AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (104)

•Diagnostic Errors (148)

•Identification Errors (73)

•Discontinuities, Gaps, and Hand-Off Problems (298)

•Fatigue and Sleep Deprivation (47)

•Medication Safety (715)

•Medical Complications (436)

•Nonsurgical Procedural Complications (63)

•Surgical Complications (278)

•Transfusion Complications (17)

•Psychological and Social Complications (86)

Origin/Sponsor

•Africa (6)

•Asia (36)

•Australia and New Zealand (111)

•Central and South America (7)

•Europe (349)

•North America (1869)

Resource Types

•Clinical Guideline (1)

•Journal Article (1760)

•Legislation/Regulation (29)

•Meeting/Conference (27)

•Newsletter/Journal (8)

•Newspaper/Magazine Article (182)

•Press Release/Announcement (22)

•Special or Theme Issue (53)

•Tools/Toolkit (34)

•Web Resource (84)

•Grant (13)

Error Types

•Epidemiology of Errors and Adverse Events (1013)

•Active Errors (357)

•Latent Errors (131)

•Near Miss (44)

Approach to Improving Safety

•Quality Improvement Strategies (634)

•Legal and Policy Approaches (277)

•Error Reporting and Analysis (760)

•Communication Improvement (571)

•Human Factors Engineering (289)

•Teamwork (212)

•Specialization of Care (219)

•Logistical Approaches (224)

•Culture of Safety (334)

•Technologic Approaches (395)

•Education and Training (442)

Clinical Areas

•Allied Health Services (11)

Target Audience

•Health Care Providers (2128)

•Health Care Executives and Administrators (2142)

•Non-Health Care Professionals (930)

•Patients (193)

Setting of Care

•Hospitals (1618)

•Psychiatric Facilities (14)

•Residential Facilities (49)

•Ambulatory Care (231)

•Outpatient Surgery (27)

•Patient Transport (40)

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STUDY

The association between a prolonged stay in the emergency department and adverse events in older patients admitted to hospital: a retrospective cohort study.

Ackroyd-Stolarz S, Read Guernsey J, Mackinnon NJ, Kovacs G. BMJ Qual Saf. 2011;20:564-569.

STUDY

Influence of house-staff experience on teaching-hospital mortality: the "July Phenomenon" revisited.

van Walraven C, Jennings A, Wong J, Forster AJ. J Hosp Med. 2011;6:389-394.

STUDY

The association between transfer of emergency department boarders to inpatient hallways and mortality: a 4-year experience.

Viccellio A, Santora C, Singer AJ, Thode HC Jr, Henry MC. Ann Emerg Med. 2009;54:511-513.

STUDY

The "July phenomenon": is trauma the exception?

Schroeppel TJ, Fischer PE, Magnotti LJ, Croce MA, Fabian TC. J Am Coll Surg. 2009;209:378-384.

SPECIAL OR THEME ISSUE

Safety in EMS.

Brice JH, Patterson PD, eds. Prehosp Emerg Care. 2012;16:1-108.

BOOK/REPORT

Patient Safety in Canada: An Update.

Ottawa, ON, Canada: Canadian Institute for Health Information; August 14, 2007.

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

Diagnostic accuracy of emergency nurse practitioners versus physicians related to minor illnesses and injuries.

van der Linden C, Reijnen R, de Vos R. J Emerg Nurs. 2010;36:311-316.

STUDY

Medical reconciliation in patients discharged from the emergency department.

Sharma AN, Dvorkin R, Tucker V, Margulies J, Yens D, Rosalia A Jr. J Emerg Med. 2012;43:366-373.

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

The association between night or weekend admission and hospitalization-relevant patient outcomes.

Khanna R, Wachsberg K, Marouni A, Feinglass J, Williams MV, Wayne DB. J Hosp Med. 2011;6:10-14.

MEASUREMENT TOOL/INDICATOR

Pediatric Patient Safety in the Emergency Department - Survey Preview Version.

Oakbrook Terrace, IL: Joint Commission Resources; 2008.

STUDY

Outcomes of emergency department patients presenting with adverse drug events.

Hohl CM, Nosyk B, Kuramoto L, et al. Ann Emerg Med. 2011;58:270-279.

STUDY

Relationship between Leapfrog Safe Practices Survey and outcomes in trauma.

Glance LG, Dick AW, Osler TM, et al. Arch Surg. 2011;146:1170-1177.

STUDY

Beating the weekend trend: increased mortality in older adult traumatic brain injury (TBI) patients admitted on weekends.

Schneider EB, Hirani SA, Hambridge HL, et al. J Surg Res. 2012;177:295-300.

STUDY

Pediatric adverse drug events in the outpatient setting: an 11-year national analysis.

Bourgeois FT, Mandl KD, Valim C, Shannon MW. Pediatrics. 2009;124:e744-e750.

STUDY

'The ABC of Handover': impact on shift handover in the emergency department.

Farhan M, Brown R, Vincent C, Woloshynowych M. Emerg Med J. 2012;29:947-953.

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

Reduction in hospital mortality over time in a hospital without a pediatric medical emergency team: limitations of before-and-after study designs.

Joffe AR, Anton NR, Burkholder SC. Arch Pediatr Adolesc Med. 2011;165:419-423.

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