AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (161)

•Diagnostic Errors (196)

•Identification Errors (105)

•Discontinuities, Gaps, and Hand-Off Problems (336)

•Fatigue and Sleep Deprivation (36)

•Medication Safety (1041)

•Medical Complications (378)

•Nonsurgical Procedural Complications (89)

•Surgical Complications (401)

•Transfusion Complications (17)

•Psychological and Social Complications (79)

Origin/Sponsor

•Africa (7)

•Asia (67)

•Australia and New Zealand (115)

•Central and South America (13)

•Europe (519)

•North America (2038)

Resource Types

•Audiovisual (12)

•Award (11)

•Book/Report (117)

•Clinical Guideline (4)

•Journal Article (2333)

•Legislation/Regulation (31)

•Meeting/Conference (14)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (149)

•Press Release/Announcement (25)

•Special or Theme Issue (27)

•Tools/Toolkit (28)

•Web Resource (70)

•Grant (5)

Error Types

•Epidemiology of Errors and Adverse Events (1215)

•Active Errors (721)

•Latent Errors (209)

•Near Miss (79)

Approach to Improving Safety

•Quality Improvement Strategies (763)

•Legal and Policy Approaches (183)

•Error Reporting and Analysis (902)

•Communication Improvement (697)

•Human Factors Engineering (440)

•Teamwork (225)

•Specialization of Care (196)

•Logistical Approaches (178)

•Culture of Safety (326)

•Technologic Approaches (547)

•Education and Training (705)

Clinical Areas

•Allied Health Services (12)

•Complementary and Alternative Medicine (1)

Target Audience

•Health Care Providers (2317)

•Health Care Executives and Administrators (2449)

•Non-Health Care Professionals (973)

•Patients (121)

Setting of Care

•Hospitals (1912)

•Psychiatric Facilities (12)

•Residential Facilities (59)

•Ambulatory Care (295)

•Outpatient Surgery (30)

•Patient Transport (31)

1 - 20 of 2829

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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.

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

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.

STUDY

Unintended effects of a computerized physician order entry nearly hard-stop alert to prevent a drug interaction: a randomized controlled trial.

Strom BL, Schinnar R, Aberra F, et al. Arch Intern Med. 2010;170:1578-1583.

STUDY

Computerized physician order entry of injectable antineoplastic drugs: an epidemiologic study of prescribing medication errors.

Nerich V, Limat S, Demarchi M, et al. Int J Med Inform. 2010;79:699-706.

STUDY

Medication errors: the impact of prescribing and transcribing errors on preventable harm in hospitalised patients.

van Doormaal JE, van den Bemt PM, Mol PG, et al. Qual Saf Health Care. 2009;18:22-27.

STUDY

Accuracy of medication documentation in hospital discharge summaries: a retrospective analysis of medication transcription errors in manual and electronic discharge summaries.

Callen J, McIntosh J, Li J. Int J Med Inform. 2010;79:58-64.

STUDY

Electronic health records and adverse drug events after patient transfer.

Boockvar KS, Livote EE, Goldstein N, Nebeker JR, Siu A, Fried T. Qual Saf Health Care. 2010;19:e16.

STUDY

Failure to recognize newly identified aortic dilations in a health care system with an advanced electronic medical record.

Gordon JRS, Wahls T, Carlos RC, Pipinos II, Rosenthal GE, Cram P. Ann Intern Med. 2009;151:21-27.

STUDY

Impact of a computerized physician order entry system on compliance with prescription accuracy requirements.

Mir C, Gadri A, Zelger GL, Pichon R, Pannatier A. Pharm World Sci. 2009;31:596-602.

STUDY

Importance of prevention and early intervention of adverse events in pediatric cardiac catheterization: a review of three years of experience.

Huang YC, Chang JS, Lai YC, Li PC. Pediatr Neonatol. 2009;50:280-286.

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

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.

STUDY

Assessing the impact of an educational program on decreasing prescribing errors at a university hospital.

Peeters MJ, Pinto SL. J Hosp Med. 2009;4:97-101.

COMMENTARY

Dealing honestly with an honest mistake.

Liang NL, Herring ME, Bush RL. J Vasc Surg. 2010;51:494-495.

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

Results of the Medications At Transitions and Clinical Handoffs (MATCH) study: an analysis of medication reconciliation errors and risk factors at hospital admission.

Gleason KM, McDaniel MR, Feinglass J, et al. J Gen Intern Med. 2010;25:441-447.

COMMENTARY

Eptifibatide Epilogue

Churchill WW, Fiumara K. AHRQ WebM&M [serial online]. April 2009.

STUDY

Patient record review of the incidence, consequences, and causes of diagnostic adverse events.

Zwaan L, de Bruijne M, Wagner C, et al. Arch Intern Med. 2010;170:1015-1021.

STUDY

Analgesic prescribing errors and associated medication characteristics.

Smith HS, Lesar TS. J Pain. 2011;12:29-40.

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