AHRQ Patient Safety Network

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The Collection

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Safety Target

•Device-related Complications (56)

•Diagnostic Errors (64)

•Identification Errors (37)

•Discontinuities, Gaps, and Hand-Off Problems (168)

•Fatigue and Sleep Deprivation (50)

•Medication Safety (386)

•Medical Complications (191)

•Nonsurgical Procedural Complications (37)

•Surgical Complications (241)

•Transfusion Complications (9)

•Psychological and Social Complications (52)

Origin/Sponsor

•Africa (2)

•Asia (77)

•Australia and New Zealand (72)

•Central and South America (5)

•Europe (304)

•North America (975)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (580)

•Active Errors (187)

•Latent Errors (63)

•Near Miss (41)

Approach to Improving Safety

•Quality Improvement Strategies (306)

•Legal and Policy Approaches (64)

•Error Reporting and Analysis (527)

•Communication Improvement (268)

•Human Factors Engineering (147)

•Teamwork (143)

•Specialization of Care (117)

•Logistical Approaches (124)

•Culture of Safety (289)

•Technologic Approaches (196)

•Education and Training (252)

Clinical Areas

•Allied Health Services (3)

•Complementary and Alternative Medicine (1)

•Medicine (1134)

•Nursing (172)

•Pharmacy (100)

Target Audience

•Health Care Providers (919)

•Health Care Executives and Administrators (1383)

•Non-Health Care Professionals (494)

•Patients (6)

Setting of Care

•Hospitals (1205)

•Psychiatric Facilities (5)

•Residential Facilities (28)

•Ambulatory Care (83)

•Outpatient Surgery (9)

•Patient Transport (13)

1 - 20 of 1441

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STUDY

Using system analysis to build a safety culture: improving the reliability of epidural analgesia.

Garnerin P, Huchet-Belouard A, Diby M, Clergue F. Acta Anaesthesiol Scand. 2006;50:1114-1119.

STUDY

Retrospective analysis of medication incidents reported using an on-line reporting system.

Ashcroft DM, Cooke J. Pharm World Sci. 2006;28:359-65.

STUDY

An intervention to decrease catheter-related bloodstream infections in the ICU.

Pronovost P, Needham D, Berenholtz S, et al. N Engl J Med. 2006;355:2725-2732.

STUDY

A web-based incident reporting system and multidisciplinary collaborative projects for patient safety in a Japanese hospital.

Nakajima K, Kurata Y, Takeda H. Qual Saf Health Care. 2005;14:123-129.

STUDY

Medication-error reporting and pharmacy resident experience during implementation of computerized prescriber order entry.

Weant KA, Cook AM, Armitstead JA. Am J Health Syst Pharm. 2007;64:526-530.

STUDY

The association between hospital characteristics and rates of preventable complications and adverse events.

Thornlow DK, Stukenborg GJ. Med Care. 2006;44:265-269.

STUDY

Adopting National Quality Forum medication safe practices: progress and barriers to hospital implementation.

Rask K, Culler S, Scott T, et al. J Hosp Med. 2007;2:212-218.

STUDY

The nurses' experience of barriers to safe practice in the neonatal intensive care unit in Thailand.

Jirapaet V, Jirapaet K, Sopajaree C. J Obstet Gynecol Neonatal Nurs. 2006;35:746-754.

STUDY

Nature, causes and consequences of unintended events in surgical units.

van Wagtendonk I, Smits M, Merten H, Heetveld MJ, Wagner C. Br J Surg. 2010;97:1730-1740.

STUDY

Medication safety infrastructure in critical-access hospitals in Florida.

Winterstein AG, Hartzema AG, Johns TE, et al. Am J Health Syst Pharm. 2006;63:442-450.

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

Barriers to nurses' reporting of medication administration errors in Taiwan.

Chiang HY, Pepper GA. J Nurs Scholarsh. 2006;38:392-399.

STUDY

Risk of medication errors at hospital discharge and barriers to problem resolution.

Enguidanos SM, Brumley RD. Home Health Care Serv Q. 2005;24:123-135.

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

How reliable are clinical systems in the UK NHS? A study of seven NHS organisations.

Burnett S, Franklin BD, Moorthy K, Cooke MW, Vincent C. BMJ Qual Saf. 2012;21:466-472.

STUDY

Factors associated with disclosure of medical errors by housestaff.

Kronman AC, Paasche-Orlow M, Orlander JD. BMJ Qual Saf. 2012;21:271-278.

STUDY

Nurse decision making in the prearrest period.

Gazarian PK, Henneman EA, Chandler GE. Clin Nurs Res. 2010;19:21-37.

STUDY

Measurement of adverse events using "incidence flagged" diagnosis codes.

Jackson T, Duckett S, Shepheard J, Baxter K. J Health Serv Res Policy. 2006;11:21-26.

STUDY

Adverse events are common on the intensive care unit: results from a structured record review.

Nilsson L, Pihl A, Tågsjö M, Ericsson E. Acta Anaesthesiol Scand. 2012;56:959-965.

STUDY

Registration-associated patient misidentification in an academic medical center: causes and corrections.

Bittle MJ, Charache P, Wassilchalk DM. Jt Comm J Qual Patient Saf. 2007;33:25-33.

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