AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (163)

•Diagnostic Errors (233)

•Identification Errors (157)

•Discontinuities, Gaps, and Hand-Off Problems (441)

•Fatigue and Sleep Deprivation (72)

•Medication Safety (1320)

•Medical Complications (407)

•Nonsurgical Procedural Complications (93)

•Surgical Complications (438)

•Transfusion Complications (21)

•Psychological and Social Complications (94)

Origin/Sponsor

•Africa (2)

•Asia (49)

•Australia and New Zealand (111)

•Central and South America (8)

•Europe (409)

•North America (3228)

Resource Types

•Audiovisual (23)

•Award (8)

•Book/Report (142)

•Clinical Guideline (2)

•Journal Article (3108)

•Legislation/Regulation (45)

•Meeting/Conference (22)

•Newsletter/Journal (6)

•Newspaper/Magazine Article (322)

•Press Release/Announcement (12)

•Special or Theme Issue (56)

•Tools/Toolkit (30)

•Web Resource (57)

•Grant (5)

Error Types

•Epidemiology of Errors and Adverse Events (1458)

•Active Errors (637)

•Latent Errors (236)

•Near Miss (125)

Approach to Improving Safety

•Quality Improvement Strategies (822)

•Legal and Policy Approaches (250)

•Error Reporting and Analysis (1324)

•Communication Improvement (790)

•Human Factors Engineering (688)

•Teamwork (293)

•Specialization of Care (258)

•Logistical Approaches (288)

•Culture of Safety (398)

•Technologic Approaches (970)

•Education and Training (620)

Clinical Areas

•Allied Health Services (13)

Target Audience

•Health Care Providers (2581)

•Health Care Executives and Administrators (3187)

•Non-Health Care Professionals (1529)

•Patients (180)

Setting of Care

•Hospitals (2426)

•Psychiatric Facilities (11)

•Residential Facilities (63)

•Ambulatory Care (361)

•Outpatient Surgery (37)

•Patient Transport (42)

1 - 20 of 3838

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STUDY

Medication errors among acutely ill and injured children treated in rural emergency departments.

Marcin JP, Dharmar M, Cho M, et al. Ann Emerg Med. 2007;50:361-367.e1-2.

STUDY

Comparing errors in ED computer-assisted vs conventional pediatric drug dosing and administration.

Yamamoto L, Kanemori J. Am J Emerg Med. 2010;28:588-592.

STUDY

Analysis and prioritization of near-miss adverse events in a radiology department.

Thornton RH, Miransky J, Killen AR, Solomon SB, Brody LA. AJR Am J Roentgenol. 2011;196:1120-1124.

STUDY

Reevaluating recovery: perceived violations and preemptive interventions on emergency psychiatry rounds.

Cohen T, Blatter B, Almeida C, Patel VL. J Am Med Inform Assoc. 2007;14:312-319.

STUDY

Interruptions in a level one trauma center: a case study.

Brixey JJ, Tang Z, Robinson DJ, et al. Int J Med Inform. 2008;77:235-241.

STUDY

Computerized decision support for medication dosing in renal insufficiency: a randomized, controlled trial.

Terrell KM, Perkins AJ, Hui SL, Callahan CM, Dexter PR, Miller DK. Ann Emerg Med. 2010;56:623-629.

STUDY

Emergency department crowding and risk of preventable medical errors.

Epstein SK, Huckins DS, Liu SW, et al. Intern Emerg Med. 2012;7:173-180.

STUDY

A prospective, multicenter study of pharmacist activities resulting in medication error interception in the emergency department.

Patanwala AE, Sanders AB, Thomas MC, et al. Ann Emerg Med. 2012;59:369-373.

STUDY

National study on the frequency, types, causes, and consequences of voluntarily reported emergency department medication errors.

Pham JC, Story JL, Hicks RW, et al. J Emerg Med. 2011;40:485-492.

STUDY

Missed and delayed diagnoses in the emergency department: a study of closed malpractice claims from 4 liability insurers.

Kachalia A, Gandhi TK, Puopolo AL, et al. Ann Emerg Med. Ann Emerg Med. 2007;49:196-205.

STUDY

Safety climate and medical errors in 62 US emergency departments.

Camargo CA Jr, Tsai CL, Sullivan AF, et al. Ann Emerg Med. 2012;60:555-563.e20.

REVIEW

Pediatric patient safety in the prehospital/emergency department setting.

Barata IA, Benjamin LS, Mace SE, Herman MI, Goldman RD. Pediatr Emerg Care. 2007;23:412-418.

STUDY

EMS helicopter crashes: what influences fatal outcome?

Baker SP, Grabowski JG, Dodd RS, Shanahan DF, Lamb MW, Li GH. Ann Emerg Med. 2006;47:351-356.

STUDY

Improving the usability of intravenous medication labels to support safe medication delivery.

Bauer DT, Guerlain S. Int J Ind Ergon. 2011;41:394-399.

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

Retrospective evaluation of a computerized physician order entry adaptation to prevent prescribing errors in a pediatric emergency department.

Sard BE, Walsh KE, Doros G, et al. Pediatrics. 2008;122:782-787.

STUDY

Medication errors in paediatric outpatients.

Kaushal R, Goldmann DA, Keohane CA, et al. Qual Saf Health Care. 2010;19:e30.

STUDY

The application of Aronson's taxonomy to medication errors in nursing.

Johnson M, Young H. J Nurs Care Qual. 2011;26:128-135.

STUDY

ED handoffs: observed practices and communication errors.

Maughan BC, Lei L, Cydulka RK. Am J Emerg Med. 2011;29:502-511.

STUDY

Color coded medication safety system reduces community pediatric emergency nursing medication errors.

Feleke R, Kalynych CJ, Lundblom B, Wears R, Luten R, Kling D. J Patient Saf. 2009;5:79-85.

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