AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (83)

•Diagnostic Errors (80)

•Identification Errors (54)

•Discontinuities, Gaps, and Hand-Off Problems (152)

•Fatigue and Sleep Deprivation (39)

•Medication Safety (905)

•Medical Complications (151)

•Nonsurgical Procedural Complications (39)

•Surgical Complications (179)

•Transfusion Complications (11)

•Psychological and Social Complications (59)

Origin/Sponsor

•Africa (4)

•Asia (47)

•Australia and New Zealand (63)

•Central and South America (8)

•Europe (486)

•North America (1096)

Resource Types

•Audiovisual (16)

•Book/Report (58)

•Clinical Guideline (3)

•Journal Article (1447)

•Legislation/Regulation (7)

•Meeting/Conference (6)

•Newsletter/Journal (2)

•Newspaper/Magazine Article (116)

•Press Release/Announcement (8)

•Special or Theme Issue (27)

•Tools/Toolkit (13)

•Web Resource (24)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (838)

•Active Errors (513)

•Latent Errors (124)

•Near Miss (57)

Approach to Improving Safety

•Quality Improvement Strategies (342)

•Legal and Policy Approaches (91)

•Error Reporting and Analysis (520)

•Communication Improvement (380)

•Human Factors Engineering (230)

•Teamwork (130)

•Specialization of Care (90)

•Logistical Approaches (153)

•Culture of Safety (189)

•Technologic Approaches (314)

•Education and Training (584)

Clinical Areas

•Allied Health Services (12)

•Complementary and Alternative Medicine (1)

Target Audience

•Health Care Providers (1337)

•Health Care Executives and Administrators (1370)

•Non-Health Care Professionals (665)

•Patients (61)

Setting of Care

•Hospitals (1071)

•Psychiatric Facilities (12)

•Residential Facilities (46)

•Ambulatory Care (174)

•Outpatient Surgery (13)

•Patient Transport (14)

1 - 20 of 1729

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REVIEW

Do calculation errors by nurses cause medication errors in clinical practice? A literature review.

Wright K. Nurse Educ Today. 2010;30:85-97.

NEWSPAPER/MAGAZINE ARTICLE

Medication errors common for hospital diabetes.

Nursing Times. April 1, 2011.

SPECIAL OR THEME ISSUE

Safety in Numbers: Evidence-based Development of a Medicine Management Learning Tool.

Holland K, ed. Nurse Educ Pract. 2013;13:e1-e87.

COMMENTARY

A medication safety education program to reduce the risk of harm caused by medication errors.

Dennison RD. J Contin Educ Nurs. 2007;38:176-184.

STUDY

Creating an improvement culture for enhanced patient safety: service improvement learning in pre-registration education.

Christiansen A, Robson L, Griffith-Evans C. J Nurs Manag. 2010;18:782-788.

STUDY

Nursing student medication errors involving tubing and catheters: a descriptive study.

Wolf ZR, Hicks RW, Altmiller G, Bicknell P. Nurse Educ Today. 2009;29:681-688.

STUDY

Errors in the administration of intravenous medications in hospital and the role of correct procedures and nurse experience.

Westbrook JI, Rob MI, Woods A, Parry D. BMJ Qual Saf. 2011;20:1027-1034.

STUDY

Care homes' use of medicines study: prevalence, causes and potential harm of medication errors in care homes for older people.

Barber ND, Alldred DP, Raynor DK, et al. Qual Saf Health Care. 2009;18:341-346.

REVIEW

The novice nurse and clinical decision-making: how to avoid errors.

Saintsing D, Gibson LM, Pennington AW. J Nurs Manag. 2011;19:354-359.

NEWSPAPER/MAGAZINE ARTICLE

Error-prone conditions that lead to student nurse-related errors.

ISMP Medication Safety Alert! Acute Care Edition. October 18, 2007;12:1-2.

STUDY

Prospective pilot intervention study to prevent medication errors in drugs administered to children by mouth or gastric tube: a programme for nurses, physicians and parents.

Bertsche T, Bertsche A, Krieg EM, et al. Qual Saf Health Care. 2010;19:e26.

COMMENTARY

Implementing a systematic response to medication errors.

Larsen D, Cole R, Higton P. Nurs Stand. 2007;21:35-40.

STUDY

A human factors framework and study of the effect of nursing workload on patient safety and employee quality of working life.

Holden RJ, Scanlon MC, Patel NR, et al. BMJ Qual Saf. 2011;20:15-24.

COMMENTARY

Nursing student medication errors: a case study using root cause analysis.

Dolansky MA, Druschel K, Helba M, Courtney K. J Prof Nurs. 2013;29:102-108.

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

Using the internet to deliver education on drug safety.

Franklin BD, O'Grady K, Parr J, Walton I. Qual Saf Health Care. 2006;15:329-333.

STUDY

Does the implementation of an electronic prescribing system create unintended medication errors? A study of the sociotechnical context through the analysis of reported medication incidents.

Redwood S, Rajakumar A, Hodson J, Coleman JJ. BMC Med Inform Decis Mak. 2011;11:29.

STUDY

Nurses' responses to medication errors: suggestions for the development of organizational strategies to improve reporting.

Covell CL, Ritchie JA. J Nurs Care Qual. 2009;24:287-297.

STUDY

Medication administration errors for older people in long-term residential care.

Szczepura A, Wild D, Nelson S. BMC Geriatr. 2011;11:82.

BOOK/REPORT

The Nurse's Role in Medication Safety, Second Edition.

Cima L, Clarke S, eds. Oakbrook Terrace, IL: Joint Commission; 2012. ISBN: 9781599406183.

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