AHRQ Patient Safety Network

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The Collection

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Safety Target

•Device-related Complications (46)

•Diagnostic Errors (76)

•Identification Errors (46)

•Discontinuities, Gaps, and Hand-Off Problems (233)

•Fatigue and Sleep Deprivation (59)

•Medication Safety (525)

•Medical Complications (175)

•Nonsurgical Procedural Complications (28)

•Surgical Complications (164)

•Transfusion Complications (9)

•Psychological and Social Complications (57)

Origin/Sponsor

•Asia (18)

•Australia and New Zealand (26)

•Central and South America (1)

•Europe (121)

•North America (1323)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (580)

•Active Errors (239)

•Latent Errors (59)

•Near Miss (40)

Approach to Improving Safety

•Quality Improvement Strategies (306)

•Legal and Policy Approaches (54)

•Error Reporting and Analysis (425)

•Communication Improvement (308)

•Human Factors Engineering (150)

•Teamwork (115)

•Specialization of Care (103)

•Logistical Approaches (180)

•Culture of Safety (146)

•Technologic Approaches (445)

•Education and Training (341)

Clinical Areas

•Allied Health Services (2)

•Medicine (1116)

•Nursing (158)

•Pharmacy (170)

Target Audience

•Health Care Providers (1025)

•Health Care Executives and Administrators (1328)

•Non-Health Care Professionals (741)

•Patients (9)

Setting of Care

•Hospitals (1060)

•Psychiatric Facilities (6)

•Residential Facilities (29)

•Ambulatory Care (146)

•Outpatient Surgery (9)

•Patient Transport (10)

1 - 20 of 1488

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STUDY

Safety of using a computerized rounding and sign-out system to reduce resident duty hours.

Van Eaton EG, McDonough K, Lober WB, Johnson EA, Pellegrini CA, Horvath KD. Acad Med. 2010;85:1189-1195.

STUDY

Real-time clinical alerting: effect of an automated paging system on response time to critical laboratory values—a randomised controlled trial.

Etchells E, Adhikari NKJ, Cheung C, et al. Qual Saf Health Care. 2010;19:99-102.

STUDY

Reducing medication prescribing errors in a teaching hospital.

Garbutt J, Milligan PE, McNaughton C, et al. Jt Comm J Qual Patient Saf. 2008;34:528-536.

STUDY

Lessons learned from implementation of a computerized application for pending tests at hospital discharge.

Dalal AK, Poon EG, Karson AS, Gandhi TK, Roy CL. J Hosp Med. 2011;6:16-21.

STUDY

Creating a web-based incident analysis and communication system.

Marsal S, Heffner JE. J Hosp Med. 2012;7:142-147.

STUDY

Improving teamwork: impact of structured interdisciplinary rounds on a medical teaching unit.

O'Leary KJ, Wayne DB, Haviley C, Slade ME, Lee J, Williams MV. J Gen Intern Med. 2010;25:826-832.

STUDY

Impact of duty-hour restriction on resident inpatient teaching.

Mazotti LA, Vidyarthi AR, Wachter RM, Auerbach AD, Katz PP. J Hosp Med. 2009;4:476-480.

STUDY

Evaluation of a physician informatics tool to improve patient handoffs.

Flanagan ME, Patterson ES, Frankel RM, Doebbeling BN. J Am Med Inform Assoc. 2009;16:509-515.

STUDY

Changing conversations: teaching safety and quality in residency training.

Voss JD, May NB, Schorling JB, et al. Acad Med. 2008;83:1080-1087.

STUDY

What are covering doctors told about their patients? Analysis of sign-out among internal medicine house staff.

Horwitz LI, Moin T, Krumholz HM, Wang L, Bradley EH. Qual Saf Health Care. 2009;18:248-255.

STUDY

Predictive value of alert triggers for identification of developing adverse drug events.

Moore C, Li J, Hung CC, Downs J, Nebeker JR. J Patient Saf. 2009;5:223-228.

STUDY

Impact of implementing alerts about medication black-box warnings in electronic health records.

Yu DT, Seger DL, Lasser KE, et al. Pharmacoepidemiol Drug Saf. 2011;20:192-202.

STUDY

Characteristics of quality and patient safety curricula in major teaching hospitals.

Pingleton SK, Davis DA, Dickler RM. Am J Med Qual. 2010;25:305-311.

STUDY

Analysis and prioritization of near-miss adverse events in a radiology department.

Thornton RH, Miransky J, Killen AR, Solomon SB, Brody LA. AJR Am J Roentgenol. 2011;196:1120-1124.

STUDY

Impact of non-interruptive medication laboratory monitoring alerts in ambulatory care.

Lo HG, Matheny ME, Seger DL, Bates DW, Gandhi TK. J Am Med Inform Assoc. 2009;16:66-71.

STUDY

Fall prevention in acute care hospitals: a randomized trial.

Dykes PC, Carroll DL, Hurley A, et al. JAMA. 2010;304:1912-1918.

STUDY

Communication outcomes of critical imaging results in a computerized notification system.

Singh H, Arora HS, Vij MS, Rao R, Khan MM, Petersen LA. J Am Med Inform Assoc. 2007;14:459-466.

STUDY

Resident and RN perceptions of the impact of a medical emergency team on education and patient safety in an academic medical center.

Sarani B, Sonnad S, Bergey MR, et al. Crit Care Med. 2009;37:3091-3096.

STUDY

Factors associated with disclosure of medical errors by housestaff.

Kronman AC, Paasche-Orlow M, Orlander JD. BMJ Qual Saf. 2012;21:271-278.

STUDY

Effect of bar-code–assisted medication administration on medication administration errors and accuracy in multiple patient care areas.

Helmons PJ, Wargel LN, Daniels CE. Am J Health Syst Pharm. 2009;66:1202-1210.

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