AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (30)

•Diagnostic Errors (34)

•Identification Errors (18)

•Discontinuities, Gaps, and Hand-Off Problems (121)

•Fatigue and Sleep Deprivation (46)

•Medication Safety (552)

•Medical Complications (103)

•Nonsurgical Procedural Complications (10)

•Surgical Complications (68)

•Transfusion Complications (2)

•Psychological and Social Complications (39)

Origin/Sponsor

•Africa (2)

•Asia (72)

•Australia and New Zealand (52)

•Central and South America (2)

•Europe (203)

•North America (817)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (454)

•Active Errors (109)

•Latent Errors (51)

•Near Miss (27)

Approach to Improving Safety

•Quality Improvement Strategies (206)

•Legal and Policy Approaches (50)

•Error Reporting and Analysis (369)

•Communication Improvement (196)

•Human Factors Engineering (84)

•Teamwork (65)

•Specialization of Care (102)

•Logistical Approaches (128)

•Culture of Safety (126)

•Technologic Approaches (224)

•Education and Training (175)

Clinical Areas

•Allied Health Services (3)

•Medicine (766)

•Nursing (185)

•Pharmacy (233)

Target Audience

•Health Care Providers (892)

•Health Care Executives and Administrators (920)

•Non-Health Care Professionals (358)

•Patients (14)

Setting of Care

•Hospitals (897)

•Psychiatric Facilities (4)

•Residential Facilities (26)

•Ambulatory Care (95)

•Outpatient Surgery (3)

•Patient Transport (3)

1 - 20 of 1155

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STUDY

Assessing the National Electronic Injury Surveillance System—Cooperative Adverse Drug Event Surveillance Project—six sites, United States, January 1–June 15, 2004.

Centers for Disease and Control Prevention. MMWR Morb Mortal Wkly Rep. 2005;54:380-383.

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

Prevalence of preventable medication-related hospitalizations in Australia: an opportunity to reduce harm.

Kalisch LM, Caughey GE, Barratt JD, et al. Int J Qual Health Care. 2012;24:239-249.

STUDY

Assessing and monitoring override medications in automated dispensing devices.

Kowiatek JG, Weber RJ, Skledar SJ, Frank S, DeVita M. Jt Comm J Qual Patient Saf. 2006;32:309-317.

STUDY

Epidemiology, comparative methods of detection, and preventability of adverse drug events.

Al-Tajir GK, Kelly WN. Ann Pharmacother. 2005;39:1169-1174.

STUDY

Excess dosing of antiplatelet and antithrombin agents in the treatment of non–ST-segment elevation acute coronary syndromes.

Alexander KP, Chen AY, Roe MT, et al; CRUSADE Investigators. JAMA. 2005;294:3108-3116.

STUDY

Fatality involving vinblastine overdose as a result of a complex medical error.

Klys M, Konopka T, Scislowski M, Kowalski P. Cancer Chemother Pharmacol. 2007;59:89-95.

STUDY

Errors associated with medications removed from automated dispensing machines using override functions.

Kester K, Baxter J, Freudenthal K. Hosp Pharm. 2006;41:535-537.

STUDY

Promethazine adverse events after implementation of a medication shortage interchange.

Sheth HS, Verrico MM, Skledar SJ, Towers AL. Ann Pharmacother. 2005;39:255-261.

STUDY

Improving medication management for patients: the effect of a pharmacist on post-admission ward rounds.

Fertleman M, Barnett N, Patel T. Qual Saf Health Care. 2005;14:207-211.

STUDY

The attitudes and beliefs of healthcare professionals on the causes and reporting of medication errors in a UK intensive care unit.

Sanghera IS, Franklin BD, Dhillon S. Anaesthesia. 2007;62:53-61.

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

Acceptance of recommendations by inpatient pharmacy case managers: unintended consequences of hospitalist and specialist care.

Anderegg SV, Demik DE, Carter BL, et al. Pharmacotherapy. 2013;33:11-21.

STUDY

Adverse drug event surveillance and drug withdrawals in the United States, 1969-2002.

Wysowski DK, Swartz L. Arch Intern Med. 2005;165:1363-1369.

STUDY

Unintended medication discrepancies at the time of hospital admission.

Cornish PL, Knowles SR, Marchesano R, et al. Arch Intern Med. 2005;165:424-429.

STUDY

Drug-induced hypoglycaemia--new insight into an old problem.

Ching CK, Lai CK, Poon WT, et al. Hong Kong Med J. 2006;12:334-338.

STUDY

High rates of adverse drug events in a highly computerized hospital.

Nebeker JR, Hoffman JM, Weir CR, Bennett CL, Hurdle JF. Arch Intern Med. 2005;165:1111-1116.

STUDY

Infant deaths associated with cough and cold medications—two states, 2005.

Centers for Disease Control and Prevention. MMWR Morb Mortal Wkly Rep. 2007;56:1-4.

STUDY

Potential for drug interactions in hospitalized cancer patients.

Riechelmann RP, Moreira F, Smaletz O, Saad ED. Cancer Chemother Pharmacol. 2005;56:286-290.

STUDY

Adherence to simple and effective measures reduces the incidence of ventilator-associated pneumonia: [L'observation de mesures simples et efficaces reduit l'incidence de pneumonie associee a la ventilation mecanique].

Baxter AD, Allan J, Bedard J, et al. Can J Anaesth. 2005;52:535-541.

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