AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (148)

•Diagnostic Errors (126)

•Identification Errors (91)

•Discontinuities, Gaps, and Hand-Off Problems (398)

•Fatigue and Sleep Deprivation (64)

•Medication Safety (829)

•Medical Complications (419)

•Nonsurgical Procedural Complications (89)

•Surgical Complications (421)

•Transfusion Complications (15)

•Psychological and Social Complications (96)

Origin/Sponsor

•Africa (5)

•Asia (61)

•Australia and New Zealand (115)

•Central and South America (10)

•Europe (567)

•North America (1947)

Resource Types

•Audiovisual (18)

•Award (14)

•Book/Report (143)

•Clinical Guideline (3)

•Journal Article (2204)

•Legislation/Regulation (33)

•Meeting/Conference (7)

•Newspaper/Magazine Article (232)

•Press Release/Announcement (11)

•Special or Theme Issue (31)

•Tools/Toolkit (33)

•Web Resource (48)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (1050)

•Active Errors (571)

•Latent Errors (221)

•Near Miss (61)

Approach to Improving Safety

•Quality Improvement Strategies (670)

•Legal and Policy Approaches (201)

•Error Reporting and Analysis (838)

•Communication Improvement (779)

•Human Factors Engineering (418)

•Teamwork (272)

•Specialization of Care (233)

•Logistical Approaches (213)

•Culture of Safety (349)

•Technologic Approaches (442)

•Education and Training (532)

Clinical Areas

•Allied Health Services (3)

•Medicine (2185)

•Nursing (262)

•Pharmacy (291)

Target Audience

•Health Care Providers (2110)

•Health Care Executives and Administrators (2357)

•Non-Health Care Professionals (960)

•Patients (169)

Setting of Care
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Hospitals

•General Hospitals (953)

•Children’s Hospitals (79)

•Specialty Hospitals (68)

1 - 20 of 2779

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STUDY

Determinants of patient-reported medication errors: a comparison among seven countries.

Lu CY, Roughead E. Int J Clin Pract. 2011;65:733-740.

STUDY

Fractures of the fingers missed or misdiagnosed on poorly positioned or poorly taken radiographs: a retrospective study.

Tuncer S, Aksu N, Dilek H, Ozkan T, Hamzaoglu A. J Trauma. 2011;71:649-655.

STUDY

Diagnostic error in a national incident reporting system in the UK.

Sevdalis N, Jacklin R, Arora S, Vincent CA, Thomson RG. J Eval Clin Pract. 2010;16:1276-1281.

STUDY

Time trends in pulmonary embolism in the United States: evidence of overdiagnosis.

Wiener RS, Schwartz LM, Woloshin S. Arch Intern Med. 2011;171:831-837.

STUDY

Accuracy of radiographic readings in the emergency department.

Petinaux B, Bhat R, Boniface K, Aristizabal J. Am J Emerg Med. 2011;29:18-25.

STUDY

The frequency of diagnostic errors in radiologic reports depends on the patient's age.

Diaz S, Ekberg O. Acta Radiol. 2010;51:934-938.

BOOK/REPORT

An In Depth Investigation into Causes of Prescribing Errors by Foundation Trainees in Relation to Their Medical Education—EQUIP Study.

Dornan T, Ashcroft D, Heathfield H, et al. London: General Medical Council; 2009.

STUDY

Reducing potentially fatal errors associated with high doses of insulin: a successful multifaceted multidisciplinary prevention strategy.

Dooley MJ, Wiseman M, McRae A, et al. BMJ Qual Saf. 2011;20:637-644.

STUDY

An exploratory study measuring verbal order content and context.

Wakefield DS, Brokel J, Ward MM, Schwichtenberg T, Groath D, Kolb M, Davis JW, Crandall D. Qual Saf Health Care. 2009;18:169-173.

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.

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.

BOOK/REPORT

Breast Cancer Services in Trafford and North Manchester. An Investigation Into The Circumstances Surrounding A Serious Clinical Incident In Symptomatic Breast Services – The Baker Report.

Baker M. Manchester, England: NHS North West; February 2007.

COMMENTARY

Is the Admission Drug Dose Too Low?

Kaushal R, Abramson E. AHRQ WebM&M [serial online]. August 2009.

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

Critical incidents related to cardiac arrests reported to the Danish Patient Safety Database.

Andersen PO, Maaløe R, Andersen HB. Resuscitation. 2010;81:312-316.

STUDY

Medication safety initiative in reducing medication errors.

Nguyen EE, Connolly PM, Wong V. J Nurs Care Qual. 2010;25:224-230.

STUDY

Cardiovascular medication errors in children.

Alexander DC, Bundy DG, Shore AD, Morlock L, Hicks RW, Miller MR. Pediatrics. 2009;124:324-332.

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.

BOOK/REPORT

External Inquiry into the adverse incident that occurred at Queen's Medical Centre, Nottingham, 4th January 2001.

Toft B. London, England: Department of Health; 2001.

STUDY

Use of the WHO surgical safety checklist in trauma and orthopaedic patients.

Sewell M, Adebibe M, Jayakumar P, et al. Int Orthop. 2011;35:897-901.

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