AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (88)

•Diagnostic Errors (140)

•Identification Errors (66)

•Discontinuities, Gaps, and Hand-Off Problems (254)

•Fatigue and Sleep Deprivation (26)

•Medication Safety (532)

•Medical Complications (260)

•Nonsurgical Procedural Complications (74)

•Surgical Complications (266)

•Transfusion Complications (13)

•Psychological and Social Complications (48)

Origin/Sponsor

•Africa (3)

•Asia (36)

•Australia and New Zealand (71)

•Central and South America (5)

•Europe (600)

•North America (1160)

Resource Types

•Audiovisual (2)

•Award (5)

•Book/Report (81)

•Clinical Guideline (3)

•Journal Article (1571)

•Legislation/Regulation (22)

•Meeting/Conference (10)

•Newsletter/Journal (2)

•Newspaper/Magazine Article (95)

•Press Release/Announcement (12)

•Special or Theme Issue (27)

•Tools/Toolkit (23)

•Web Resource (44)

•Grant (4)

Error Types

•Epidemiology of Errors and Adverse Events (550)

•Active Errors (416)

•Latent Errors (133)

•Near Miss (41)

Approach to Improving Safety

•Quality Improvement Strategies (583)

•Legal and Policy Approaches (117)

•Error Reporting and Analysis (503)

•Communication Improvement (516)

•Human Factors Engineering (284)

•Teamwork (219)

•Specialization of Care (193)

•Logistical Approaches (96)

•Culture of Safety (215)

•Technologic Approaches (289)

•Education and Training (394)

Clinical Areas

•Allied Health Services (7)

•Complementary and Alternative Medicine (1)

Target Audience

•Health Care Providers (1649)

•Health Care Executives and Administrators (1739)

•Non-Health Care Professionals (652)

•Patients (69)

Setting of Care

•Hospitals (1324)

•Psychiatric Facilities (10)

•Residential Facilities (29)

•Ambulatory Care (157)

•Outpatient Surgery (18)

•Patient Transport (39)

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STUDY

Improving communication in the emergency department.

Redfern E, Brown R, Vincent CA. Emerg Med J. 2009;26:658-661.

STUDY

Do emergency physicians attribute drug-related emergency department visits to medication-related problems?

Hohl CM, Zed PJ, Brubacher JR, Abu-Laban RB, Loewen PS, Purssell RA. Ann Emerg Med. 2010;55:493-502.e4.

STUDY

Formal medicine reconciliation within the emergency department reduces the medication error rates for emergency admissions.

Mills PR, McGuffie AC. Emerg Med J. 2010;27:911-915.

STUDY

Beam me up Scotty! Impact of personal wireless communication devices in the emergency department.

Richards JD, Harris T. Emerg Med J. 2011;28:29-32.

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

Postdischarge adverse events for 1-day hospital admissions in older adults admitted from the emergency department.

Pines JM, Mongelluzzo J, Hilton JA, et al. Ann Emerg Med. 2010;56:253-257.

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

Identifying vulnerabilities in communication in the emergency department.

Redfern E, Brown R, Vincent CA. Emerg Med J. 2009;26:653-657.

STUDY

Assessing clinical handover between paramedics and the trauma team.

Evans SM, Murray A, Patrick I, Fitzgerald M, Smith S, Andrianopoulos N, Cameron P. Injury. 2010;36:100-106.

STUDY

ED overcrowding is associated with an increased frequency of medication errors.

Kulstad EB, Sikka R, Sweis RT, Kelley KM, Rzechula KH. Am J Emerg Med. 2010;28:304-309.

STUDY

Unplanned transfers to a medical intensive care unit: causes and relationship to preventable errors in care.

Bapoje SR, Gaudiani JL, Narayanan V, Albert RK. J Hosp Med. 2011;6:68-72.

STUDY

Using Medical Emergency Teams to detect preventable adverse events.

Iyengar A, Baxter A, Forster AJ. Crit Care. 2009;13:R126.

STUDY

Accuracy of radiographic readings in the emergency department.

Petinaux B, Bhat R, Boniface K, Aristizabal J. Am J Emerg Med. 2011;29:18-25.

COMMENTARY

Missed Appendicitis.

Adams JG. AHRQ WebM&M [serial online]. June 2003.

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.

STUDY

Improving reliability of clinical care practices for ventilated patients in the context of a patient safety improvement initiative.

Pinto A, Burnett S, Benn J, et al. J Eval Clin Pract. 2011;17:180-187.

STUDY

The effects of emergency department staff rounding on patient safety and satisfaction.

Meade CM, Kennedy J, Kaplan J. J Emerg Med. 2010;38:666-674.

COMMENTARY

Lethal Vertigo.

Furman JM. AHRQ WebM&M [serial online]. June 2004.

COMMENTARY

Weighing in on medication safety.

Paparella S. J Emerg Nurs. 2009;35:553-555.

STUDY

The effects of resident level of training on the rate of pediatric prescription errors in an academic emergency department.

Pacheco GS, Viscusi C, Hays DP, Woolridge DP. J Emerg Med. 2012;43:e343-e348.

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