AHRQ Patient Safety Network

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The Collection

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Safety Target

•Device-related Complications (83)

•Diagnostic Errors (143)

•Identification Errors (58)

•Discontinuities, Gaps, and Hand-Off Problems (287)

•Fatigue and Sleep Deprivation (54)

•Medication Safety (779)

•Medical Complications (259)

•Nonsurgical Procedural Complications (41)

•Surgical Complications (267)

•Transfusion Complications (13)

•Psychological and Social Complications (81)

Origin/Sponsor

•Africa (3)

•Asia (53)

•Australia and New Zealand (86)

•Central and South America (6)

•Europe (290)

•North America (1847)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (1200)

•Active Errors (314)

•Latent Errors (85)

•Near Miss (73)

Approach to Improving Safety

•Quality Improvement Strategies (436)

•Legal and Policy Approaches (114)

•Error Reporting and Analysis (807)

•Communication Improvement (448)

•Human Factors Engineering (192)

•Teamwork (156)

•Specialization of Care (180)

•Logistical Approaches (180)

•Culture of Safety (209)

•Technologic Approaches (494)

•Education and Training (343)

Clinical Areas

•Allied Health Services (9)

Target Audience

•Health Care Providers (1671)

•Health Care Executives and Administrators (1862)

•Non-Health Care Professionals (869)

•Patients (28)

Setting of Care

•Hospitals (1574)

•Psychiatric Facilities (13)

•Residential Facilities (57)

•Ambulatory Care (272)

•Outpatient Surgery (18)

•Patient Transport (29)

1 - 20 of 2279

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STUDY

Safety climate and medical errors in 62 US emergency departments.

Camargo CA Jr, Tsai CL, Sullivan AF, et al. Ann Emerg Med. 2012;60:555-563.e20.

STUDY

Emergency hospitalizations for adverse drug events in older Americans.

Budnitz DS, Lovegrove MC, Shehab N, Richards CL. N Engl J Med. 2011;365:2002-2012.

STUDY

The nature and occurrence of registration errors in the emergency department.

Hakimzada AF, Green RA, Sayan OR, Zhang J, Patel VL. Int J Med Inform. 2008;77:169-175.

STUDY

Medication safety in a psychiatric hospital.

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

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

The association between transfer of emergency department boarders to inpatient hallways and mortality: a 4-year experience.

Viccellio A, Santora C, Singer AJ, Thode HC Jr, Henry MC. Ann Emerg Med. 2009;54:511-513.

STUDY

The "July phenomenon": is trauma the exception?

Schroeppel TJ, Fischer PE, Magnotti LJ, Croce MA, Fabian TC. J Am Coll Surg. 2009;209:378-384.

STUDY

A pilot study examining undesirable events among emergency department–boarded patients awaiting inpatient beds.

Liu SW, Thomas SH, Gordon JA, Hamedani AG, Weissman JS. Ann Emerg Med. 2009;54:381-385.

STUDY

Interruptions in a level one trauma center: a case study.

Brixey JJ, Tang Z, Robinson DJ, et al. Int J Med Inform. 2008;77:235-241.

STUDY

Smartphone use during inpatient attending rounds: prevalence, patterns and potential for distraction.

Katz-Sidlow RJ, Ludwig A, Miller S, Sidlow R. J Hosp Med. 2012;7:595-599.

STUDY

Relationship between Leapfrog Safe Practices Survey and outcomes in trauma.

Glance LG, Dick AW, Osler TM, et al. Arch Surg. 2011;146:1170-1177.

STUDY

National study on the frequency, types, causes, and consequences of voluntarily reported emergency department medication errors.

Pham JC, Story JL, Hicks RW, et al. J Emerg Med. 2011;40:485-492.

STUDY

Computerized decision support for medication dosing in renal insufficiency: a randomized, controlled trial.

Terrell KM, Perkins AJ, Hui SL, Callahan CM, Dexter PR, Miller DK. Ann Emerg Med. 2010;56:623-629.

STUDY

Medical reconciliation in patients discharged from the emergency department.

Sharma AN, Dvorkin R, Tucker V, Margulies J, Yens D, Rosalia A Jr. J Emerg Med. 2012;43:366-373.

STUDY

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

Bourgeois FT, Mandl KD, Valim C, Shannon MW. Pediatrics. 2009;124:e744-e750.

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

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

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

Stopping the error cascade: a report on ameliorators from the ASIPS collaborative.

Parnes B, Fernald D, Quintela J, et al. Qual Saf Health Care. 2007;16:12-16.

STUDY

Improving medication management through the redesign of the hospital code cart medication drawer.

Rousek JB, Hallbeck MS. Hum Factors. 2011;53:626-636.

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