AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (65)

•Diagnostic Errors (55)

•Identification Errors (36)

•Discontinuities, Gaps, and Hand-Off Problems (168)

•Fatigue and Sleep Deprivation (58)

•Medication Safety (508)

•Medical Complications (122)

•Nonsurgical Procedural Complications (28)

•Surgical Complications (149)

•Transfusion Complications (4)

•Psychological and Social Complications (36)

Origin/Sponsor

•Africa (1)

•Asia (41)

•Australia and New Zealand (36)

•Central and South America (6)

Resource Types

•Clinical Guideline (4)

•Journal Article (1087)

•Legislation/Regulation (20)

•Meeting/Conference (2)

•Newspaper/Magazine Article (123)

•Press Release/Announcement (6)

•Special or Theme Issue (12)

•Tools/Toolkit (11)

•Web Resource (9)

Error Types

•Epidemiology of Errors and Adverse Events (363)

•Active Errors (234)

•Latent Errors (106)

•Near Miss (26)

Approach to Improving Safety

•Quality Improvement Strategies (354)

•Legal and Policy Approaches (84)

•Error Reporting and Analysis (392)

•Communication Improvement (294)

•Human Factors Engineering (183)

•Teamwork (104)

•Specialization of Care (100)

•Logistical Approaches (146)

•Culture of Safety (140)

•Technologic Approaches (236)

•Education and Training (239)

Clinical Areas

•Allied Health Services (2)

•Medicine (914)

•Nursing (264)

•Pharmacy (211)

Target Audience

•Health Care Providers (1106)

•Health Care Executives and Administrators (1071)

•Non-Health Care Professionals (365)

•Patients (59)

Setting of Care
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Hospitals

•General Hospitals (340)

•Children’s Hospitals (37)

•Specialty Hospitals (10)

1 - 20 of 1330

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COMMENTARY

Citrate Mix-Up

Weber RJ. AHRQ WebM&M [serial online]. May 2006.

COMMENTARY

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2010;45:13-17.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2009;44:730-733.

COMMENTARY

Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge.

Rodehaver C. Jt Comm J Qual Patient Saf. 2005;31:406-413.

STUDY

The attitudes and beliefs of healthcare professionals on the causes and reporting of medication errors in a UK intensive care unit.

Sanghera IS, Franklin BD, Dhillon S. Anaesthesia. 2007;62:53-61.

BOOK/REPORT

National Diabetes Inpatient Audit 2011.

Leeds, UK: Health and Social Care Information Centre; 2012.

STUDY

Excess dosing of antiplatelet and antithrombin agents in the treatment of non–ST-segment elevation acute coronary syndromes.

Alexander KP, Chen AY, Roe MT, et al; CRUSADE Investigators. JAMA. 2005;294:3108-3116.

STUDY

Detection and prevention of medication errors using real-time bedside nurse charting.

Nelson NC, Evans RS, Samore MH, Gardner RM. J Am Med Inform Assoc. 2005;12:390-397.

STUDY

Drug-induced hypoglycaemia--new insight into an old problem.

Ching CK, Lai CK, Poon WT, et al. Hong Kong Med J. 2006;12:334-338.

STUDY

Epidemiology, comparative methods of detection, and preventability of adverse drug events.

Al-Tajir GK, Kelly WN. Ann Pharmacother. 2005;39:1169-1174.

COMMENTARY

Crossed Coverage

Kayser SR. AHRQ WebM&M [serial online]. February 2007.

NEWSPAPER/MAGAZINE ARTICLE

Dose of technology helps Shands at UF avoid drug errors.

Chun D. Gainsville Sun. August 21, 2006.

COMMENTARY

Miscalculated Risk

Strassels SA. AHRQ WebM&M [serial online]. August 2006.

STUDY

Attitudes and barriers to incident reporting: a collaborative hospital study.

Evans SM, Berry JG, Smith BJ, et al. Qual Saf Health Care. 2006;15:39-43.

COMMENTARY

Prescribing errors resulting in adverse drug events: how can they be prevented?

Thurmann PA. Expert Opin Drug Saf. 2006;5:489-493.

SPECIAL OR THEME ISSUE

Prescribing Themed Issue.

Waller DG. Br J Clin Pharmacol. 2012;74:559-729.

STUDY

Medication reconciliation for reducing drug-discrepancy adverse events.

Boockvar KS, Carlson Lacorte H, Giambanco V, Fridman B, Siu A. Am J Geriatr Pharmacother. 2006;4:236-243.

BOOK/REPORT

Unintended exposure of patient Lisa Norris during radiotherapy treatment at the Beatson Oncology Centre, Glasgow in January 2006.

Johnson AM. Edinburgh, Scotland: Scottish Executive; 2006.

NEWSPAPER/MAGAZINE ARTICLE

What pilots can teach hospitals about patient safety.

Murphy K. New York Times. October 31, 2006:F5.

STUDY

Potassium and phosphorus repletion in hospitalized patients: implications for clinical practice and the potential use of healthcare information technology to improve prescribing and patient safety.

Hemstreet BA, Stolpman N, Badesch DB, May SK, McCollum M. Curr Med Res Opin. 2006;22:2449-2455.

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