AHRQ Patient Safety Network

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The Collection

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Safety Target

•Device-related Complications (63)

•Diagnostic Errors (132)

•Identification Errors (49)

•Discontinuities, Gaps, and Hand-Off Problems (383)

•Fatigue and Sleep Deprivation (66)

•Medication Safety (763)

•Medical Complications (201)

•Nonsurgical Procedural Complications (34)

•Surgical Complications (236)

•Transfusion Complications (9)

•Psychological and Social Complications (83)

Origin/Sponsor

•Africa (2)

•Asia (38)

•Australia and New Zealand (70)

•Central and South America (5)

•Europe (248)

•North America (1767)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (1112)

•Active Errors (284)

•Latent Errors (77)

•Near Miss (49)

Approach to Improving Safety

•Quality Improvement Strategies (338)

•Legal and Policy Approaches (75)

•Error Reporting and Analysis (721)

•Communication Improvement (502)

•Human Factors Engineering (160)

•Teamwork (148)

•Specialization of Care (141)

•Logistical Approaches (226)

•Culture of Safety (154)

•Technologic Approaches (449)

•Education and Training (335)

Clinical Areas

•Allied Health Services (6)

•Medicine (1601)

•Nursing (283)

•Pharmacy (255)

Target Audience

•Health Care Providers (1601)

•Health Care Executives and Administrators (1611)

•Non-Health Care Professionals (756)

•Patients (15)

Setting of Care

•Hospitals (1452)

•Psychiatric Facilities (8)

•Residential Facilities (47)

•Ambulatory Care (243)

•Outpatient Surgery (14)

•Patient Transport (27)

1 - 20 of 2124

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STUDY

Comparing errors in ED computer-assisted vs conventional pediatric drug dosing and administration.

Yamamoto L, Kanemori J. Am J Emerg Med. 2010;28:588-592.

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

Discharge rounds in the 80-hour workweek: importance of the trauma nurse practitioner.

Haan JM, Dutton RP, Willis M, Leone S, Kramer ME, Scalea TM. J Trauma. 2007;63:339-343.

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

Effects of weekend admission and hospital teaching status on in-hospital mortality.

Cram P, Hillis SL, Barnett M, Rosenthal GE. Am J Med. 2004;117:151-157.

STUDY

Voluntarily reported emergency department errors.

Henneman PL, Blank FSJ, Smithline HA, et al. J Patient Safety. 2005;1:126-132.

STUDY

What whiteboards in a trauma center operating suite can teach us about emergency department communication.

Xiao Y, Schenkel S, Faraj S, Mackenzie CF, Moss J. Ann Emerg Med. 2007;50:387-95.

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

The effect of clinical history on accuracy of electrocardiograph interpretation among doctors working in emergency departments.

Cruz MF, Edwards J, Dinh DM, Barnes EH. Med J Aust. 2012;197:161-165.

STUDY

"Did I do as best as the system would let me?" Healthcare professional views on hospital to home care transitions.

Davis MM, Devoe M, Kansagara D, Nicolaidis C, Englander H. J Gen Intern Med. 2012;27:1649-1656.

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

A "back to basics" approach to reduce ED medication errors.

Blank FSJ, Tobin J, Macomber S, Jaouen M, Dinoia M, Visintainer P. J Emerg Nurs. 2011;37:141-147.

STUDY

Retrospective evaluation of a computerized physician order entry adaptation to prevent prescribing errors in a pediatric emergency department.

Sard BE, Walsh KE, Doros G, et al. Pediatrics. 2008;122:782-787.

STUDY

Unanticipated death after discharge home from the emergency department.

Sklar DP, Crandall CS, Loeliger E, Edmunds K, Paul I, Helitzer DL. Ann Emerg Med. 2007;49:735-745.

STUDY

Building a simulation-based crisis resource management course for emergency medicine, phase 1: results from an interdisciplinary needs assessment survey.

Hicks CM, Bandiera GW, Denny CJ. Acad Emerg Med. 2008 2008 Nov 1; 15: 1136-1143.

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

ED handoffs: observed practices and communication errors.

Maughan BC, Lei L, Cydulka RK. Am J Emerg Med. 2011;29:502-511.

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

Airway carts: a systems-based approach to airway safety.

Kane BG, Bond WF, Worrilow CC, Richardson DM, on behalf of the Lehigh Valley Hospital Airway Task Force. J Patient Saf. 2006;2:154-161.

STUDY

Predictors of likelihood of speaking up about safety concerns in labour and delivery.

Lyndon A, Sexton JB, Simpson KR, Rosenstein A, Lee KA, Wachter RM. BMJ Qual Saf. 2012;21;791-799.

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