AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (52)

•Diagnostic Errors (95)

•Identification Errors (44)

•Discontinuities, Gaps, and Hand-Off Problems (154)

•Fatigue and Sleep Deprivation (26)

•Medication Safety (490)

•Medical Complications (151)

•Nonsurgical Procedural Complications (35)

•Surgical Complications (204)

•Transfusion Complications (10)

•Psychological and Social Complications (34)

Origin/Sponsor

•Africa (3)

•Asia (80)

•Australia and New Zealand (60)

•Central and South America (5)

•Europe (271)

•North America (879)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (651)

•Active Errors (247)

•Latent Errors (61)

•Near Miss (48)

Approach to Improving Safety

•Quality Improvement Strategies (274)

•Legal and Policy Approaches (44)

•Error Reporting and Analysis (556)

•Communication Improvement (264)

•Human Factors Engineering (146)

•Teamwork (91)

•Specialization of Care (95)

•Logistical Approaches (77)

•Culture of Safety (85)

•Technologic Approaches (221)

•Education and Training (184)

Clinical Areas

•Allied Health Services (5)

Target Audience

•Health Care Providers (1045)

•Health Care Executives and Administrators (1210)

•Non-Health Care Professionals (401)

•Patients (10)

Setting of Care

•Hospitals (894)

•Psychiatric Facilities (10)

•Residential Facilities (32)

•Ambulatory Care (184)

•Outpatient Surgery (11)

•Patient Transport (12)

1 - 20 of 1307

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STUDY

Paid malpractice claims for adverse events in inpatient and outpatient settings.

Bishop TF, Ryan AK, Casalino LP. JAMA. 2011;305:2427-2431.

STUDY

Potential utility of data-mining algorithms for early detection of potentially fatal/disabling adverse drug reactions: a retrospective evaluation.

Hauben M, Reich L. J Clin Pharmacol. 2005;45:378-384.

STUDY

Development and pilot testing of guidelines to monitor high-risk medications in the ambulatory setting.

Tjia J, Field TS, Garber LD, et al. Am J Manag Care. 2010;16:489-496.

STUDY

Time-dependent drug–drug interaction alerts in care provider order entry: software may inhibit medication error reductions.

van der Sijs H, Lammers L, van den Tweel A, et al. J Am Med Inform Assoc. 2009;16:864-868.

STUDY

An in-depth analysis of medication errors in hospitalized patients with HIV.

Snyder AM, Klinker K, Orrick JJ, Janelle J, Winterstein AG. Ann Pharmacother. 2011;45:459-468.

STUDY

Improving ambulatory prescribing safety with a handheld decision support system: a randomized controlled trial.

Berner ES, Houston TK, Ray MN, et al. J Am Med Inform Assoc. 2006;13:171-179.

STUDY

Post-discharge medication reviews for patients with heart failure: a pilot study.

Ponniah A, Shakib S, Doecke CJ, Boyce M, Angley M. Pharm World Sci. 2008;30:810-815.

STUDY

Measuring safety culture in the ambulatory setting: The Safety Attitudes Questionnaire—Ambulatory Version.

Modak I, Sexton JB, Lux TR, Helmreich RL, Thomas EJ. J Gen Intern Med. 2007;22:1-5.

STUDY

Drug formulations that require potentially inaccurate volumes to prepare doses for infants and children.

Uppal N, Yasseen B, Seto W, Parshuram CS. CMAJ. 2011;183:E246-E248.

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

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

Drug-induced hypoglycaemia--new insight into an old problem.

Ching CK, Lai CK, Poon WT, et al. Hong Kong Med J. 2006;12:334-338.

STUDY

French national survey of inpatient adverse events prospectively assessed with ward staff.

Michel P, Quenon JL, Djihoud A, Tricaud-Vialle S, de Sarasqueta AM. Qual Saf Health Care. 2007;16:369-377.

STUDY

Missed and delayed diagnoses in the ambulatory setting: a study of closed malpractice claims.

Gandhi TK, Kachalia A, Thomas EJ, et al. Ann Intern Med. 2006;145:488-496.

STUDY

Functional decline associated with polypharmacy and potentially inappropriate medications in community-dwelling older adults with dementia.

Lau DT, Mercaldo ND, Shega JW, Rademaker A, Weintraub S. Am J Alzheimers Dis Other Demen. 2011;26:606-615.

STUDY

Ambulatory care adverse events and preventable adverse events leading to a hospital admission.

Woods DM, Thomas EJ, Holl JL, Weiss KB, Brennan TA. Qual Saf Health Care. 2007;16:127-131.

STUDY

Evaluation of drug utilization and prescribing errors in infants: a primary care prescription-based study.

Al Khaja KA, Al Ansari TM, Damanhori AH, Sequeira RP. Health Policy. 2007;81:350-57.

STUDY

Antiretroviral medication errors among hospitalized patients with HIV infection.

Rastegar DA, Knight AM, Monolakis JS. Clin Infect Dis. 2006;43:933-38.

STUDY

A systematic approach to the identification and classification of near-miss events on labor and delivery in a large, national health care system.

Clark SL, Meyers JA, Frye DR, McManus K, Perlin JB. Am J Obstet Gynecol. 2012;207:441-445.

STUDY

Adverse drug reactions and therapeutic errors in older adults: a hazard factor analysis of poison center data.

Cobaugh DJ, Krenzelok EP. Am J Health Syst Pharm. 2006;63:2228-2234.

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