AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (112)

•Diagnostic Errors (148)

•Identification Errors (78)

•Discontinuities, Gaps, and Hand-Off Problems (255)

•Fatigue and Sleep Deprivation (45)

•Medication Safety (893)

•Medical Complications (251)

•Nonsurgical Procedural Complications (75)

•Surgical Complications (313)

•Transfusion Complications (15)

•Psychological and Social Complications (53)

Origin/Sponsor

•Africa (6)

•Asia (98)

•Australia and New Zealand (97)

•Central and South America (10)

•Europe (413)

•North America (1705)

Resource Types

•Audiovisual (16)

•Award (6)

•Book/Report (98)

•Clinical Guideline (5)

•Journal Article (1892)

•Legislation/Regulation (36)

•Meeting/Conference (12)

•Newsletter/Journal (6)

•Newspaper/Magazine Article (146)

•Press Release/Announcement (38)

•Special or Theme Issue (25)

•Tools/Toolkit (33)

•Web Resource (48)

•Grant (6)

Error Types

•Epidemiology of Errors and Adverse Events (763)

•Active Errors (453)

•Latent Errors (156)

•Near Miss (60)

Approach to Improving Safety

•Quality Improvement Strategies (575)

•Legal and Policy Approaches (157)

•Error Reporting and Analysis (941)

•Communication Improvement (547)

•Human Factors Engineering (350)

•Teamwork (179)

•Specialization of Care (150)

•Logistical Approaches (125)

•Culture of Safety (214)

•Technologic Approaches (396)

•Education and Training (382)

Clinical Areas

•Allied Health Services (13)

Target Audience

•Health Care Providers (1959)

•Health Care Executives and Administrators (2153)

•Non-Health Care Professionals (731)

•Patients (104)

Setting of Care

•Hospitals (1386)

•Psychiatric Facilities (18)

•Residential Facilities (50)

•Ambulatory Care (334)

•Outpatient Surgery (28)

•Patient Transport (20)

1 - 20 of 2367

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STUDY

Paid malpractice claims for adverse events in inpatient and outpatient settings.

Bishop TF, Ryan AK, Casalino LP. JAMA. 2011;305:2427-2431.

STUDY

Potential utility of data-mining algorithms for early detection of potentially fatal/disabling adverse drug reactions: a retrospective evaluation.

Hauben M, Reich L. J Clin Pharmacol. 2005;45:378-384.

NEWSPAPER/MAGAZINE ARTICLE

Your attention please... designing effective warnings.

ISMP Medication Safety Alert! Acute Care Edition. August 24, 2006;11:1-3.

COMMENTARY

Look-alike and sound-alike medicines: risks and 'solutions.'

Emmerton LM, Rizk MFS. Int J Clin Pharm. 2012;34:4-8.

STUDY

Development and pilot testing of guidelines to monitor high-risk medications in the ambulatory setting.

Tjia J, Field TS, Garber LD, et al. Am J Manag Care. 2010;16:489-496.

NEWSPAPER/MAGAZINE ARTICLE

Neuromuscular blocking agents: reducing associated wrong-drug errors.

PA-PSRS Patient Saf Advis. December 2009;6:109-114.

NEWSPAPER/MAGAZINE ARTICLE

Results of ISMP survey on high-alert medications: differences between nursing, pharmacy, and risk/quality/safety perspectives.

ISMP Medication Safety Alert! Acute Care Edition. February 9, 2012;17:1-4.

REVIEW

Understanding factors that impact on health care professionals' risk perceptions and responses toward Clostridium difficile and methicillin-resistant Staphylococcus aureus: a structured literature review.

Burnett E, Kearney N, Johnston B, Corlett J, Macgillivray S. Am J Infect Control. 2013;41:394-400.

STUDY

Time-dependent drug–drug interaction alerts in care provider order entry: software may inhibit medication error reductions.

van der Sijs H, Lammers L, van den Tweel A, et al. J Am Med Inform Assoc. 2009;16:864-868.

PRESS RELEASE/ANNOUNCEMENT

Medication errors resulting from confusion between risperidone (Risperdal) and ropinirole (Requip).

MedWatch Safety Alert, FDA Drug Safety Communication. Silver Spring, MD: US Food and Drug Administration; June 13, 2011.

COMMENTARY

In Conversation with...Allan Frankel, MD

AHRQ WebM&M [serial online]. July 2006.

STUDY

An in-depth analysis of medication errors in hospitalized patients with HIV.

Snyder AM, Klinker K, Orrick JJ, Janelle J, Winterstein AG. Ann Pharmacother. 2011;45:459-468.

COMMENTARY

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2010:45;352-355.

COMMENTARY

Interpreting the Patient Safety Literature

Shojania KG. AHRQ WebM&M [serial online]. June 2005.

PRESS RELEASE/ANNOUNCEMENT

Important Warnings and Instructions for Heparin Sodium Injection (Baxter).

FDA Public Health Advisory [US Food and Drug Administration Web site]. February 28, 2008.

STUDY

Improving ambulatory prescribing safety with a handheld decision support system: a randomized controlled trial.

Berner ES, Houston TK, Ray MN, et al. J Am Med Inform Assoc. 2006;13:171-179.

STUDY

Post-discharge medication reviews for patients with heart failure: a pilot study.

Ponniah A, Shakib S, Doecke CJ, Boyce M, Angley M. Pharm World Sci. 2008;30:810-815.

STUDY

Measuring safety culture in the ambulatory setting: The Safety Attitudes Questionnaire—Ambulatory Version.

Modak I, Sexton JB, Lux TR, Helmreich RL, Thomas EJ. J Gen Intern Med. 2007;22:1-5.

STUDY

Drug formulations that require potentially inaccurate volumes to prepare doses for infants and children.

Uppal N, Yasseen B, Seto W, Parshuram CS. CMAJ. 2011;183:E246-E248.

BOOK/REPORT

With Safety in Mind: Mental Health Services and Patient Safety.

Scobie S, Minghella E, Dale C, Thomson R, Lelliott P, Hill K. London, UK: National Patient Safety Agency; July 2006.

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