AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (31)

•Diagnostic Errors (39)

•Identification Errors (10)

•Discontinuities, Gaps, and Hand-Off Problems (105)

•Fatigue and Sleep Deprivation (17)

•Medication Safety (502)

•Medical Complications (105)

•Nonsurgical Procedural Complications (12)

•Surgical Complications (85)

•Transfusion Complications (4)

•Psychological and Social Complications (34)

Origin/Sponsor

•Africa (3)

•Asia (28)

•Australia and New Zealand (59)

•Central and South America (2)

•Europe (188)

•North America (739)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (468)

•Active Errors (132)

•Latent Errors (38)

•Near Miss (26)

Approach to Improving Safety

•Quality Improvement Strategies (220)

•Legal and Policy Approaches (63)

•Error Reporting and Analysis (460)

•Communication Improvement (171)

•Human Factors Engineering (83)

•Teamwork (50)

•Specialization of Care (66)

•Logistical Approaches (66)

•Culture of Safety (93)

•Technologic Approaches (345)

•Education and Training (98)

Clinical Areas

•Allied Health Services (7)

Target Audience

•Health Care Providers (780)

•Health Care Executives and Administrators (898)

•Non-Health Care Professionals (458)

•Patients (13)

Setting of Care

•Hospitals (685)

•Psychiatric Facilities (4)

•Residential Facilities (33)

•Ambulatory Care (141)

•Outpatient Surgery (7)

•Patient Transport (9)

1 - 20 of 1021

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STUDY

Implementation of medication error reporting through Med Safe Tool: the clinical pharmacists and the inpatient nursing staff collaborative approach.

Elnour AA, Ellahham NH, Al Qassas HI. J Patient Saf. 2007;3:177-183.

STUDY

Using consumer-based kiosk technology to improve and standardize medication reconciliation in a specialty care setting.

Lesselroth B, Adams S, Felder R, et al. Jt Comm J Qual Patient Saf. 2009;35:264-271.

STUDY

Patterns in nursing home medication errors: disproportionality analysis as a novel method to identify quality improvement opportunities.

Hansen RA, Cornell PY, Ryan PB, Williams CE, Pierson S, Greene SB. Pharmacoepidemiol Drug Saf. 2010;19:1087-1094.

STUDY

Field test results of a new ambulatory care Medication Error and Adverse Drug Event Reporting System—MEADERS.

Hickner J, Zafar A, Kuo GM, et al. Ann Fam Med. 2010;8:517-525.

STUDY

Medication safety in a psychiatric hospital.

Rothschild JM, Mann K, Keohane CA, et al. Gen Hosp Psychiatry. 2007;29:156-162.

STUDY

Medication reconciliation: barriers and facilitators from the perspectives of resident physicians and pharmacists.

Boockvar KS, Santos SL, Kushniruk A, Johnson C, Nebeker JR. J Hosp Med. 2011;6:329-337.

STUDY

Reevaluating recovery: perceived violations and preemptive interventions on emergency psychiatry rounds.

Cohen T, Blatter B, Almeida C, Patel VL. J Am Med Inform Assoc. 2007;14:312-319.

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

Medication errors with electronic prescribing (eP): two views of the same picture.

Savage I, Cornford T, Klecun E, Barber N, Clifford S, Franklin BD. BMC Health Serv Res. 2010;10:135.

STUDY

Integrating incident reporting into an electronic patient record system.

Haller G, Myles PS, Stoelwinder J, Langley M, Anderson H, McNeil J. J Am Med Inform Assoc. 2007;14:175-181.

STUDY

Citation classics in patient safety research: an invitation to contribute to an online bibliography.

Lilford R, Stirling S, Maillard N. Qual Saf Health Care. 2006;15:311-313.

STUDY

Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder.

Makary MA, Sexton JB, Freischlag JA, et al. J Am Coll Surg. 2006;202:746-752.

STUDY

Patients' concerns about medical errors during hospitalization.

Burroughs TE, Waterman AD, Gallagher TH, et al. Jt Comm J Qual Patient Saf. 2007;33:5-14.

STUDY

Interpreting adverse drug reaction (ADR) reports as hospital patient safety incidents.

Davies EC, Green CF, Mottram DR, Pirmohamed M. Br J Clin Pharmacol. 2010;70:102-108.

STUDY

The long road to patient safety: a status report on patient safety systems.

Longo DR, Hewett JE, Ge B, Schubert S. JAMA. 2005;294:2858-2865.

STUDY

Patient safety event reporting in critical care: a study of three intensive care units.

Harris CB, Krauss MJ, Coopersmith CM, et al. Crit Care Med. 2007;35:1068-1076.

STUDY

Using a bar-coded medication administration system to prevent medication errors in a community hospital network.

Sakowski J, Leonard T, Colburn S, et al. Am J Health Syst Pharm. 2005;62:2619-2625.

STUDY

Supratherapeutic dosing of acetaminophen among hospitalized patients.

Zhou L, Maviglia SM, Mahoney LM, et al. Arch Intern Med. 2012;172:1721-1728.

STUDY

Intravenous infusion safety technology: return on investment.

Danello SH, Maddox RR, Schaack GJ. Hosp Pharm. 2009;44:680-687, 696.

STUDY

Patient readmissions, emergency visits, and adverse events after software-assisted discharge from hospital: cluster randomized trial.

Graumlich JF, Novotny NL, Nace GS, et al. J Hosp Med. 2009;4:E11-E19.

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