social Complications (84)

Origin/Sponsor

•Africa (3)

•Asia (47)

•Australia and New Zealand (73)

•Central and South America (6)

•Europe (251)

•North America (1858)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (1161)

•Active Errors (273)

•Latent Errors (71)

•Near Miss (57)

Approach to Improving Safety

•Quality Improvement Strategies (425)

•Legal and Policy Approaches (106)

•Error Reporting and Analysis (723)

•Communication Improvement (407)

•Human Factors Engineering (177)

•Teamwork (131)

•Specialization of Care (169)

•Logistical Approaches (215)

•Culture of Safety (211)

•Technologic Approaches (454)

•Education and Training (357)

Clinical Areas

•Allied Health Services (7)

•Medicine (1633)

•Nursing (285)

•Pharmacy (283)

Target Audience

•Health Care Providers (1654)

•Health Care Executives and Administrators (1789)

•Non-Health Care Professionals (757)

•Patients (21)

Setting of Care

•Hospitals (1563)

•Psychiatric Facilities (8)

•Residential Facilities (53)

•Ambulatory Care (235)

•Outpatient Surgery (15)

•Patient Transport (23)

1 - 20 of 2233

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STUDY

Improving self-reporting of adverse drug events in a West Virginia hospital.

Schade CP, Hannah K, Ruddick P, Starling C, Brehm J. Am J Med Qual. 2006;21:335-341.

STUDY

Medication errors and adverse drug events in pediatric inpatients.

Kaushal R, Bates DW, Landrigan C, et al. JAMA. 2001;285:2114-2120.

STUDY

Nurses' work schedule characteristics, nurse staffing, and patient mortality.

Trinkoff AM, Johantgen M, Storr CL, Gurses AP, Liang Y, Han K. Nurs Res. 2011;60:1-8.

STUDY

Competence and certification of registered nurses and safety of patients in intensive care units.

Kendall-Gallagher D, Blegen MA. Am J Crit Care. 2009;18:106-113.

STUDY

Disruptive behavior and clinical outcomes: perceptions of nurses and physicians.

Rosenstein AH, O'Daniel M. Am J Nurs. 2005;105:54-64.

STUDY

Errors associated with medications removed from automated dispensing machines using override functions.

Kester K, Baxter J, Freudenthal K. Hosp Pharm. 2006;41:535-537.

STUDY

Voluntarily reported emergency department errors.

Henneman PL, Blank FSJ, Smithline HA, et al. J Patient Safety. 2005;1:126-132.

STUDY

Avoiding handover fumbles: a controlled trial of a structured handover tool versus traditional handover methods.

Payne CE, Stein JM, Leong T, Dressler DD. BMJ Qual Saf. 2012;21:925-932.

STUDY

Bar-code technology for medication administration: medication errors and nurse satisfaction.

Fowler SB, Sohler P, Zarillo DF. MedSurg Nursing. 2009;18:103-110.

STUDY

Excess dosing of antiplatelet and antithrombin agents in the treatment of non–ST-segment elevation acute coronary syndromes.

Alexander KP, Chen AY, Roe MT, et al; CRUSADE Investigators. JAMA. 2005;294:3108-3116.

STUDY

Lessons learned: use of event reporting by nurses to improve patient safety and quality.

Hession-Laband E, Mantell P. J Pediatr Nurs. 2011;26:149-155.

STUDY

The incidence and severity of adverse events affecting patients after discharge from the hospital.

Forster AJ, Murff HJ, Peterson JF, Gandhi TK, Bates DW. Ann Intern Med. 2003;138:161-167.

STUDY

Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: are they preventable?

Seiden SC, Barach P. Arch Surg. 2006;141:931-939.

STUDY

Patient risk factors for medical injury: a case–control study.

Marbella AM, Laud PW, Brasel KJ, Layde PM. BMJ Qual Saf. 2011;20:187-193.

STUDY

Evaluation of the contributions of an electronic web-based reporting system: enabling action.

Levtzion-Korach O, Alcalai H, Orav EJ, et al. J Patient Saf. 2009;5:9-15.

STUDY

Comparison of intensive care unit medication errors reported to the United States' MedMarx and the United Kingdom's National Reporting and Learning System: a cross-sectional study.

Wahr JA, Shore AD, Harris LH, et al. Am J Med Qual. 2013 May 8; [Epub ahead of print].

STUDY

Availability of Spanish prescription labels.

Sharif I, Lo S, Ozuah PO. J Health Care Poor Underserved. 2006;17:65-69.

STUDY

Patient misidentification in the neonatal intensive care unit: quantification of risk.

Gray JE, Suresh G, Ursprung R, et al. Pediatrics. 2006;117:e43-e47.

STUDY

Tracking rates of patient safety indicators over time: lessons from the Veterans Administration.

Rosen AK, Zhao S, Rivard P, et al. Med Care. 2006;44:850-861.

STUDY

Use of HIT for adverse event reporting in nursing homes: barriers and facilitators.

Wagner LM, Castle NG, Handler SM. Geriatr Nurs. 2013;34:112-115.

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