AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (87)

•Diagnostic Errors (40)

•Identification Errors (17)

•Discontinuities, Gaps, and Hand-Off Problems (103)

•Fatigue and Sleep Deprivation (18)

•Medication Safety (574)

•Medical Complications (201)

•Nonsurgical Procedural Complications (22)

•Surgical Complications (79)

•Transfusion Complications (6)

•Psychological and Social Complications (13)

Origin/Sponsor

•Africa (2)

•Asia (23)

•Australia and New Zealand (52)

•Central and South America (7)

Resource Types

•Clinical Guideline (2)

•Journal Article (931)

•Legislation/Regulation (5)

•Meeting/Conference (2)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (66)

•Press Release/Announcement (8)

•Special or Theme Issue (11)

•Tools/Toolkit (7)

•Web Resource (14)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (389)

•Active Errors (200)

•Latent Errors (58)

•Near Miss (29)

Approach to Improving Safety

•Quality Improvement Strategies (258)

•Legal and Policy Approaches (51)

•Error Reporting and Analysis (451)

•Communication Improvement (203)

•Human Factors Engineering (171)

•Teamwork (83)

•Specialization of Care (131)

•Logistical Approaches (71)

•Culture of Safety (133)

•Technologic Approaches (219)

•Education and Training (152)

Clinical Areas

•Allied Health Services (3)

•Complementary and Alternative Medicine (1)

Target Audience

•Health Care Providers (725)

•Health Care Executives and Administrators (955)

•Non-Health Care Professionals (347)

•Patients (37)

Setting of Care

•Hospitals (801)

•Psychiatric Facilities (3)

•Residential Facilities (24)

•Ambulatory Care (71)

•Outpatient Surgery (5)

•Patient Transport (14)

1 - 20 of 1077

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STUDY

Moral distress, compassion fatigue, and perceptions about medication errors in certified critical care nurses.

Maiden J, Georges JM, Connelly CD. Dimens Crit Care Nurs. 2011;30:339-345.

STUDY

Increasing medication error reporting rates while reducing harm through simultaneous cultural and system-level interventions in an intensive care unit.

Abstoss KM, Shaw BE, Owens TA, Juno JL, Commiskey EL, Niedner MF. BMJ Qual Saf. 2011;914-922.

STUDY

Toward learning from patient safety reporting systems.

Pronovost PJ, Thompson DA, Holzmueller CG, et al. J Crit Care. 2006;21:305-315.

REVIEW

Medication errors in critical care: risk factors, prevention and disclosure.

Camiré E, Moyen E, Stelfox HT. CMAJ. 2009;180:936-943.

STUDY

Adverse drug event reporting in intensive care units: a survey of current practices.

Kane-Gill SL, Devlin JW. Ann Pharmacother. 2006;40:1267-73.

STUDY

A comparison of voluntarily reported medication errors in intensive care and general care units.

Kane-Gill SL, Kowiatek JG, Weber RJ. Qual Saf Health Care. 2010;19:55-59.

SPECIAL OR THEME ISSUE

Identification and Prevention of Common Adverse Drug Events in the Intensive Care Unit.

Papadopoulos J, Kane-Gill SL, Cooper B, eds. Crit Care Med. 2010;38:(suppl 6):S83-S264.

STUDY

Discontinuity of chronic medications in patients discharged from the intensive care unit.

Bell CM, Rahimi-Darabad P, Orner AI. J Gen Intern Med. 2006;21:937-941.

STUDY

The attitudes and beliefs of healthcare professionals on the causes and reporting of medication errors in a UK intensive care unit.

Sanghera IS, Franklin BD, Dhillon S. Anaesthesia. 2007;62:53-61.

STUDY

Drug formulations that require potentially inaccurate volumes to prepare doses for infants and children.

Uppal N, Yasseen B, Seto W, Parshuram CS. CMAJ. 2011;183:E246-E248.

COMMENTARY

Unreported errors in the intensive care unit: a case study of the way we work.

Henneman EA. Crit Care Nurse. 2007;27:27-34.

STUDY

Patient safety in intensive care: results from the multinational Sentinel Events Evaluation (SEE) study.

Valentin A, Capuzzo M, Guidet B, et al. Intensive Care Med. 2006;32:1591-1598.

STUDY

Effect of illness severity and comorbidity on patient safety and adverse events.

Naessens J, Campbell CR, Shah N, et al. Am J Med Qual. 2012;27:48-57.

STUDY

Medication errors during medical emergencies in a large, tertiary care, academic medical center.

Gokhman R, Seybert AL, Phrampus P, Darby J, Kane-Gill SL. Resuscitation. 2012;83:482-487.

REVIEW

Team working in intensive care: current evidence and future endeavors.

Richardson J, West MA, Cuthbertson BH. Curr Opin Crit Care. 2010;16:643-648.

STUDY

Adverse drug events in a paediatric intensive care unit: a prospective cohort.

Silva DCB, Araujo OR, Arduini RG, Alonso CFR, Shibata ARO, Troster EJ. BMJ Open. 2013;3:ee001868.

STUDY

An observational study of changes to long-term medication after admission to an intensive care unit.

Campbell AJ, Bloomfield R, Noble DW. Anaesthesia. 2006;61:1087-1092.

REVIEW

Computerized physician order entry in the critical care environment: a review of current literature.

Maslove DM, Rizk N, Lowe HJ. J Intensive Care Med. 2011;26:165-171.

STUDY

Adverse events and comparison of systematic and voluntary reporting from a paediatric intensive care unit.

Silas R, Tibballs J. Qual Saf Health Care. 2010;19:568-571.

STUDY

Increasing patient safety event reporting in 2 intensive care units: A prospective interventional study.

Ilan R, Squires M, Panopoulos C, Day A. J Crit Care. 2011;26:e11-e18.

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