AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (12)

•Diagnostic Errors (42)

•Identification Errors (3)

•Discontinuities, Gaps, and Hand-Off Problems (34)

•Fatigue and Sleep Deprivation (1)

•Medication Safety (90)

•Medical Complications (29)

•Nonsurgical Procedural Complications (16)

•Surgical Complications (25)

•Transfusion Complications (3)

•Psychological and Social Complications (5)

Origin/Sponsor

•Africa (2)

•Asia (6)

•Australia and New Zealand (5)

•Central and South America (4)

•Europe (51)

•North America (187)

Resource Types

•Book/Report (15)

•Journal Article (217)

•Legislation/Regulation (1)

•Newspaper/Magazine Article (8)

•Special or Theme Issue (4)

•Tools/Toolkit (2)

•Web Resource (5)

Error Types

•Epidemiology of Errors and Adverse Events (215)

•Active Errors (50)

•Latent Errors (17)

•Near Miss (14)

Approach to Improving Safety

•Quality Improvement Strategies (47)

•Legal and Policy Approaches (9)

•Error Reporting and Analysis (153)

•Communication Improvement (36)

•Human Factors Engineering (26)

•Teamwork (7)

•Specialization of Care (14)

•Logistical Approaches (15)

•Culture of Safety (19)

•Technologic Approaches (30)

•Education and Training (26)

Clinical Areas

•Medicine (210)

•Nursing (10)

•Pharmacy (22)

Target Audience

•Health Care Providers (168)

•Health Care Executives and Administrators (191)

•Non-Health Care Professionals (73)

•Patients (12)

Setting of Care

•Hospitals (157)

•Psychiatric Facilities (1)

•Residential Facilities (1)

•Ambulatory Care (32)

•Outpatient Surgery (2)

•Patient Transport (4)

1 - 20 of 252

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STUDY

The use of human factors methods to identify and mitigate safety issues in radiation therapy.

Chan AJ, Islam MK, Rosewall T, Jaffray DA, Easty AC, Cafazzo JA. Radiother Oncol. 2010;97:596-600.

STUDY

Potential drug interactions and duplicate prescriptions among cancer patients.

Riechelmann RP, Tannock IF, Wang L, Saad ED, Taback NA, Krzyzanowska MK. J Natl Cancer Inst. 2007;99:592-600.

STUDY

Error rates in breast imaging reports: comparison of automatic speech recognition and dictation transcription.

Basma S, Lord B, Jacks LM, Rizk M, Scaranelo AM. AJR Am J Roentgenol. 2011;197:923-927.

COMMENTARY

Improving patient safety in radiotherapy by learning from near misses, incidents and errors.

Williams MV. Br J Radiol. 2007;80:297-301.

BOOK/REPORT

Commission of Inquiry on Hormone Receptor Testing.

Cameron M. St. John's, NL: Government of Newfoundland and Labrador; 2009. ISBN: 978551463537.

STUDY

Rates of new or missed colorectal cancers after colonoscopy and their risk factors: a population-based analysis.

Bressler B, Paszat LF, Chen Z, Rothwell DM, Vinden C, Rabeneck L. Gastroenterology. 2007;132:96-102.

STUDY

Compliance to technical guidelines for radiotherapy treatment in relation to patient safety.

Simons PAM, Houben RMA, Backes HH, Pijls RFG, Groothuis S. Int J Qual Health Care. 2010;22:187-193.

REVIEW

An international review of patient safety measures in radiotherapy practice.

Shafiq J, Barton M, Noble D, Lemer C, Donaldson LJ. Radiother Oncol. 2009;92:15-21.

STUDY

One-stop diagnostic breast clinics: how often are breast cancers missed?

Britton P, Duffy SW, Sinnatamby R, et al. Br J Cancer. 2009;100:1873-1878.

STUDY

Checking it twice: an evaluation of checklists for detecting medication errors at the bedside using a chemotherapy model.

White RE, Trbovich PL, Easty AC, Savage P, Trip K, Hyland S. Qual Saf Health Care. 2010;19:562-567.

STUDY

Modern palliative radiation treatment: do complexity and workload contribute to medical errors?

D'Souza N, Holden L, Robson S, et al. Int J Radiat Oncol Biol Phys. 2012;84:e43-e48.

STUDY

Errors in the MRI evaluation of musculoskeletal tumors and tumorlike lesions.

Heck RK, O'Malley AM, Kellum EL, Donovan TB, Ellzey A, Witte DA. Clin Orthop Rel Res. 2007;459:28-33.

STUDY

Perceptions of preventable medical errors in Alberta, Canada.

Northcott H, Vanderheyden L, Northcott J, et al. Int J Qual Health Care. 2008;20:115-122.

STUDY

Undiagnosed breast cancer at MR imaging: analysis of causes.

Pages EB, Millet I, Hoa D, Doyon FC, Taourel P. Radiology. 2012;264:40-50.

STUDY

Serious adverse drug events reported to the Food and Drug Administration, 1998-2005.

Moore TJ, Cohen MR, Furberg CD. Arch Intern Med. 2007;167:1752-1759.

REVIEW

Routinely recorded patient safety events in primary care: a literature review.

Tsang C, Majeed A, Aylin P. Fam Pract. 2012;29:8-15.

BOOK/REPORT

Patient Safety in Public Hospitals.

Victorian Auditor-General's Office. Melbourne, Australia: Victorian Government Printer; 2008. ISBN: 1921060689.

COMMENTARY

Implementing a systematic response to medication errors.

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

STUDY

Priority patient safety issues identified by perioperative nurses.

Steelman VM, Graling PR, Perkhounkova Y. AORN J. 2013;97:402-418.

STUDY

Detection and measurement of rotator cuff tears with sonography: analysis of diagnostic errors.

Teefey SA, Middleton WD, Payne WT, Yamaguchi K. AJR Am J Roentgenol. 2005;184:1768-1773.

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