AHRQ Patient Safety Network

Subcommittee on Oversight and Investigations, 109th Cong, 2nd Sess (June 15, 2006). (Testimony of James P. Bagian, MD, PE; John D. Daigh, Jr., MD; Daniel Schultz, MD; Laurie Ekstrand).

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

Unscheduled returns to the emergency department: an outcome of medical errors?

Nuñez S, Hexdall A, Aguirre-Jaime A. Qual Saf Health Care. 2006;15:102-108.

REVIEW

Nature of human error: implications for surgical practice.

Cuschieri A. Ann Surg. 2006;244:642-648.

STUDY

The effect of the fit between organizational culture and structure on medication errors in medical group practices.

Kaissi A, Kralewski J, Dowd B, Heaton A. Health Care Manage Rev. 2007;32:12-21.

STUDY

Doctors' thinking about 'the system' as a threat to patient safety.

Waring JJ. Health (London). 2007;11:29-46.

STUDY

Preventable deaths in patients admitted from emergency department.

Lu T-C, Tsai C-L, Lee C-C, et al. Emerg Med J. 2006;23:452-455.

REVIEW

Interruptions during nurses' work: a state-of-the-science review.

Hopkinson SG, Jennings BM. Res Nurs Health. 2013;36:38-53.

STUDY

Using system analysis to build a safety culture: improving the reliability of epidural analgesia.

Garnerin P, Huchet-Belouard A, Diby M, Clergue F. Acta Anaesthesiol Scand. 2006;50:1114-1119.

STUDY

Factors associated with adverse events resulting from medical errors in the emergency department: two work better than one.

Freund Y, Goulet H, Bokobza J, et al. J Emerg Med. 2013 Feb 20; [Epub ahead of print].

STUDY

System weaknesses as contributing causes of accidents in health care.

Ternov S, Akselsson R. Int J Qual Health Care. 2005;17:5-13.

STUDY

Adverse events following an emergency department visit.

Forster AJ, Rose NGW, van Walraven C, Stiell I. Qual Saf Health Care 2007;16:17-22.

MULTI-USE WEBSITE

Maryland Patient Safety Center Emergency Department Collaborative.

Maryland Patient Safety Center.

STUDY

Costs and benefits of an early-alert surveillance system for hospital inpatients.

Marchetti A, Jacobs J, Young M, Martin J, Rossiter R. Curr Med Res Opin. 2007;23:9-16.

STUDY

Challenges and opportunities to prevent transfusion errors: a Qualitative Evaluation for Safer Transfusion (QUEST).

Heddle NM, Fung M, Hervig T, et al; BEST Collaborative. Transfusion. 2012;52:1687-1695.

STUDY

The effects of electrode misplacement on clinicians' interpretation of the standard 12-lead electrocardiogram.

Bond RR, Finlay DD, Nugent CD, Breen C, Guldenring D, Daly MJ. Eur J Intern Med. 2012;23:610-615.

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