AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (139)

•Diagnostic Errors (95)

•Identification Errors (88)

•Discontinuities, Gaps, and Hand-Off Problems (306)

•Fatigue and Sleep Deprivation (51)

•Medication Safety (838)

•Medical Complications (342)

•Nonsurgical Procedural Complications (62)

•Surgical Complications (336)

•Transfusion Complications (13)

•Psychological and Social Complications (70)

Origin/Sponsor

•Africa (4)

•Asia (73)

•Australia and New Zealand (165)

•Central and South America (10)

•Europe (412)

•North America (1745)

Resource Types

•Audiovisual (15)

•Award (4)

•Book/Report (95)

•Clinical Guideline (3)

•Journal Article (2050)

•Legislation/Regulation (28)

•Meeting/Conference (2)

•Newspaper/Magazine Article (186)

•Press Release/Announcement (7)

•Special or Theme Issue (24)

•Tools/Toolkit (19)

•Web Resource (26)

•Grant (3)

Error Types

•Epidemiology of Errors and Adverse Events (1062)

•Active Errors (551)

•Latent Errors (203)

•Near Miss (81)

Approach to Improving Safety

•Quality Improvement Strategies (547)

•Legal and Policy Approaches (157)

•Error Reporting and Analysis (880)

•Communication Improvement (527)

•Human Factors Engineering (435)

•Teamwork (172)

•Specialization of Care (183)

•Logistical Approaches (220)

•Culture of Safety (259)

•Technologic Approaches (421)

•Education and Training (407)

Clinical Areas

•Allied Health Services (4)

•Medicine (1826)

•Nursing (447)

•Pharmacy (289)

Target Audience

•Health Care Providers (1713)

•Health Care Executives and Administrators (2116)

•Non-Health Care Professionals (782)

•Patients (111)

Setting of Care
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Hospitals

•General Hospitals (822)

•Children’s Hospitals (87)

•Specialty Hospitals (57)

1 - 20 of 2462

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STUDY

Association of interruptions with an increased risk and severity of medication administration errors.

Westbrook JI, Woods A, Rob MI, Dunsmuir WTM, Day RO. Arch Intern Med. 2010;170:683-690.

STUDY

Empowering frontline nurses: a structured intervention enables nurses to improve medication administration accuracy.

Kliger J, Blegen MA, Gootee D, O'Neil E. Jt Comm J Qual Patient Saf. 2009;35:604-612.

STUDY

No interruptions please: impact of a no interruption zone on medication safety in intensive care units.

Anthony K, Wiencek C, Bauer C, Daly B, Anthony MK. Crit Care Nurse. 2010;30:21-29.

STUDY

Errors in the administration of intravenous medications in hospital and the role of correct procedures and nurse experience.

Westbrook JI, Rob MI, Woods A, Parry D. BMJ Qual Saf. 2011;20:1027-1034.

STUDY

The impact of traditional and smart pump infusion technology on nurse medication administration performance in a simulated inpatient unit.

Trbovich PL, Pinkney S, Cafazzo JA, Easty AC. Qual Saf Health Care. 2010;19:430-434.

STUDY

Medication safety initiative in reducing medication errors.

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

STUDY

Nursing care quality and adverse events in US hospitals.

Lucero RJ, Lake ET, Aiken LH. J Clin Nurs. 2010;19:2185-2195.

STUDY

Adverse drug events caused by serious medication administration errors.

Kale A, Keohane CA, Maviglia S, Gandhi TK, Poon EG. BMJ Qual Saf. 2012;21:933-938.

COMMENTARY

Medication errors in nursing—part 1 and part 2.

Leufer T, Cleary-Holdforth J. Nurse Educ Pract. 2013;13:213-220.

STUDY

Nurse interruptions pre- and post-implementation of a point-of-care medication administration system.

Stamp KD, Willis DG. J Nurs Care Qual. 2010;25:231-239.

STUDY

Errors in the administration of intravenous medication in Brazilian hospitals.

Anselmi ML, Peduzzi M, Dos Santos CB. J Clin Nurs. 2007;16:1839-1847.

NEWSPAPER/MAGAZINE ARTICLE

Design for reliability: barcoded medication administration.

Hayden AC, Lanoue ET, Still CJ. Patient Saf Qual Healthc. July/August 2011;8:12-20.

STUDY

A human factors framework and study of the effect of nursing workload on patient safety and employee quality of working life.

Holden RJ, Scanlon MC, Patel NR, et al. BMJ Qual Saf. 2011;20:15-24.

STUDY

Benefits of direct observation in medication administration to detect errors.

Diaz-Navarlaz T, Pronovost P, Beortegui E, Segui-Gomez M. J Patient Saf. 2007;3:200-207.

COMMENTARY

Implementing a safe and reliable process for medication administration.

Richardson B, Bromirski B, Hayden A. Clin Nurse Spec. 2012;26:169-176.

STUDY

A secondary care nursing perspective on medication administration safety.

McBride-Henry K, Foureur M. J Adv Nurs. 2007;60:58-66.

STUDY

Patient self-medication--a change in hospital practice.

Grantham G, McMillan V, Dunn SV, Gassner LA, Woodcock P. J Clin Nurs. 2006;15:962-970.

REVIEW

Medication administration technologies and patient safety: a mixed-method systematic review.

Wulff K, Cummings GG, Marck P, Yurtseven O. J Adv Nurs. 2011;67:2080-2095.

STUDY

Nurses relate the contributing factors involved in medication errors.

Tang FI, Sheu SJ, Yu S, Wei IL, Chen CH. J Clin Nurs. 2007;16:447-457.

STUDY

Relationship between systems-level factors and hand hygiene adherence.

Dunn-Navarra AM, Cohen B, Stone PW, Pogorzelska M, Jordan S, Larson E. J Nurs Care Qual. 2011;26:30-38.

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