AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (169)

•Diagnostic Errors (153)

•Identification Errors (105)

•Discontinuities, Gaps, and Hand-Off Problems (380)

•Fatigue and Sleep Deprivation (62)

•Medication Safety (1323)

•Medical Complications (381)

•Nonsurgical Procedural Complications (77)

•Surgical Complications (358)

•Transfusion Complications (20)

•Psychological and Social Complications (92)

Origin/Sponsor

•Africa (4)

•Asia (73)

•Australia and New Zealand (130)

•Central and South America (10)

•Europe (764)

•North America (2178)

Resource Types

•Audiovisual (25)

•Award (4)

•Book/Report (137)

•Clinical Guideline (6)

•Journal Article (2665)

•Legislation/Regulation (29)

•Meeting/Conference (9)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (232)

•Press Release/Announcement (20)

•Special or Theme Issue (34)

•Tools/Toolkit (26)

•Web Resource (41)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (1344)

•Active Errors (744)

•Latent Errors (252)

•Near Miss (87)

Approach to Improving Safety

•Quality Improvement Strategies (719)

•Legal and Policy Approaches (191)

•Error Reporting and Analysis (1036)

•Communication Improvement (707)

•Human Factors Engineering (456)

•Teamwork (213)

•Specialization of Care (209)

•Logistical Approaches (255)

•Culture of Safety (367)

•Technologic Approaches (579)

•Education and Training (578)

Clinical Areas

•Allied Health Services (14)

•Complementary and Alternative Medicine (1)

Target Audience

•Health Care Providers (2316)

•Health Care Executives and Administrators (2776)

•Non-Health Care Professionals (1043)

•Patients (146)

Setting of Care

•Hospitals (2400)

•Psychiatric Facilities (15)

•Residential Facilities (65)

•Ambulatory Care (292)

•Outpatient Surgery (29)

•Patient Transport (22)

1 - 20 of 3231

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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.

STUDY

Nurses relate the contributing factors involved in medication errors.

Tang FI, Sheu SJ, Yu S, Wei IL, Chen CH. J Clin Nurs. 2007;16:447-457.

STUDY

Relationship between systems-level factors and hand hygiene adherence.

Dunn-Navarra AM, Cohen B, Stone PW, Pogorzelska M, Jordan S, Larson E. J Nurs Care Qual. 2011;26:30-38.

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.

STUDY

The impact of traditional and smart pump infusion technology on nurse medication administration performance in a simulated inpatient unit.

Trbovich PL, Pinkney S, Cafazzo JA, Easty AC. Qual Saf Health Care. 2010;19:430-434.

COMMENTARY

Medication errors in nursing—part 1 and part 2.

Leufer T, Cleary-Holdforth J. Nurse Educ Pract. 2013;13:213-220.

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

The application of Aronson's taxonomy to medication errors in nursing.

Johnson M, Young H. J Nurs Care Qual. 2011;26:128-135.

STUDY

Reducing potentially fatal errors associated with high doses of insulin: a successful multifaceted multidisciplinary prevention strategy.

Dooley MJ, Wiseman M, McRae A, et al. BMJ Qual Saf. 2011;20:637-644.

STUDY

Impact of a team and leaders-directed strategy to improve nurses' adherence to hand hygiene guidelines: a cluster randomised trial.

Huis A, Schoonhoven L, Grol R, Donders R, Hulscher M, van Achterberg T. Int J Nurs Stud. 2013;50:464-474.

REVIEW

Work interruptions and their contribution to medication administration errors: an evidence review.

Biron AD, Loiselle CG, Lavoie-Tremblay M. Worldviews Evid Based Nurs. 2009;6:70-86.

STUDY

Nursing care quality and adverse events in US hospitals.

Lucero RJ, Lake ET, Aiken LH. J Clin Nurs. 2010;19:2185-2195.

STUDY

Patient safety: numerical skills and drug calculation abilities of nursing students and Registered Nurses.

McMullan M, Jones R, Lea S. J Adv Nurs. 2010;66:891-899.

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.

NEWSPAPER/MAGAZINE ARTICLE

Patients taking their own medications while in the hospital.

PA-PSRS Patient Saf Advis. June 2012;9:50-57.

STUDY

Use of temporary nurses and nurse and patient safety outcomes in acute care hospital units.

Bae SH, Mark B, Fried B. Health Care Manage Rev. 2010;35:333-344.

COMMENTARY

A nurse-driven system for improving patient quality outcomes.

Johnson K, Hallsey D, Meredith RL, Warden E. J Nurs Care Qual. 2006;21:168-175.

STUDY

A case of mistaken identity: staff input on patient ID errors.

Ortiz J, Amatucci C. Nurs Manage. April 2009;4:37-41.

COMMENTARY

Using simulation to teach nursing students and licensed clinicians obstetric emergencies.

Alderman JT. MCN Am J Matern Child Nurs. 2012;37:394-400.

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