AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (137)

•Diagnostic Errors (152)

•Identification Errors (78)

•Discontinuities, Gaps, and Hand-Off Problems (397)

•Fatigue and Sleep Deprivation (70)

•Medication Safety (918)

•Medical Complications (408)

•Nonsurgical Procedural Complications (58)

•Surgical Complications (294)

•Transfusion Complications (23)

•Psychological and Social Complications (103)

Origin/Sponsor

•Africa (3)

•Asia (68)

•Australia and New Zealand (120)

•Central and South America (8)

•Europe (743)

•North America (2061)

Resource Types

•Audiovisual (21)

•Award (8)

•Book/Report (179)

•Clinical Guideline (2)

•Journal Article (2429)

•Legislation/Regulation (25)

•Meeting/Conference (9)

•Newspaper/Magazine Article (241)

•Press Release/Announcement (6)

•Special or Theme Issue (31)

•Tools/Toolkit (31)

•Web Resource (45)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (1328)

•Active Errors (436)

•Latent Errors (201)

•Near Miss (59)

Approach to Improving Safety

•Quality Improvement Strategies (722)

•Legal and Policy Approaches (254)

•Error Reporting and Analysis (1214)

•Communication Improvement (614)

•Human Factors Engineering (341)

•Teamwork (201)

•Specialization of Care (211)

•Logistical Approaches (227)

•Culture of Safety (406)

•Technologic Approaches (483)

•Education and Training (508)

Clinical Areas

•Allied Health Services (8)

•Complementary and Alternative Medicine (1)

Target Audience

•Health Care Providers (1842)

•Health Care Executives and Administrators (2561)

•Non-Health Care Professionals (1092)

•Patients (168)

Setting of Care

•Hospitals (2486)

•Psychiatric Facilities (12)

•Residential Facilities (38)

•Ambulatory Care (260)

•Outpatient Surgery (20)

•Patient Transport (18)

1 - 20 of 3028

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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

How dangerous is a day in hospital?: A model of adverse events and length of stay for medical inpatients.

Hauck K, Zhao X. Med Care. 2011;49:1068-1075.

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

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

Triangulating case-finding tools for patient safety surveillance: a cross-sectional case study of puncture/laceration.

Taylor JA, Gerwin D, Morlock L, Miller MR. Inj Prev. 2011;17:388-393.

STUDY

Adverse drug events caused by serious medication administration errors.

Kale A, Keohane CA, Maviglia S, Gandhi TK, Poon EG. BMJ Qual Saf. 2012;21:933-938.

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.

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.

STUDY

Identifying the latent failures underpinning medication administration errors: an exploratory study.

Lawton R, Carruthers S, Gardner P, Wright J, McEachan RR. Health Serv Res. 2012;47:1437-1459.

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

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.

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

Junior doctors' reflections on patient safety.

Ahmed M, Arora S, Carley S, Sevdalis N, Neale G. Postgrad Med J. 2012;88:125-129.

STUDY

Factors contributing to all-cause 30-day readmissions: a structured case series across 18 hospitals.

Feigenbaum P, Neuwirth E, Trowbridge L, et al. Med Care. 2012;50:599-605.

STUDY

Evaluation of a predevelopment service delivery intervention: an application to improve clinical handovers.

Yao GL, Novielli N, Manaseki-Holland S, et al; European HANDOVER Research Collaborative. BMJ Qual Saf. 2012;21(suppl 1):i29-i38.

NEWSPAPER/MAGAZINE ARTICLE

Events associated with the prescribing, dispensing, and administering of medication loading doses.

Carson SL, Gaunt MJ. PA-PSRS Patient Saf Advis. 2012;9:82-88.

REVIEW

A review of patient safety measures based on routinely collected hospital data.

Tsang C, Palmer W, Bottle A, Majeed A, Aylin P. Am J Med Qual. 2012;27:154-169.

STUDY

Prevalence of error-prone abbreviations used in medication prescribing for hospitalised patients: multi-hospital evaluation.

Dooley MJ, Wiseman M, Gu G. Intern Med J. 2012;42:e19-e22.

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