AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (119)

•Diagnostic Errors (146)

•Identification Errors (90)

•Discontinuities, Gaps, and Hand-Off Problems (303)

•Fatigue and Sleep Deprivation (75)

•Medication Safety (809)

•Medical Complications (294)

•Nonsurgical Procedural Complications (82)

•Surgical Complications (378)

•Transfusion Complications (13)

•Psychological and Social Complications (97)

Origin/Sponsor

•Africa (2)

•Asia (49)

•Australia and New Zealand (92)

•Central and South America (9)

•Europe (725)

•North America (1730)

Resource Types

•Audiovisual (13)

•Award (7)

•Book/Report (104)

•Clinical Guideline (3)

•Journal Article (2195)

•Legislation/Regulation (24)

•Meeting/Conference (14)

•Newsletter/Journal (2)

•Newspaper/Magazine Article (144)

•Press Release/Announcement (20)

•Special or Theme Issue (45)

•Tools/Toolkit (29)

•Web Resource (60)

•Grant (6)

Error Types

•Epidemiology of Errors and Adverse Events (670)

•Active Errors (703)

•Latent Errors (205)

•Near Miss (63)

Approach to Improving Safety

•Quality Improvement Strategies (686)

•Legal and Policy Approaches (159)

•Error Reporting and Analysis (680)

•Communication Improvement (718)

•Human Factors Engineering (386)

•Teamwork (365)

•Specialization of Care (166)

•Logistical Approaches (189)

•Culture of Safety (339)

•Technologic Approaches (458)

•Education and Training (894)

Clinical Areas

•Allied Health Services (12)

•Complementary and Alternative Medicine (2)

Target Audience

•Health Care Providers (2147)

•Health Care Executives and Administrators (2290)

•Non-Health Care Professionals (1223)

•Patients (98)

Setting of Care

•Hospitals (1742)

•Psychiatric Facilities (10)

•Residential Facilities (40)

•Ambulatory Care (227)

•Outpatient Surgery (21)

•Patient Transport (21)

1 - 20 of 2666

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STUDY

Development of a core drug list towards improving prescribing education and reducing errors in the UK.

Baker E, Roberts AP, Wilde K, et al. Br J Clin Pharmacol. 2011;71:190-198.

STUDY

A prevalence study of errors in opioid prescribing in a large teaching hospital.

Davies ED, Schneider F, Childs S, et al. Int J Clin Pract. 2011;65:923-929.

COMMENTARY

A Mid-Summer Fog

Braddock CH. AHRQ WebM&M [serial online]. November 2008.

STUDY

The incidence and nature of prescribing and medication administration errors in paediatric inpatients.

Ghaleb MA, Barber N, Franklin BD, Wong ICK. Arch Dis Child. 2010;95:113-118.

STUDY

Incorrect surgical procedures within and outside of the operating room: a follow-up report.

Neily J, Mills PD, Eldridge N, et al. Arch Surg. 2011;146 1235-1239.

BOOK/REPORT

An In Depth Investigation into Causes of Prescribing Errors by Foundation Trainees in Relation to Their Medical Education—EQUIP Study.

Dornan T, Ashcroft D, Heathfield H, et al. London: General Medical Council; 2009.

STUDY

Code debriefing from the Department of Veterans Affairs (VA) Medical Team Training Program improves the cardiopulmonary resuscitation code process.

Percarpio KB, Harris FS, Hatfield BA, et al. Jt Comm J Qual Patient Saf. 2010;36:424-429:AP1.

STUDY

Content analysis of team communication in an obstetric emergency scenario.

Siassakos D, Draycott T, Montague I, Harris M. J Obstet Gynaecol. 2009;29:499-503.

STUDY

Incorrect surgical procedures within and outside of the operating room.

Neily J, Mills PD, Eldridge N, et al. Arch Surg. 2009;144:1028-1034.

STUDY

A multicenter trial of aviation-style training for surgical teams.

Catchpole KR, Dale TJ, Hirst DG, Smith JP, Giddings TA. J Patient Saf. 2010;6:180-186.

NEWSPAPER/MAGAZINE ARTICLE

Learning safe prescribing during post-take ward rounds.

Conroy-Smith E, Herring R, Caldwell G. Clin Teach. 2011;8:75-78.

STUDY

Pharmacists' interventions in prescribing errors at hospital discharge: an observational study in the context of an electronic prescribing system in a UK teaching hospital.

Abdel-Qader DH, Harper L, Cantrill JA, Tully MP. Drug Saf. 2010;33:1027-1044.

STUDY

Assessing and improving safety culture throughout an academic medical centre: a prospective cohort study.

Paine LA, Rosenstein BJ, Sexton JB, Kent P, Holzmueller CG, Pronovost PJ. Qual Saf Health Care. 2010;19:547-554.

STUDY

A multidisciplinary teamwork training program: The Triad for Optimal Patient Safety (TOPS) experience.

Sehgal NL, Fox M, Vidyarthi AR, et al; TOPS Project. J Gen Intern Med. 2008;23:2053-2057.

STUDY

Factors associated with medication errors in the pediatric emergency department.

Vilà-de-Muga M, Colom-Ferrer L, Gonzàlez-Herrero M, Luaces-Cubells C. Pediatr Emerg Care. 2011;27:290-294.

STUDY

Errors and omissions in hospital prescriptions: a survey of prescription writing in a hospital.

Calligaris L, Panzera A, Arnoldo L, et al. BMC Clin Pharmacol. 2009;9:9.

REVIEW

Interventions to improve teamwork and communications among healthcare staff.

McCulloch P, Rathbone J, Catchpole K. Br J Surg. 2011;98:469-479.

STUDY

Video registration of trauma team performance in the emergency department: the results of a 2-year analysis in a Level 1 trauma center.

Lubbert PHW, Kaasschieter EG, Hoorntje LE, Leenen LPH. J Trauma. 2009;67:1412-1420.

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

Contraindicated medication use in dialysis patients undergoing percutaneous coronary intervention.

Tsai TT, Maddox TM, Roe MT, et al; National Cardiovascular Data Registry. JAMA. 2009;302:2458-2464.

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