AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (167)

•Diagnostic Errors (185)

•Identification Errors (102)

•Discontinuities, Gaps, and Hand-Off Problems (476)

•Fatigue and Sleep Deprivation (95)

•Medication Safety (1443)

•Medical Complications (483)

•Nonsurgical Procedural Complications (91)

•Surgical Complications (349)

•Transfusion Complications (26)

•Psychological and Social Complications (138)

Origin/Sponsor

•Africa (4)

•Asia (37)

•Australia and New Zealand (72)

•Central and South America (5)

•Europe (260)

•North America (3691)

Resource Types

•Clinical Guideline (8)

•Journal Article (2882)

•Legislation/Regulation (60)

•Meeting/Conference (29)

•Newsletter/Journal (11)

•Newspaper/Magazine Article (527)

•Press Release/Announcement (22)

•Special or Theme Issue (55)

•Tools/Toolkit (68)

•Web Resource (109)

•Grant (5)

Error Types

•Epidemiology of Errors and Adverse Events (985)

•Active Errors (601)

•Latent Errors (288)

•Near Miss (74)

Approach to Improving Safety

•Quality Improvement Strategies (970)

•Legal and Policy Approaches (440)

•Error Reporting and Analysis (1375)

•Communication Improvement (960)

•Human Factors Engineering (486)

•Teamwork (278)

•Specialization of Care (296)

•Logistical Approaches (317)

•Culture of Safety (530)

•Technologic Approaches (727)

•Education and Training (739)

Clinical Areas

•Allied Health Services (8)

Target Audience

•Health Care Providers (3147)

•Health Care Executives and Administrators (3041)

•Non-Health Care Professionals (1399)

•Patients (410)

Setting of Care

•Hospitals (2895)

•Psychiatric Facilities (18)

•Residential Facilities (78)

•Ambulatory Care (411)

•Outpatient Surgery (39)

•Patient Transport (27)

1 - 20 of 4120

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NEWSPAPER/MAGAZINE ARTICLE

Medication errors: when pharmacy is closed.

PA-PSRS Patient Saf Advis. March 2012;9:11-17.

STUDY

The costs of adverse drug events in hospitalized patients.

Bates DW, Spell N, Cullen DJ, et al. JAMA. 1997;277:307-311.

STUDY

Patients' concerns about medical errors during hospitalization.

Burroughs TE, Waterman AD, Gallagher TH, et al. Jt Comm J Qual Patient Saf. 2007;33:5-14.

STUDY

Supratherapeutic dosing of acetaminophen among hospitalized patients.

Zhou L, Maviglia SM, Mahoney LM, et al. Arch Intern Med. 2012;172:1721-1728.

NEWSPAPER/MAGAZINE ARTICLE

Common cause analysis.

Clapper C, Crea K. Patient Saf Qual Healthc. May/June 2010;7:30-35.

NEWSPAPER/MAGAZINE ARTICLE

Action needed to prevent dangerous heparin-insulin confusion.

ISMP Medication Safety Alert! Acute Care Edition. May 3, 2007;12:1-2.

STUDY

Developing indicators of inpatient adverse drug events through nonlinear analysis using administrative data.

Nebeker JR, Yarnold PR, Soltysik RC, et al. Med Care. 2007;45(suppl 2):S81-S88.

STUDY

The safety of hospital stroke care.

Holloway RG, Tuttle D, Baird T, Skelton WK. Neurology. 2007;68:550-555.

DATABASE/DIRECTORY

MEDMARX®.

Rockville, MD: U.S. Pharmacopeia; 2011.

STUDY

Effect of computerized physician order entry and a team intervention on prevention of serious medication errors.

Bates DW, Leape LL, Cullen DJ, et al. JAMA. 1998;280:1311-1316.

REVIEW

Medication errors in paediatric care: a systematic review of epidemiology and an evaluation of evidence supporting reduction strategy recommendations.

Miller MR, Robinson KA, Lubomski LH, Rinke ML, Pronovost PJ. Qual Saf Health Care. 2007;16:116-126.

STUDY

Pediatric antidepressant medication errors in a national error reporting database.

Rinke ML, Bundy DG, Shore AD, Colantuoni E, Morlock LL, Miller MR. J Dev Behav Pediatr. 2010;31:129-136.

STUDY

An exploratory study measuring verbal order content and context.

Wakefield DS, Brokel J, Ward MM, Schwichtenberg T, Groath D, Kolb M, Davis JW, Crandall D. Qual Saf Health Care. 2009;18:169-173.

STUDY

A framework for evaluating the appropriateness of clinical decision support alerts and responses.

McCoy AB, Waitman LR, Lewis JB, et al. J Am Med Inform Assoc. 2012;19:346-352.

STUDY

Reducing warfarin medication interactions: an interrupted time series evaluation.

Feldstein AC, Smith DH, Perrin N, et al. Arch Intern Med. 2006;166:1009-1015.

COMMENTARY

Automated electronic reminders to prevent miscommunication among primary medical, surgical and anaesthesia providers: a root cause analysis.

Freundlich RE, Grondin L, Tremper KK, Saran KA, Kheterpal S. BMJ Qual Saf. 2012;21:850-854.

NEWSPAPER/MAGAZINE ARTICLE

Health for life. Keys to safer hospitals.

Berwick DM. Newsweek. December 12, 2005;46:75-78.

STUDY

Active surveillance using electronic triggers to detect adverse events in hospitalized patients.

Szekendi MK, Sullivan C, Bobb A, et al. Qual Saf Health Care. 2006;15:184-190.

STUDY

The economic consequences of medical injuries: implications for a no-fault insurance plan.

Johnson WG, Brennan TA, Newhouse JP, et al. JAMA. 1992;267:2487-2492.

AWARD RECIPIENT

Hospitals win safety award for simple changes.

Sipkoff M. Drug Topics (Health-System Edition). January 22, 2007.

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