AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (233)

•Diagnostic Errors (230)

•Identification Errors (158)

•Discontinuities, Gaps, and Hand-Off Problems (558)

•Fatigue and Sleep Deprivation (116)

•Medication Safety (1636)

•Medical Complications (567)

•Nonsurgical Procedural Complications (119)

•Surgical Complications (560)

•Transfusion Complications (29)

•Psychological and Social Complications (154)

Origin/Sponsor

•Africa (5)

•Asia (77)

•Australia and New Zealand (142)

•Central and South America (10)

•Europe (539)

•North America (4201)

Resource Types

•Clinical Guideline (12)

•Journal Article (3748)

•Legislation/Regulation (63)

•Meeting/Conference (35)

•Newsletter/Journal (9)

•Newspaper/Magazine Article (599)

•Press Release/Announcement (26)

•Special or Theme Issue (75)

•Tools/Toolkit (59)

•Web Resource (95)

•Grant (6)

Error Types

•Epidemiology of Errors and Adverse Events (1493)

•Active Errors (891)

•Latent Errors (339)

•Near Miss (103)

Approach to Improving Safety

•Quality Improvement Strategies (1389)

•Legal and Policy Approaches (449)

•Error Reporting and Analysis (1498)

•Communication Improvement (1101)

•Human Factors Engineering (793)

•Teamwork (366)

•Specialization of Care (332)

•Logistical Approaches (397)

•Culture of Safety (658)

•Technologic Approaches (865)

•Education and Training (924)

Clinical Areas

•Allied Health Services (15)

Target Audience

•Health Care Providers (3379)

•Health Care Executives and Administrators (4065)

•Non-Health Care Professionals (1712)

•Patients (387)

Setting of Care

•Hospitals (3503)

•Psychiatric Facilities (20)

•Residential Facilities (97)

•Ambulatory Care (420)

•Outpatient Surgery (48)

•Patient Transport (34)

1 - 20 of 5046

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STUDY

No interruptions please: impact of a no interruption zone on medication safety in intensive care units.

Anthony K, Wiencek C, Bauer C, Daly B, Anthony MK. Crit Care Nurse. 2010;30:21-29.

SPECIAL OR THEME ISSUE

CMS 30-minute rule for drug administration needs revision.

ISMP Medication Safety Alert! Acute Care Edition. September 9, 2010;15:1-6.

STUDY

Reducing interruptions to improve medication safety.

Freeman R, McKee S, Lee-Lehner B, Pesenecker J. J Nurs Care Qual. 2013;28:176-185.

STUDY

Nurse interruptions pre- and post-implementation of a point-of-care medication administration system.

Stamp KD, Willis DG. J Nurs Care Qual. 2010;25:231-239.

STUDY

Medication safety initiative in reducing medication errors.

Nguyen EE, Connolly PM, Wong V. J Nurs Care Qual. 2010;25:224-230.

STUDY

The application of Aronson's taxonomy to medication errors in nursing.

Johnson M, Young H. J Nurs Care Qual. 2011;26:128-135.

STUDY

Improving patient safety using the sterile cockpit principle during medication administration: a collaborative, unit-based project.

Fore AM, Sculli GL, Albee D, Neily J. J Nurs Manag. 2013;21:106-111.

STUDY

Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station.

Colligan L, Guerlain S, Steck SE, Hoke TR. BMJ Qual Saf. 2012;21:939-947.

STUDY

Adverse drug events in hospitalized cardiac patients.

Fanikos J, Cina JL, Baroletti S, Fiumara K, Matta L, Goldhaber SZ. Am J Cardiol. 2007;100:1465-1469.

REVIEW

Work interruptions and their contribution to medication administration errors: an evidence review.

Biron AD, Loiselle CG, Lavoie-Tremblay M. Worldviews Evid Based Nurs. 2009;6:70-86.

STUDY

Nurses' clinical reasoning: processes and practices of medication safety.

Dickson GL, Flynn L. Qual Health Res. 2012;22:3-16.

REVIEW

Fall prevention in hospitals: an integrative review.

Spoelstra SL, Given BA, Given CW. Clin Nurs Res. 2012;21:92-112.

STUDY

Nursing care quality and adverse events in US hospitals.

Lucero RJ, Lake ET, Aiken LH. J Clin Nurs. 2010;19:2185-2195.

NEWSPAPER/MAGAZINE ARTICLE

Design for reliability: barcoded medication administration.

Hayden AC, Lanoue ET, Still CJ. Patient Saf Qual Healthc. July/August 2011;8:12-20.

STUDY

A "back to basics" approach to reduce ED medication errors.

Blank FSJ, Tobin J, Macomber S, Jaouen M, Dinoia M, Visintainer P. J Emerg Nurs. 2011;37:141-147.

STUDY

Adverse drug events caused by serious medication administration errors.

Kale A, Keohane CA, Maviglia S, Gandhi TK, Poon EG. BMJ Qual Saf. 2012;21:933-938.

STUDY

Relationship between systems-level factors and hand hygiene adherence.

Dunn-Navarra AM, Cohen B, Stone PW, Pogorzelska M, Jordan S, Larson E. J Nurs Care Qual. 2011;26:30-38.

STUDY

Comparing errors in ED computer-assisted vs conventional pediatric drug dosing and administration.

Yamamoto L, Kanemori J. Am J Emerg Med. 2010;28:588-592.

COMMENTARY

Identified safety risks with splitting and crushing oral medications.

Paparella S. J Emerg Nurs. 2010;36:156-158.

COMMENTARY

Medication errors: don't let them happen to you.

Anderson P, Townsend T. Amer Nurs Today. March 2010;5:23-27.

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