AHRQ Patient Safety Network

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The Collection

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Safety Target

•Device-related Complications (42)

•Diagnostic Errors (65)

•Identification Errors (33)

•Discontinuities, Gaps, and Hand-Off Problems (187)

•Fatigue and Sleep Deprivation (26)

•Medication Safety (513)

•Medical Complications (166)

•Nonsurgical Procedural Complications (26)

•Surgical Complications (159)

•Transfusion Complications (8)

•Psychological and Social Complications (137)

Origin/Sponsor

•Africa (2)

•Asia (22)

•Australia and New Zealand (50)

•Central and South America (1)

•Europe (133)

•North America (1295)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (563)

•Active Errors (219)

•Latent Errors (55)

•Near Miss (35)

Approach to Improving Safety

•Quality Improvement Strategies (286)

•Legal and Policy Approaches (70)

•Error Reporting and Analysis (360)

•Communication Improvement (363)

•Human Factors Engineering (137)

•Teamwork (148)

•Specialization of Care (133)

•Logistical Approaches (106)

•Culture of Safety (150)

•Technologic Approaches (448)

•Education and Training (245)

Clinical Areas

•Allied Health Services (7)

•Medicine (1157)

•Nursing (112)

•Pharmacy (172)

Target Audience

•Health Care Providers (1195)

•Health Care Executives and Administrators (1190)

•Non-Health Care Professionals (794)

•Patients (15)

Setting of Care

•Hospitals (1044)

•Psychiatric Facilities (5)

•Residential Facilities (30)

•Ambulatory Care (173)

•Outpatient Surgery (7)

•Patient Transport (24)

1 - 20 of 1496

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STUDY

An empirical model to estimate the potential impact of medication safety alerts on patient safety, health care utilization, and cost in ambulatory care.

Weingart SN, Simchowitz B, Padolsky H, et al. Arch Intern Med. 2009;169;1465-1473.

STUDY

Ambulance personnel perceptions of near misses and adverse events in pediatric patients.

Cushman JT, Fairbanks RJ, O'Gara KG, et al. Prehosp Emerg Care. 2010;14:477-484.

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

Teamwork errors in trauma resuscitation.

Sarcevic A, Marsic I, Burd RS. ACM Trans Comput Hum Interact. 2012;19:13:1-13:30.

STUDY

Incidence and impact of physician and nurse disruptive behaviors in the emergency department.

Rosenstein AH, Naylor B. J Emerg Med. 2012;43:139-148.

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

Attitudes and barriers to a medical emergency team system at a tertiary paediatric hospital.

Azzopardi P, Kinney S, Moulden A, Tibballs J. Resuscitation. 2011;82:167-174.

STUDY

Computerized decision support to reduce potentially inappropriate prescribing to older emergency department patients: a randomized, controlled trial.

Terrell KM, Perkins AJ, Dexter PR, Hui SL, Callahan CM, Miller DK. J Am Geriatr Soc. 2009;57:1388-1394.

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 Emergency Medical Services Safety Attitudes Questionnaire.

Patterson PD, Huang DT, Fairbanks RJ, Wang HE. Am J Med Qual. 2010;25:109-115.

STUDY

Adverse events from cough and cold medications after a market withdrawal of products labeled for infants.

Shehab N, Schaefer MK, Kegler SR, Budnitz DS. Pediatrics. 2010;126:1100-1107.

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

Older patients' understanding of emergency department discharge information and its relationship with adverse outcomes.

Hastings SN, Barrett A, Weinberger M, et al. J Patient Saf. 2011;7:19-25.

STUDY

Dropping the baton during the handoff from emergency department to primary care: pediatric asthma continuity errors.

Hsiao AL, Shiffman RN. Jt Comm J Qual Patient Saf. 2009;35:467-474.

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

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

The relationship between patients' perceptions of team effectiveness and their care experience in the emergency department.

Kipnis A, Rhodes KV, Burchill CN, Datner E. J Emerg Med. 2013 Mar 5; [Epub ahead of print].

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

Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder.

Makary MA, Sexton JB, Freischlag JA, et al. J Am Coll Surg. 2006;202:746-752.

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