AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (123)

•Diagnostic Errors (175)

•Identification Errors (100)

•Discontinuities, Gaps, and Hand-Off Problems (356)

•Fatigue and Sleep Deprivation (54)

•Medication Safety (834)

•Medical Complications (340)

•Nonsurgical Procedural Complications (62)

•Surgical Complications (291)

•Transfusion Complications (24)

•Psychological and Social Complications (80)

Origin/Sponsor

•Africa (6)

•Asia (59)

•Australia and New Zealand (99)

•Central and South America (10)

•Europe (682)

•North America (1673)

Resource Types

•Audiovisual (11)

•Award (15)

•Book/Report (162)

•Clinical Guideline (3)

•Journal Article (2029)

•Legislation/Regulation (26)

•Meeting/Conference (9)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (188)

•Press Release/Announcement (19)

•Special or Theme Issue (25)

•Tools/Toolkit (37)

•Web Resource (55)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (1272)

•Active Errors (461)

•Latent Errors (179)

•Near Miss (66)

Approach to Improving Safety

•Quality Improvement Strategies (604)

•Legal and Policy Approaches (222)

•Error Reporting and Analysis (937)

•Communication Improvement (589)

•Human Factors Engineering (316)

•Teamwork (141)

•Specialization of Care (170)

•Logistical Approaches (199)

•Culture of Safety (280)

•Technologic Approaches (423)

•Education and Training (423)

Clinical Areas

•Allied Health Services (9)

Target Audience

•Health Care Providers (2093)

•Health Care Executives and Administrators (2139)

•Non-Health Care Professionals (834)

•Patients (160)

Setting of Care

•Hospitals (1999)

•Psychiatric Facilities (16)

•Residential Facilities (48)

•Ambulatory Care (254)

•Outpatient Surgery (30)

•Patient Transport (26)

1 - 20 of 2583

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REVIEW

Clinical errors and medical negligence.

Oyebode F. Med Princ Pract. 2013 Jan 18; [Epub ahead of print].

STUDY

Last orders: follow-up of tests ordered on the day of hospital discharge.

Ong MS, Magrabi F, Jones G, Coiera E. Arch Intern Med. 2012;172:1347-1349.

STUDY

Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retrospective patient case note review.

Sari AB, Sheldon TA, Cracknell A, Turnbull A. BMJ. 2007;334;79.

REVIEW

Double checking the administration of medicines: what is the evidence? A systematic review.

Alsulami Z, Conroy S, Choonara I. Arch Dis Child. 2012;97:833-837.

STUDY

Clinical impact associated with corrected results in clinical microbiology testing.

Yuan S, Astion ML, Schapiro J, Limaye AP. J Clin Microbiol. 2005;43:2188-2193.

STUDY

Do split-side rails present an increased risk to patient safety?

Hignett S, Griffiths P. Qual Saf Health Care. 2005;14:113-116.

STUDY

Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event reports from 30 health care organizations.

Snydman LK, Harubin B, Kumar S, Chen J, Lopez RE, Salem DN. Am J Med Qual. 2012;27:147-153.

STUDY

Undiagnosed breast cancer at MR imaging: analysis of causes.

Pages EB, Millet I, Hoa D, Doyon FC, Taourel P. Radiology. 2012;264:40-50.

STUDY

Rate of occult specimen provenance complications in routine clinical practice.

Pfeifer JD, Liu J. Am J Clin Pathol. 2013;139:93-100.

COMMENTARY

The development of the National Reporting and Learning System in England and Wales, 2001-2005.

Williams SK, Osborn SS. Med J Aust. 2006;184:S65-S68.

NEWSPAPER/MAGAZINE ARTICLE

Lost surgical specimens, lost opportunities.

PA-PSRS Patient Saf Advis. September 2005;2:1-5.

STUDY

Recognition of adverse drug events in older hospitalized medical patients.

Klopotowska JE, Wierenga PC, Smorenburg SM, et al; WINGS study group. Eur J Clin Pharmacol. 2013;69:75-85.

COMMENTARY

Establishing a culture for patient safety - the role of education.

Milligan FJ. Nurse Educ Today. 2007;27:95-102.

COMMENTARY

Non-Luer connectors: are we nearly there yet?

Cook TM. Anaesthesia. 2012;67:784-792.

STUDY

Incidence, preventability and consequences of adverse events in older people: results of a retrospective case-note review.

Sari AB, Cracknell A, Sheldon TA. Age Ageing. 2008;37:265-269.

STUDY

Thirty-day, all-cause readmissions for elderly patients who have an injury-related inpatient stay.

Spector WD, Mutter R, Owens P, Limcangco R. Med Care. 2012;50:863-869.

STUDY

Can incident reporting improve safety? Healthcare practitioners' views of the effectiveness of incident reporting.

Anderson JE, Kodate N, Walters R, Dodds A. Int J Qual Health Care. 2013;25:141-150.

STUDY

'Global Trigger Tool' shows that adverse events in hospitals may be ten times greater than previously measured.

Classen DC, Resar R, Griffin F, et al. Health Aff (Millwood). 2011;30:581-589.

STUDY

Classifying laboratory incident reports to identify problems that jeopardize patient safety.

Astion ML, Shojania KG, Hamill TR, Kim S, Ng VL. Am J Clin Pathol. 2003;120:18-26.

STUDY

Pediatric antidepressant medication errors in a national error reporting database.

Rinke ML, Bundy DG, Shore AD, Colantuoni E, Morlock LL, Miller MR. J Dev Behav Pediatr. 2010;31:129-136.

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