AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (185)

•Diagnostic Errors (171)

•Identification Errors (90)

•Discontinuities, Gaps, and Hand-Off Problems (430)

•Fatigue and Sleep Deprivation (73)

•Medication Safety (1251)

•Medical Complications (534)

•Nonsurgical Procedural Complications (66)

•Surgical Complications (328)

•Transfusion Complications (25)

•Psychological and Social Complications (114)

Origin/Sponsor

•Africa (5)

•Asia (78)

•Australia and New Zealand (136)

•Central and South America (12)

•Europe (823)

•North America (2468)

Resource Types

•Audiovisual (29)

•Award (9)

•Book/Report (204)

•Clinical Guideline (5)

•Journal Article (2806)

•Legislation/Regulation (31)

•Meeting/Conference (14)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (297)

•Press Release/Announcement (14)

•Special or Theme Issue (47)

•Tools/Toolkit (41)

•Web Resource (55)

•Grant (5)

Error Types

•Epidemiology of Errors and Adverse Events (1434)

•Active Errors (513)

•Latent Errors (235)

•Near Miss (65)

Approach to Improving Safety

•Quality Improvement Strategies (873)

•Legal and Policy Approaches (302)

•Error Reporting and Analysis (1357)

•Communication Improvement (719)

•Human Factors Engineering (458)

•Teamwork (220)

•Specialization of Care (241)

•Logistical Approaches (254)

•Culture of Safety (465)

•Technologic Approaches (619)

•Education and Training (580)

Clinical Areas

•Allied Health Services (10)

•Complementary and Alternative Medicine (1)

Target Audience

•Health Care Providers (2149)

•Health Care Executives and Administrators (2941)

•Non-Health Care Professionals (1357)

•Patients (202)

Setting of Care

•Hospitals (2735)

•Psychiatric Facilities (16)

•Residential Facilities (58)

•Ambulatory Care (339)

•Outpatient Surgery (25)

•Patient Transport (22)

1 - 20 of 3558

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STUDY

Saving lives by studying deaths: using standardized mortality reviews to improve inpatient safety.

Lau H, Litman KC. Jt Comm J Qual Patient Saf. 2011;37:400-408.

STUDY

Racial disparities in the frequency of patient safety events: results from the National Medicare Patient Safety Monitoring System.

Metersky ML, Hunt DR, Kliman R, et al. Med Care. 2011;49:504-510.

STUDY

Perceptions of the impact of a large-scale collaborative improvement programme: experience in the UK Safer Patients Initiative.

Benn J, Burnett S, Parand A, Pinto A, Iskander S, Vincent C. J Eval Clin Pract. 2009;15:524-540.

REVIEW

Methodological variations and their effects on reported medication administration error rates.

McLeod MC, Barber N, Franklin BD. BMJ Qual Saf. 2013;22:278-289.

STUDY

What do hospital staff in the UK think are the causes of penicillin medication errors?

Wilcock M, Harding G, Moore L, Nicholls I, Powell N, Stratton J. Int J Clin Pharm. 2013;35:72-78.

STUDY

Supratherapeutic dosing of acetaminophen among hospitalized patients.

Zhou L, Maviglia SM, Mahoney LM, et al. Arch Intern Med. 2012;172:1721-1728.

STUDY

An observational study of the frequency, severity, and etiology of failures in postoperative care after major elective general surgery.

Symons NR, Almoudaris AM, Nagpal K, Vincent CA, Moorthy K. Ann Surg. 2013;257:1-5.

STUDY

Patient safety indicators for England from hospital administrative data: case-control analysis and comparison with US data.

Raleigh VS, Cooper J, Bremner SA, Scobie S. BMJ. 2008;337:a1702.

STUDY

Retrospective analysis of medication incidents reported using an on-line reporting system.

Ashcroft DM, Cooke J. Pharm World Sci. 2006;28:359-65.

REVIEW

Development of an evidence-based framework of factors contributing to patient safety incidents in hospital settings: a systematic review.

Lawton R, McEachan RRC, Giles SJ, Sirriyeh R, Watt IS, Wright J. BMJ Qual Saf. 2012;21:369-380.

STUDY

Preventable deaths due to problems in care in English acute hospitals: a retrospective case record review study.

Hogan H, Healey F, Neale G, Thomson R, Vincent C, Black N. BMJ Qual Saf. 2012;21:737-745.

STUDY

Applying Lean methods to improve quality and safety in surgical sterile instrument processing.

Blackmore CC, Bishop R, Luker S, Williams BL. Jt Comm J Qual Patient Saf. 2013;39:99-105.

STUDY

Multiple component patient safety intervention in English hospitals: controlled evaluation of second phase.

Benning A, Dixon-Woods M, Nwulu U, et al. BMJ. 2011;342:d199.

COMMENTARY

Deaths due to medical error: jumbo jets or just small propeller planes?

Shojania KG. BMJ Qual Saf. 2012;21:709-712.

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 costs of adverse drug events in community hospitals.

Hug BL, Keohane C, Seger DL, Yoon C, Bates DW. Jt Comm J Qual Patient Saf. 2012;38:120-126.

NEWSPAPER/MAGAZINE ARTICLE

Patients taking their own medications while in the hospital.

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

STUDY

Does the implementation of an electronic prescribing system create unintended medication errors? A study of the sociotechnical context through the analysis of reported medication incidents.

Redwood S, Rajakumar A, Hodson J, Coleman JJ. BMC Med Inform Decis Mak. 2011;11:29.

BOOK/REPORT

National Diabetes Inpatient Audit 2011.

Leeds, UK: Health and Social Care Information Centre; 2012.

STUDY

Falls in English and Welsh hospitals: a national observational study based on retrospective analysis of 12 months of patient safety incident reports.

Healey F, Scobie S, Oliver D, Pryce A, Thomson R, Glampson B. Qual Saf Health Care. 2008;17:424-430.

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