AHRQ Patient Safety Network

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The Collection

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Safety Target

•Device-related Complications (60)

•Diagnostic Errors (116)

•Identification Errors (40)

•Discontinuities, Gaps, and Hand-Off Problems (214)

•Fatigue and Sleep Deprivation (48)

•Medication Safety (728)

•Medical Complications (184)

•Nonsurgical Procedural Complications (32)

•Surgical Complications (179)

•Transfusion Complications (9)

•Psychological and Social Complications (45)

Origin/Sponsor

•Africa (2)

•Asia (37)

•Australia and New Zealand (49)

•Central and South America (5)

•Europe (187)

•North America (1386)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (1097)

•Active Errors (232)

•Latent Errors (48)

•Near Miss (51)

Approach to Improving Safety

•Quality Improvement Strategies (290)

•Legal and Policy Approaches (74)

•Error Reporting and Analysis (706)

•Communication Improvement (283)

•Human Factors Engineering (122)

•Teamwork (74)

•Specialization of Care (129)

•Logistical Approaches (145)

•Culture of Safety (108)

•Technologic Approaches (321)

•Education and Training (194)

Clinical Areas

•Allied Health Services (5)

•Medicine (1270)

•Nursing (153)

•Pharmacy (232)

Target Audience

•Health Care Providers (1158)

•Health Care Executives and Administrators (1347)

•Non-Health Care Professionals (480)

•Patients (15)

Setting of Care

•Hospitals (1134)

•Psychiatric Facilities (5)

•Residential Facilities (48)

•Ambulatory Care (209)

•Outpatient Surgery (13)

•Patient Transport (24)

1 - 20 of 1670

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STUDY

Missed and delayed diagnoses in the emergency department: a study of closed malpractice claims from 4 liability insurers.

Kachalia A, Gandhi TK, Puopolo AL, et al. Ann Emerg Med. Ann Emerg Med. 2007;49:196-205.

STUDY

Assessment of adverse drug events among patients in a tertiary care medical center.

Johnston PE, France DJ, Byrne DW, et al. Am J Health Syst Pharm. 2006;63:2218-2227.

STUDY

Preventable deaths in patients admitted from emergency department.

Lu T-C, Tsai C-L, Lee C-C, et al. Emerg Med J. 2006;23:452-455.

STUDY

Iatrogenic events resulting in intensive care admission: frequency, cause, and disclosure to patients and institutions.

Lehmann LS, Puopolo AL, Shaykevich S, Brennan TA. Am J Med. 2005;118:409-413.

STUDY

Medication errors among acutely ill and injured children treated in rural emergency departments.

Marcin JP, Dharmar M, Cho M, et al. Ann Emerg Med. 2007;50:361-367.e1-2.

STUDY

Medication errors recovered by emergency department pharmacists.

Rothschild JM, Churchill W, Erickson A, et al. Ann Emerg Med. 2010;55:513-521.

STUDY

Severity and probability of harm of medication errors intercepted by an emergency department pharmacist.

Patanwala AE, Hays DP, Sanders AB, Erstad BL. Int J Pharm Pract. 2011;19:358-362.

STUDY

How reliable are patient-completed medication reconciliation forms compared with pharmacy lists?

Meyer C, Stern M, Woolley W, Jeanmonod R, Jeanmonod D. Am J Emerg Med. 2012;30:1048-1054.

STUDY

Emergency department crowding and risk of preventable medical errors.

Epstein SK, Huckins DS, Liu SW, et al. Intern Emerg Med. 2012;7:173-180.

STUDY

A prospective, multicenter study of pharmacist activities resulting in medication error interception in the emergency department.

Patanwala AE, Sanders AB, Thomas MC, et al. Ann Emerg Med. 2012;59:369-373.

STUDY

EMS helicopter crashes: what influences fatal outcome?

Baker SP, Grabowski JG, Dodd RS, Shanahan DF, Lamb MW, Li GH. Ann Emerg Med. 2006;47:351-356.

STUDY

Implications of the failure to identify high-risk electrocardiogram findings for the quality of care of patients with acute myocardial infarction: results of the Emergency Department Quality in Myocardial Infarction (EDQMI) study.

Masoudi FA, Magid DJ, Vinson DR, et al; Emergency Department Quality in Myocardial Infarction Study Investigators. Circulation. 2006;114:1565-1571.

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

Adverse events experienced while transferring the critically ill patient from the emergency department to the intensive care unit.

Gillman L, Leslie G, Williams T, et al. Emerg Med J. 2006;23:858-861.

STUDY

Potentially inappropriate medications and adverse drug effects in elders in the ED.

Nixdorff N, Hustey FM, Brady AK, Vaji K, Leonard M, Messinger-Rapport BJ. Am J Emerg Med. 2008;26:697-700.

STUDY

Effectiveness of a community collaborative for eliminating the use of high-risk abbreviations written by physicians.

Leonhardt KK, Botticelli J. J Patient Saf. 2006;2:147-153.

STUDY

Accuracy of radiographic readings in the emergency department.

Petinaux B, Bhat R, Boniface K, Aristizabal J. Am J Emerg Med. 2011;29:18-25.

STUDY

Venous thromboembolism after trauma: a never event?

Thorson CM, Ryan ML, Van Haren RM, et al. Crit Care Med. 2012;40:2967-2973.

STUDY

ED overcrowding is associated with an increased frequency of medication errors.

Kulstad EB, Sikka R, Sweis RT, Kelley KM, Rzechula KH. Am J Emerg Med. 2010;28:304-309.

STUDY

Medication errors and patient complications with continuous renal replacement therapy.

Barletta JF, Barletta GM, Brophy PD, Maxvold NJ, Hackbarth RM, Bunchman TE. Pediatr Nephrol. 2006;21:842-845.

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