AHRQ Patient Safety Network

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Safety Target

•Diagnostic Errors (10)

•Identification Errors (5)

•Discontinuities, Gaps, and Hand-Off Problems (30)

•Fatigue and Sleep Deprivation (3)

•Medication Safety (274)

•Medical Complications (3)

•Nonsurgical Procedural Complications (1)

•Surgical Complications (17)

•Psychological and Social Complications (8)

Origin/Sponsor

•Asia (6)

•Australia and New Zealand (7)

•Central and South America (1)

•Europe (133)

•North America (204)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (132)

•Active Errors (46)

•Latent Errors (10)

•Near Miss (2)

Approach to Improving Safety

•Quality Improvement Strategies (61)

•Legal and Policy Approaches (9)

•Error Reporting and Analysis (94)

•Communication Improvement (65)

•Human Factors Engineering (26)

•Teamwork (15)

•Specialization of Care (62)

•Logistical Approaches (13)

•Culture of Safety (13)

•Technologic Approaches (101)

•Education and Training (76)

Clinical Areas

•Allied Health Services (1)

•Medicine (223)

•Nursing (13)

•Pharmacy (171)

Target Audience

•Health Care Providers (326)

•Health Care Executives and Administrators (223)

•Non-Health Care Professionals (126)

•Patients (4)

Setting of Care

•Hospitals (173)

•Psychiatric Facilities (3)

•Residential Facilities (6)

•Ambulatory Care (63)

1 - 20 of 353

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STUDY

Potential medication dosing errors in outpatient pediatrics.

McPhillips HA, Stille CJ, Smith D, et al. J Pediatr. 2005;147:761-767.

STUDY

Pharmacist-supported medication review training for general practitioners: feasibility and acceptability.

Krska J, Gill D, Hansford D. Med Educ. 2006;40:1217-1225.

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

Medication prescribing errors involving the route of administration.

Lesar TS. Hosp Pharm. 2006;41:1053-1066.

STUDY

Medication-error reporting and pharmacy resident experience during implementation of computerized prescriber order entry.

Weant KA, Cook AM, Armitstead JA. Am J Health Syst Pharm. 2007;64:526-530.

STUDY

Computerized clinical decision support for medication prescribing and utilization in pediatrics.

Stultz JS, Nahata MC. J Am Med Inform Assoc. 2012;19:942-953.

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

Potentially inappropriate medication use among elderly home care patients in Europe.

Fialová D, Topinková E, Gambassi G, et al. JAMA 2005;293:1348-1358.

STUDY

Prescription errors in psychiatry - a multi-centre study.

Stubbs J, Haw C, Taylor D. J Psychopharmacol. 2006;20:553-61.

STUDY

Medication error prevention by pharmacists.

Blum KV, Abel SR, Urbanski CJ, Pierce JM. Am J Hosp Pharm. 1988;45:1902-1903.

STUDY

Effectiveness of computerized provider order entry with dose range checking on prescribing errors.

Boling B, McKibben M, Hingl J, Worth P, Jacobs BR, the Clinical Informatics Outcomes Research Group. J Patient Saf. 2005;1:190-194.

STUDY

Medication errors and adverse drug events in pediatric inpatients.

Kaushal R, Bates DW, Landrigan C, et al. JAMA. 2001;285:2114-2120.

STUDY

The impact of abbreviations on patient safety.

Brunetti L, Santell JP, Hicks RW. Jt Comm J Qual Patient Saf. 2007;33:576-583.

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

Effect of computerisation on the quality and safety of chemotherapy prescription.

Voeffray M, Pannatier A, Stupp R, et al. Qual Saf Health Care. 2006;15:418-421.

STUDY

Medication error prevention by clinical pharmacists in two children's hospitals.

Folli HL, Poole RL, Benitz WE, Russo JC. Pediatrics. 1987;79:718-722.

STUDY

Why do interns make prescribing errors? A qualitative study.

Coombes ID, Stowasser DA, Coombes JA, Mitchell C. Med J Aust. 2008;188:89-94.

STUDY

Electronic prescribing reduced prescribing errors in a pediatric renal outpatient clinic.

Jani YH, Ghaleb MA, Marks SD, Cope J, Barber N, Wong IC. J Pediatr. 2008;152:214-218.

STUDY

Factors influencing doctors' ability to calculate drug doses correctly.

Wheeler DW, Wheeler SJ, Ringrose TR. Int J Clin Pract. 2007;61:189-194.

STUDY

Medication error identification rates by pharmacy, medical, and nursing students.

Warholak TL, Queiruga C, Roush R, Phan H. Am J Pharm Educ. 2011;75:24.

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