AHRQ Patient Safety Network

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The Collection

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Safety Target

•Device-related Complications (58)

•Diagnostic Errors (86)

•Identification Errors (40)

•Discontinuities, Gaps, and Hand-Off Problems (160)

•Fatigue and Sleep Deprivation (28)

•Medication Safety (601)

•Medical Complications (168)

•Nonsurgical Procedural Complications (33)

•Surgical Complications (202)

•Transfusion Complications (11)

•Psychological and Social Complications (51)

Origin/Sponsor

•Africa (2)

•Asia (52)

•Australia and New Zealand (78)

•Central and South America (7)

•Europe (430)

•North America (930)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (969)

•Active Errors (251)

•Latent Errors (66)

•Near Miss (49)

Approach to Improving Safety

•Quality Improvement Strategies (275)

•Legal and Policy Approaches (43)

•Error Reporting and Analysis (654)

•Communication Improvement (256)

•Human Factors Engineering (149)

•Teamwork (103)

•Specialization of Care (86)

•Logistical Approaches (125)

•Culture of Safety (143)

•Technologic Approaches (229)

•Education and Training (203)

Clinical Areas

•Allied Health Services (3)

•Complementary and Alternative Medicine (1)

Target Audience

•Health Care Providers (1091)

•Health Care Executives and Administrators (1354)

•Non-Health Care Professionals (455)

•Patients (10)

Setting of Care

•Hospitals (1051)

•Psychiatric Facilities (15)

•Residential Facilities (55)

•Ambulatory Care (155)

•Outpatient Surgery (8)

•Patient Transport (16)

1 - 20 of 1497

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STUDY

Identifying the 'right patient': nurse and consumer perspectives on verifying patient identity during medication administration.

Kelly T, Roper C, Elsom S, Gaskin C. Int J Ment Health Nurs. 2011;20:371-379.

STUDY

Adverse incidents, patient flow and nursing workforce variables on acute psychiatric wards: the Tompkins Acute Ward Study.

Bowers L, Allan T, Simpson A, Nijman H, Warren J. Int J Soc Psychiatry. 2007;53:75-84.

STUDY

The application of Aronson's taxonomy to medication errors in nursing.

Johnson M, Young H. J Nurs Care Qual. 2011;26:128-135.

STUDY

Adverse drug events caused by serious medication administration errors.

Kale A, Keohane CA, Maviglia S, Gandhi TK, Poon EG. BMJ Qual Saf. 2012;21:933-938.

STUDY

Frequency of pediatric medication administration errors and contributing factors.

Ozkan S, Kocaman G, Ozturk C, Seren S. J Nurs Care Qual. 2011:26;136-143.

STUDY

Nursing home error and level of staff credentials.

Scott-Cawiezell J, Pepper GA, Madsen RW, Petroski G, Vogelsmeier A, Zellmer D. Clin Nurs Res. 2007;16:72-78.

STUDY

Medication administration errors for older people in long-term residential care.

Szczepura A, Wild D, Nelson S. BMC Geriatr. 2011;11:82.

STUDY

Reducing interruptions to improve medication safety.

Freeman R, McKee S, Lee-Lehner B, Pesenecker J. J Nurs Care Qual. 2013;28:176-185.

STUDY

The incidence and nature of prescribing and medication administration errors in paediatric inpatients.

Ghaleb MA, Barber N, Franklin BD, Wong ICK. Arch Dis Child. 2010;95:113-118.

STUDY

Empowering frontline nurses: a structured intervention enables nurses to improve medication administration accuracy.

Kliger J, Blegen MA, Gootee D, O'Neil E. Jt Comm J Qual Patient Saf. 2009;35:604-612.

STUDY

Medication errors reported in a pediatric intensive care unit for oncologic patients.

Belela AS, Peterlini MA, Pedreira ML. Cancer Nurs. 2011;34:393-400.

STUDY

Decision-making processes used by nurses during intravenous drug preparation and administration.

Dougherty L, Sque M, Crouch R. J Adv Nurs. 2012;68:1302-1311.

STUDY

Learning mechanisms to limit medication administration errors.

Drach-Zahavy A, Pud D. J Adv Nurs. 2010;66:794-805.

STUDY

Identifying the latent failures underpinning medication administration errors: an exploratory study.

Lawton R, Carruthers S, Gardner P, Wright J, McEachan RR. Health Serv Res. 2012;47:1437-1459.

STUDY

Association of interruptions with an increased risk and severity of medication administration errors.

Westbrook JI, Woods A, Rob MI, Dunsmuir WTM, Day RO. Arch Intern Med. 2010;170:683-690.

STUDY

Benefits of direct observation in medication administration to detect errors.

Diaz-Navarlaz T, Pronovost P, Beortegui E, Segui-Gomez M. J Patient Saf. 2007;3:200-207.

STUDY

Effects of learning climate and registered nurse staffing on medication errors.

Chang Y, Mark B. Nurs Res. 2011;60:32-39.

STUDY

Achieving quality improvement in the nursing home: influence of nursing leadership on communication and teamwork.

Vogelsmeier A, Scott-Cawiezell J. J Nurs Care Qual. 2011;26:236-242.

STUDY

Enhancing patient safety with intelligent intravenous infusion devices: experience in a specialty cardiac hospital.

Wood JL, Burnette JS. Heart Lung. 2012;41:173-176.

STUDY

The influence of formulation and medicine delivery system on medication administration errors in care homes for older people.

Alldred DP, Standage C, Fletcher O, et al. BMJ Qual Saf. 2011;20:397-402.

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