AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (169)

•Diagnostic Errors (176)

•Identification Errors (111)

•Discontinuities, Gaps, and Hand-Off Problems (466)

•Fatigue and Sleep Deprivation (89)

•Medication Safety (1111)

•Medical Complications (473)

•Nonsurgical Procedural Complications (82)

•Surgical Complications (398)

•Transfusion Complications (21)

•Psychological and Social Complications (126)

Origin/Sponsor

•Africa (3)

•Asia (46)

•Australia and New Zealand (84)

•Central and South America (6)

•Europe (433)

•North America (3109)

Resource Types

•Audiovisual (33)

•Award (11)

•Book/Report (172)

•Clinical Guideline (4)

•Journal Article (2935)

•Legislation/Regulation (39)

•Meeting/Conference (17)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (333)

•Press Release/Announcement (8)

•Special or Theme Issue (30)

•Tools/Toolkit (33)

•Web Resource (57)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (1421)

•Active Errors (548)

•Latent Errors (215)

•Near Miss (73)

Approach to Improving Safety

•Quality Improvement Strategies (855)

•Legal and Policy Approaches (297)

•Error Reporting and Analysis (1218)

•Communication Improvement (800)

•Human Factors Engineering (438)

•Teamwork (276)

•Specialization of Care (266)

•Logistical Approaches (289)

•Culture of Safety (489)

•Technologic Approaches (640)

•Education and Training (649)

Clinical Areas

•Allied Health Services (8)

Target Audience

•Health Care Providers (2332)

•Health Care Executives and Administrators (3122)

•Non-Health Care Professionals (1337)

•Patients (218)

Setting of Care

•Hospitals (2676)

•Psychiatric Facilities (16)

•Residential Facilities (59)

•Ambulatory Care (356)

•Outpatient Surgery (35)

•Patient Transport (23)

1 - 20 of 3677

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STUDY

The interrelationship of isolation precautions and adverse events in an acute care facility.

Spence MR, McQuaid M. Am J Infect Control. 2011;39:154-155.

STUDY

Results of the Medications At Transitions and Clinical Handoffs (MATCH) study: an analysis of medication reconciliation errors and risk factors at hospital admission.

Gleason KM, McDaniel MR, Feinglass J, et al. J Gen Intern Med. 2010;25:441-447.

STUDY

Clinical and safety impact of an inpatient pharmacist-directed anticoagulation service.

Schillig J, Kaatz S, Hudson M, Krol GD, Szandzik EG, Kalus JS. J Hosp Med. 2011;6:322-328.

STUDY

Physician reporting of clinically significant events through a computerized patient sign-out system.

Nabors C, Peterson SJ, Aronow WS, et al. J Patient Saf. 2011;7:154-160.

STUDY

Hospitalized patients' participation and its impact on quality of care and patient safety.

Weingart SN, Zhu J, Chiappetta L, et al. Int J Qual Health Care. 2011;23:269-277.

STUDY

Patient risk factors for medical injury: a case–control study.

Marbella AM, Laud PW, Brasel KJ, Layde PM. BMJ Qual Saf. 2011;20:187-193.

STUDY

A comparative analysis of incident reporting lag times in academic medical centres in Japan and the USA.

Regenbogen SE, Hirose M, Imanaka Y, et al. Qual Saf Health Care. 2010;19:e10.

STUDY

Nurses' work schedule characteristics, nurse staffing, and patient mortality.

Trinkoff AM, Johantgen M, Storr CL, Gurses AP, Liang Y, Han K. Nurs Res. 2011;60:1-8.

STUDY

Fall prevention in acute care hospitals: a randomized trial.

Dykes PC, Carroll DL, Hurley A, et al. JAMA. 2010;304:1912-1918.

STUDY

Safety of using a computerized rounding and sign-out system to reduce resident duty hours.

Van Eaton EG, McDonough K, Lober WB, Johnson EA, Pellegrini CA, Horvath KD. Acad Med. 2010;85:1189-1195.

STUDY

Comparing process- and outcome-oriented approaches to voluntary incident reporting in two hospitals.

Nuckols TK, Bell DS, Paddock SM, Hilborne LH. Jt Comm J Qual Patient Saf. 2009;35:139-145.

STUDY

Disclosure of hospital adverse events and its association with patients' ratings of the quality of care.

López L, Weissman JS, Schneider EC, Weingart SN, Cohen AP, Epstein AM. Arch Intern Med. 2009;169:1888-1894.

STUDY

Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study.

Walker PC, Bernstein SJ, Tucker Jones JN, et al. Arch Intern Med. 2009;169:2003-2010.

STUDY

Effect of bar-code technology on the safety of medication administration.

Poon EG, Keohane CA, Yoon CS, et al. N Engl J Med. 2010;362:1698-1707.

STUDY

Effect of bar-code–assisted medication administration on medication administration errors and accuracy in multiple patient care areas.

Helmons PJ, Wargel LN, Daniels CE. Am J Health Syst Pharm. 2009;66:1202-1210.

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.

STUDY

The impact of resident duty hour reform on hospital readmission rates among Medicare beneficiaries.

Press MJ, Silber JH, Rosen AK, et al. J Gen Intern Med. 2011;26:405-411.

STUDY

The effects of a mid-day nap on the neurocognitive performance of first-year medical residents: a controlled interventional pilot study.

Amin MM, Graber M, Ahmad K, et al. Acad Med. 2012;87:1428-1433.

STUDY

Parenteral nutrition prescribing processes using computerized prescriber order entry: opportunities to improve safety.

Hilmas E, Peoples JD. JPEN J Parenter Enteral Nutr. 2012;36(suppl 2):32S-35S.

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.

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