AHRQ Patient Safety Network

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The Collection

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Safety Target

•Device-related Complications (71)

•Diagnostic Errors (130)

•Identification Errors (59)

•Discontinuities, Gaps, and Hand-Off Problems (262)

•Fatigue and Sleep Deprivation (71)

•Medication Safety (820)

•Medical Complications (225)

•Nonsurgical Procedural Complications (43)

•Surgical Complications (253)

•Transfusion Complications (10)

•Psychological and Social Complications (79)

Origin/Sponsor

•Africa (1)

•Asia (54)

•Australia and New Zealand (62)

•Central and South America (6)

•Europe (284)

•North America (1743)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (872)

•Active Errors (317)

•Latent Errors (76)

•Near Miss (58)

Approach to Improving Safety

•Quality Improvement Strategies (468)

•Legal and Policy Approaches (89)

•Error Reporting and Analysis (723)

•Communication Improvement (439)

•Human Factors Engineering (200)

•Teamwork (149)

•Specialization of Care (146)

•Logistical Approaches (189)

•Culture of Safety (200)

•Technologic Approaches (414)

•Education and Training (381)

Clinical Areas

•Allied Health Services (5)

•Medicine (1584)

•Nursing (309)

•Pharmacy (256)

Target Audience

•Health Care Providers (1624)

•Health Care Executives and Administrators (1841)

•Non-Health Care Professionals (755)

•Patients (19)

Setting of Care

•Hospitals (1499)

•Psychiatric Facilities (11)

•Residential Facilities (47)

•Ambulatory Care (201)

•Outpatient Surgery (14)

•Patient Transport (16)

1 - 20 of 2161

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STUDY

Automated medication error studies with audit supplementation were effectively designed and analyzed by time series.

Shuster JJ, Winterstein AG. J Clin Epidemiol. 2006;59:957-963.

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

Impact of a computerized clinical decision support system on reducing inappropriate antimicrobial use: a randomized controlled trial.

McGregor JC, Weekes E, Forrest GN, et al. J Am Med Inform Assoc. 2006;13:378-384.

STUDY

Voluntary electronic reporting of medical errors and adverse events.

Milch CE, Salem DN, Pauker SG, Lundquist TG, Kumar S, Chen J. J Gen Intern Med. 2006;21:165-170.

STUDY

An examination of technical efficiency, quality, and patient safety in acute care nursing units.

Mark B, Jones C, Lindley L, Ozcan Y. Policy Polit Nurs Pract. 2009;10:180-186.

STUDY

The effect of executive walk rounds on nurse safety climate attitudes: a randomized trial of clinical units.

Thomas EJ, Sexton JB, Neilands TB, Frankel A, Helmreich RL. BMC Health Serv Res. 2005;5:28.

STUDY

Risk factors for adverse drug events: a 10-year analysis.

Evans RS, Lloyd JF, Stoddard GJ, Nebeker JR, Samore MH. Ann Pharmacother. 2005;39:1161-1168.

STUDY

Medical error identification, disclosure, and reporting: do emergency medicine provider groups differ?

Hobgood C, Weiner B, Tamayo-Sarver JH. Acad Emerg Med. 2006;13:443-451.

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

Rapid response teams and continuous quality improvement.

Dailey MS, Durkin S, Gulczynski B, Kearney M, Loeb B, Pouliot J. Patient Saf Qual Healthc. Nov/Dec 2009;6:28-31.

STUDY

Work-hour restrictions as an ethical dilemma for residents.

Carpenter RO, Austin MT, Tarpley JL, Griffin MR, Lomis KD. Amer J Surg. 2006;191:527-532.

STUDY

The nurse's role in the causation of compensable injury.

Painter LM, Dudjak LA, Kidwell KM, Simmons RL, Kidwell RP. J Nurs Care Qual. 2011;4:311-319.

STUDY

An overview of intravenous-related medication administration errors as reported to MEDMARX^(R), a national medication error-reporting program.

Hicks RW, Becker SC. J Infus Nurs. 2006;29:20-27.

STUDY

Child-specific risk factors and patient safety.

Woods DM, Holl JL, Shonkoff JP, Mehra M, Ogata ES, Weiss KB. J Patient Saf. 2005;1:17-22.

STUDY

Nurses' responses to medication errors: suggestions for the development of organizational strategies to improve reporting.

Covell CL, Ritchie JA. J Nurs Care Qual. 2009;24:287-297.

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

Nonpunitive medication error reporting: 3-year findings from one hospital's primum non nocere initiative.

Potylycki MJ, Kimmel SR, Ritter M, et al. J Nurs Adm. 2006;36:370-376.

STUDY

Adverse drug events in the outpatient setting: an 11-year national analysis.

Bourgeois FT, Shannon MW, Valim C, Mandl KD. Pharmacoepidemiol Drug Saf. 2010;19:901-910.

STUDY

When the 5 rights go wrong: medication errors from the nursing perspective.

Jones JH, Treiber L. J Nurs Care Qual. 2010;25:240-247.

STUDY

Nurses' perceptions of causes of medication errors and barriers to reporting.

Ulanimo VM, O'Leary-Kelley C, Connolly PM. J Nurs Care Qual. 2007;22:28-33.

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