AHRQ Patient Safety Network

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The Collection

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Safety Target

•Device-related Complications (74)

•Diagnostic Errors (139)

•Identification Errors (61)

•Discontinuities, Gaps, and Hand-Off Problems (384)

•Fatigue and Sleep Deprivation (79)

•Medication Safety (883)

•Medical Complications (249)

•Nonsurgical Procedural Complications (45)

•Surgical Complications (267)

•Transfusion Complications (13)

•Psychological and Social Complications (87)

Origin/Sponsor

•Africa (2)

•Asia (55)

•Australia and New Zealand (75)

•Central and South America (3)

•Europe (317)

•North America (1997)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (959)

•Active Errors (322)

•Latent Errors (99)

•Near Miss (58)

Approach to Improving Safety

•Quality Improvement Strategies (482)

•Legal and Policy Approaches (113)

•Error Reporting and Analysis (802)

•Communication Improvement (535)

•Human Factors Engineering (218)

•Teamwork (152)

•Specialization of Care (171)

•Logistical Approaches (226)

•Culture of Safety (227)

•Technologic Approaches (475)

•Education and Training (395)

Clinical Areas

•Allied Health Services (7)

•Complementary and Alternative Medicine (1)

•Medicine (1801)

•Nursing (257)

•Pharmacy (294)

Target Audience

•Health Care Providers (1733)

•Health Care Executives and Administrators (2015)

•Non-Health Care Professionals (830)

•Patients (23)

Setting of Care

•Hospitals (1753)

•Psychiatric Facilities (10)

•Residential Facilities (72)

•Ambulatory Care (253)

•Outpatient Surgery (13)

•Patient Transport (19)

1 - 20 of 2458

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STUDY

Medication reconciliation for reducing drug-discrepancy adverse events.

Boockvar KS, Carlson Lacorte H, Giambanco V, Fridman B, Siu A. Am J Geriatr Pharmacother. 2006;4:236-243.

STUDY

Design and implementation of an application and associated services to support interdisciplinary medication reconciliation efforts at an integrated healthcare delivery network.

Poon EG, Blumenfeld B, Hamann C, et al. J Am Med Inform Assoc. 2006;13:581-592.

STUDY

Nursing home error and level of staff credentials.

Scott-Cawiezell J, Pepper GA, Madsen RW, Petroski G, Vogelsmeier A, Zellmer D. Clin Nurs Res. 2007;16:72-78.

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

Guided prescription of psychotropic medications for geriatric inpatients.

Peterson JF, Kuperman GJ, Shek C, Patel M, Avorn J, Bates DW. Arch Intern Med. 2005;165:802-807.

STUDY

Medication discrepancies upon hospital to skilled nursing facility transitions.

Tjia J, Bonner A, Briesacher BA, McGee S, Terrill E, Miller K. J Gen Intern Med. 2009;24:630-635.

STUDY

Resident attitudes regarding the impact of the 80–duty-hours work standards.

Zonia SC, LaBaere RJ, Stommel M, Tomaszewski DD. J Am Osteopath Assoc. 2005;105:307-313.

STUDY

The impact of the 80-hour resident workweek on surgical residents and attending surgeons.

Hutter MM, Kellogg KC, Ferguson CM, Abbott WM, Warshaw AL. Ann Surg. 2006;243:864-871; discussion 871-875.

STUDY

Medication error reporting in nursing homes: identifying targets for patient safety improvement.

Greene SB, Williams CE, Pierson S, Hansen RA, Carey TS. Qual Saf Health Care. 2010;19:218-222.

STUDY

Determinants of patient-reported medication errors: a comparison among seven countries.

Lu CY, Roughead E. Int J Clin Pract. 2011;65:733-740.

STUDY

Neurologic patient safety: an in-depth study of malpractice claims.

Glick TH, Cranberg LD, Hanscom RB, Sato L. Neurology. 2005;65:1284-1286.

STUDY

The effects of on-duty napping on intern sleep time and fatigue.

Arora V, Dunphy C, Chang VY, Ahmad F, Humphrey HJ, Meltzer D. Ann Intern Med. 2006;144:792-798.

STUDY

Complying with ACGME resident duty hours restrictions: restructuring the 80-hour workweek to enhance education and patient safety at Texas A&M/Scott & White Memorial Hospital.

Ogden PE, Sibbitt S, Howell M, et al. Acad Med. 2006;81:1026-1031.

STUDY

What is the measure of a safe hospital? Medication errors missed by risk management, clinical staff, and surveyors.

Grasso BC, Rothschild JM, Jordan CW, Jayaram G. J Psychiatr Pract. 2005;11:268-273.

STUDY

E-prescribing, efficiency, quality: lessons from the computerization of UK family practice.

Schade CP, Sullivan FM, de Lusignan S, Madeley J. J Am Med Inform Assoc. 2006;13:470-475.

STUDY

Outcomes of care by hospitalists, general internists, and family physicians.

Lindenauer PK, Rothberg MB, Pekow PS, Kenwood C, Benjamin EM, Auerbach AD. N Engl J Med. 2007;357:2589-2600.

STUDY

Alternatives to potentially inappropriate medications for use in e-prescribing software: triggers and treatment algorithms.

Hume AL, Quilliam BJ, Goldman R, Eaton C, Lapane KL. BMJ Qual Saf. 2011;20:875-884.

STUDY

Randomized trial of a warfarin communication protocol for nursing homes: an SBAR-based approach.

Field TS, Tjia J, Mazor KM, et al. Am J Med. 2011;124:179.e1-179.e7.

STUDY

Outside case review of surgical pathology for referred patients: the impact on patient care.

Swapp RE, Aubry MC, Salomão DR, Cheville JC. Arch Pathol Lab Med. 2013;137:233-240.

STUDY

Intralipid medication errors in the neonatal intensive care unit.

Chuo J, Lambert G, Hicks RW. Jt Comm J Qual Patient Saf. 2007;33:104-111.

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