AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (42)

•Diagnostic Errors (45)

•Identification Errors (23)

•Discontinuities, Gaps, and Hand-Off Problems (90)

•Fatigue and Sleep Deprivation (17)

•Medication Safety (450)

•Medical Complications (67)

•Nonsurgical Procedural Complications (16)

•Surgical Complications (107)

•Transfusion Complications (2)

•Psychological and Social Complications (17)

Origin/Sponsor

•Africa (1)

•Asia (19)

•Australia and New Zealand (25)

•Central and South America (3)

Resource Types

•Clinical Guideline (4)

•Journal Article (705)

•Legislation/Regulation (13)

•Meeting/Conference (3)

•Newsletter/Journal (2)

•Newspaper/Magazine Article (76)

•Press Release/Announcement (9)

•Special or Theme Issue (11)

•Tools/Toolkit (12)

•Web Resource (13)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (206)

•Active Errors (152)

•Latent Errors (50)

•Near Miss (18)

Approach to Improving Safety

•Quality Improvement Strategies (219)

•Legal and Policy Approaches (38)

•Error Reporting and Analysis (214)

•Communication Improvement (208)

•Human Factors Engineering (107)

•Teamwork (91)

•Specialization of Care (53)

•Logistical Approaches (58)

•Culture of Safety (78)

•Technologic Approaches (154)

•Education and Training (212)

Clinical Areas

•Allied Health Services (2)

•Medicine (625)

•Nursing (172)

•Pharmacy (122)

Target Audience

•Health Care Providers (813)

•Health Care Executives and Administrators (583)

•Non-Health Care Professionals (222)

•Patients (35)

Setting of Care

•Hospitals (579)

•Psychiatric Facilities (1)

•Residential Facilities (11)

•Ambulatory Care (66)

•Outpatient Surgery (4)

•Patient Transport (6)

1 - 20 of 869

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STUDY

Evaluation of a Web-based education program on reducing medication dosing error: a multicenter, randomized controlled trial.

Frush K, Hohenhaus S, Luo X, Gerardi M, Wiebe RA. Pediatr Emerg Care. 2006;22:62-70.

COMMENTARY

Toward a new paradigm in hospital-based pediatric education: the development of an onsite simulator program.

Weinstock PH, Kappus LJ, Kleinman ME, Grenier B, Hickey P, Burns JP. Pediatr Crit Care Med. 2005;6:635-641.

STUDY

Using a preprinted order sheet to reduce prescription errors in a pediatric emergency department: a randomized, controlled trial.

Kozer E, Scolnik D, MacPherson A, Rauchwerger D, Koren G. Pediatrics. 2005;116:1299-1302.

STUDY

Profiles in patient safety: medication errors in the emergency department.

Croskerry P, Shapiro M, Campbell S, et al. Acad Emerg Med. 2004;11:289-299.

STUDY

Medication errors in the management of anaphylaxis in a pediatric emergency department.

Benkelfat R, Gouin S, Larose G, Bailey B. J Emerg Med. 2013 Mar 8; [Epub ahead of print].

STUDY

Adverse events associated with procedural sedation and analgesia in a pediatric emergency department: a comparison of common parenteral drugs.

Roback MG, Wathen JE, Bajaj L, Bothner JP. Acad Emerg Med. 2005;12:508-513.

ORGANIZATIONAL POLICY/GUIDELINES

Patient safety in the pediatric emergency care setting.

Krug SE, Frush K, for the Committee on Pediatric Emergency Medicine and American Academy of Pediatrics. Pediatrics. 2007;120:1367-1375.

COMMENTARY

Enhancing patient safety in the pediatric emergency department: teams, communication, and lessons from crew resource management.

Pruitt CM, Liebelt EL. Pediatr Emerg Care. 2010;26:942-948.

STUDY

Medical error identification, disclosure, and reporting: do emergency medicine provider groups differ?

Hobgood C, Weiner B, Tamayo-Sarver JH. Acad Emerg Med. 2006;13:443-451.

STUDY

Comparison of Broselow tape measurements versus physician estimations of pediatric weights.

Rosenberg M, Greenberger S, Rawal A, Latimer-Pierson J, Thundiyil J. Am J Emerg Med. 2011;29:482-488.

COMMENTARY

Hold the tPA.

Fagan SC. AHRQ WebM&M [serial online]. April 2005.

STUDY

Comparing the utility of a standard pediatric resuscitation cart with a pediatric resuscitation cart based on the Broselow tape: a randomized, controlled, crossover trial involving simulated resuscitation scenarios.

Agarwal S, Swanson S, Murphy A, Yaeger K, Sharek P, Halamek LP. Pediatrics. 2005;116:e326-e333.

STUDY

Building a simulation-based crisis resource management course for emergency medicine, phase 1: results from an interdisciplinary needs assessment survey.

Hicks CM, Bandiera GW, Denny CJ. Acad Emerg Med. 2008 2008 Nov 1; 15: 1136-1143.

STUDY

A method for measuring system safety and latent errors associated with pediatric procedural sedation.

Blike GT, Christoffersen K, Cravero JP, Andeweg SK, Jensen J. Anesth Analg. 2005;101:48-58.

STUDY

Simulation-based medical error disclosure training for pediatric healthcare professionals.

Wayman KI, Yaeger KA, Sharek PJ, et al. J Healthc Qual. 2007;29:12-19.

STUDY

Unintended medication discrepancies at the time of hospital admission.

Cornish PL, Knowles SR, Marchesano R, et al. Arch Intern Med. 2005;165:424-429.

COMMENTARY

Lessons learned: basic evidence-based advice for preventing medication errors in children.

Thomas DO. J Emerg Nurs. 2005;31:490-493.

NEWSPAPER/MAGAZINE ARTICLE

Patient safety in the ED.

Scalise D, Lazar C. Hosp Health Netw. May 2006:80:5,48,2.

COMMENTARY

Improving safety throughout the medication use process in a neonatal intensive care unit.

Asdigha MN. Hosp Pharm. 2006;41:1067-1075.

STUDY

The incidence and severity of adverse events affecting patients after discharge from the hospital.

Forster AJ, Murff HJ, Peterson JF, Gandhi TK, Bates DW. Ann Intern Med. 2003;138:161-167.

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