AHRQ Patient Safety Network

The Collection > General Hospitals

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Safety Target

•Device-related Complications (68)

•Diagnostic Errors (43)

•Identification Errors (74)

•Discontinuities, Gaps, and Hand-Off Problems (161)

•Fatigue and Sleep Deprivation (32)

•Medication Safety (341)

•Medical Complications (170)

•Nonsurgical Procedural Complications (65)

•Surgical Complications (362)

•Transfusion Complications (3)

•Psychological and Social Complications (46)

Origin/Sponsor

•Africa (1)

•Asia (19)

•Australia and New Zealand (36)

•Central and South America (5)

Resource Types

•Clinical Guideline (2)

•Journal Article (1054)

•Legislation/Regulation (12)

•Meeting/Conference (1)

•Newspaper/Magazine Article (101)

•Press Release/Announcement (3)

•Special or Theme Issue (16)

•Tools/Toolkit (4)

•Web Resource (15)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (384)

•Active Errors (301)

•Latent Errors (68)

•Near Miss (27)

Approach to Improving Safety

•Quality Improvement Strategies (298)

•Legal and Policy Approaches (74)

•Error Reporting and Analysis (298)

•Communication Improvement (361)

•Human Factors Engineering (244)

•Teamwork (187)

•Specialization of Care (101)

•Logistical Approaches (100)

•Culture of Safety (168)

•Technologic Approaches (210)

•Education and Training (278)

Clinical Areas

•Allied Health Services (2)

•Medicine (1098)

•Nursing (131)

•Pharmacy (90)

Target Audience

•Health Care Providers (960)

•Health Care Executives and Administrators (1073)

•Non-Health Care Professionals (443)

•Patients (76)

Setting of Care
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General Hospitals

•Intensive Care Units (205)

•Emergency Departments (171)

•Operating Room (380)

•Labor and Delivery (81)

1 - 20 of 1239

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COMMENTARY

Safety strategies in an academic radiation oncology department and recommendations for action.

Terezakis SA, Pronovost P, Harris K, Deweese T, Ford E. Jt Comm J Qual Patient Saf. 2011;37:291-299.

STUDY

Incidence and root cause analysis of wrong-site pain management procedures: a multicenter study.

Cohen SP, Hayek SM, Datta S, et al. Anesthesiology. 2010;112:711-718.

STUDY

Computerized physician order entry of injectable antineoplastic drugs: an epidemiologic study of prescribing medication errors.

Nerich V, Limat S, Demarchi M, et al. Int J Med Inform. 2010;79:699-706.

STUDY

Chemotherapy patients' perceptions of drug administration safety.

Schwappach DLB, Wernli M. J Clin Oncol. 2010;28:2896-2901.

STUDY

Polypharmacy in hospitalized older adult cancer patients: experience from a prospective, observational study of an oncology-acute care for elders unit.

Flood KL, Carroll MB, Le CV, Brown CJ. Am J Geriatr Pharmacother. 2009;7:151-158.

COMMENTARY

Use of an anatomic marking form as an alternative to the Universal Protocol for Preventing Wrong Site, Wrong Procedure and Wrong Person Surgery.

Knight N, Aucar J. Am J Surg. 2010;200:803-807.

COMMENTARY

A simple checklist for preventing major complications associated with cesarean delivery.

Duff P. Obstet Gynecol. 2010;116:1393-1396.

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

Decreasing mislabeled laboratory specimens using barcode technology and bedside printers.

Brown JE, Smith N, Sherfy BR. J Nurs Care Qual. 2011;26:13-21.

STUDY

A multidisciplinary approach to adverse drug events in pediatric trauma patients in an adult trauma center.

Kalina M, Tinkoff G, Gleason W, Veneri P, Fulda G. Pediatr Emerg Care. 2009;25:444-446.

STUDY

Preventing wrong site, procedure, and patient events using a common cause analysis.

Mallett R, Conroy M, Saslaw LZ, Moffatt-Bruce S. Am J Med Qual. 2012;27:21-29.

STUDY

Variation in surgical time-out and site marking within pediatric otolaryngology.

Shah RK, Arjmand E, Roberson DW, Deutsch E, Derkay C. Arch Otolaryngol Head Neck Surg. 2011;137:69-73.

NEWSPAPER/MAGAZINE ARTICLE

Doctor removes ovaries from wrong patient.

Bramson K, Mooney T. Providence Journal. August 18, 2006.

STUDY

Process changes to increase compliance with the Universal Protocol for bedside procedures.

Barsuk JH, Brake H, Caprio T, Barnard C, Anderson DY, Williams MV. Arch Intern Med. 2011;171:947-949.

STUDY

The Henry Ford Production System: reduction of surgical pathology in-process misidentification defects by bar code-specified work process standardization.

Zarbo RJ, Tuthill JM, D'Angelo R, et al. Am J Clin Pathol. 2009;131:468-477.

STUDY

Multidisciplinary system for detecting medication errors in antineoplastic chemotherapy.

Serrano-Fabiá A, Albert-Marí A, Almenar-Cubells D, Jiménez-Torres NV. J Oncol Pharm Pract. 2010;16:105-112.

STUDY

Unintended effects of a computerized physician order entry nearly hard-stop alert to prevent a drug interaction: a randomized controlled trial.

Strom BL, Schinnar R, Aberra F, et al. Arch Intern Med. 2010;170:1578-1583.

STUDY

Wrong-site craniotomy: analysis of 35 cases and systems for prevention.

Cohen FL, Mendelsohn D, Bernstein M. J Neurosurg. 2010;113:461-473.

STUDY

Origins of and solutions for neonatal medication-dispensing errors.

Sauberan JB, Dean LM, Fiedelak J, Abraham JA. Am J Health Syst Pharm. 2010;67:49-57.

STUDY

Am I (un)safe here? Chemotherapy patients' perspectives towards engaging in their safety.

Schwappach DLB, Wernli M. Qual Saf Health Care. 2010;19:e9.

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