AHRQ Patient Safety Network

The Collection > General Hospitals

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Safety Target

•Device-related Complications (54)

•Diagnostic Errors (29)

•Identification Errors (51)

•Discontinuities, Gaps, and Hand-Off Problems (123)

•Fatigue and Sleep Deprivation (11)

•Medication Safety (312)

•Medical Complications (113)

•Nonsurgical Procedural Complications (30)

•Surgical Complications (224)

•Transfusion Complications (4)

•Psychological and Social Complications (24)

Origin/Sponsor

•Africa (1)

•Asia (22)

•Australia and New Zealand (62)

•Central and South America (5)

Resource Types

•Clinical Guideline (1)

•Journal Article (804)

•Legislation/Regulation (4)

•Meeting/Conference (1)

•Newspaper/Magazine Article (42)

•Press Release/Announcement (1)

•Special or Theme Issue (5)

•Tools/Toolkit (3)

•Web Resource (6)

Error Types

•Epidemiology of Errors and Adverse Events (418)

•Active Errors (247)

•Latent Errors (44)

•Near Miss (29)

Approach to Improving Safety

•Quality Improvement Strategies (213)

•Legal and Policy Approaches (38)

•Error Reporting and Analysis (245)

•Communication Improvement (224)

•Human Factors Engineering (160)

•Teamwork (88)

•Specialization of Care (69)

•Logistical Approaches (83)

•Culture of Safety (95)

•Technologic Approaches (154)

•Education and Training (194)

Clinical Areas

•Allied Health Services (2)

•Medicine (747)

•Nursing (172)

•Pharmacy (82)

Target Audience

•Health Care Providers (652)

•Health Care Executives and Administrators (813)

•Non-Health Care Professionals (279)

•Patients (25)

Setting of Care
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General Hospitals

•Intensive Care Units (170)

•Emergency Departments (102)

•Operating Room (220)

•Labor and Delivery (39)

1 - 20 of 879

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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

Prospective pilot intervention study to prevent medication errors in drugs administered to children by mouth or gastric tube: a programme for nurses, physicians and parents.

Bertsche T, Bertsche A, Krieg EM, et al. Qual Saf Health Care. 2010;19:e26.

STUDY

Interruptions and multitasking in nursing care.

Kalisch BJ, Aebersold M. Jt Comm J Qual Patient Saf. 2010;36:126-132.

STUDY

A "back to basics" approach to reduce ED medication errors.

Blank FSJ, Tobin J, Macomber S, Jaouen M, Dinoia M, Visintainer P. J Emerg Nurs. 2011;37:141-147.

STUDY

Learning mechanisms to limit medication administration errors.

Drach-Zahavy A, Pud D. J Adv Nurs. 2010;66:794-805.

STUDY

Implementing bedside handover: strategies for change management.

McMurray A, Chaboyer W, Wallis M, Fetherston C. J Clin Nurs. 2010;19:2580-2589.

STUDY

The incidence and nature of prescribing and medication administration errors in paediatric inpatients.

Ghaleb MA, Barber N, Franklin BD, Wong ICK. Arch Dis Child. 2010;95:113-118.

STUDY

Prevalence of medication administration errors in two medical units with automated prescription and dispensing.

Rodriguez-Gonzalez CG, Herranz-Alonso A, Martin-Barbero ML, et al. J Am Med Inform Assoc. 2012;19:72-78.

STUDY

Hospital RNs' experiences with disruptive behavior: a qualitative study.

Walrath JM, Dang D, Nyberg D. J Nurs Care Qual. 2010;25:105-116.

STUDY

Medication errors reported in a pediatric intensive care unit for oncologic patients.

Belela AS, Peterlini MA, Pedreira ML. Cancer Nurs. 2011;34:393-400.

STUDY

Bar-code technology for medication administration: medication errors and nurse satisfaction.

Fowler SB, Sohler P, Zarillo DF. MedSurg Nursing. 2009;18:103-110.

STUDY

Bar code medication administration technology: characterization of high-alert medication triggers and clinician workarounds.

Miller DF, Fortier CR, Garrison KL. Ann Pharmacother. 2011;45:162-168.

STUDY

Impact of computerized orders for pediatric continuous drug infusions on detecting infusion pump programming errors: a simulated study.

Sowan AK, Gaffoor MI, Soeken K, Johantgen ME, Vaidya VU. J Pediatr Nurs. 2010;25:108-118.

STUDY

Comparing errors in ED computer-assisted vs conventional pediatric drug dosing and administration.

Yamamoto L, Kanemori J. Am J Emerg Med. 2010;28:588-592.

COMMENTARY

Identified safety risks with splitting and crushing oral medications.

Paparella S. J Emerg Nurs. 2010;36:156-158.

STUDY

The impact of type of manual medication cart filling method on the frequency of medication administration errors: a prospective before and after study.

Schimmel AM, Becker ML, van den Bout T, Taxis K, van den Bemt PM. Int J Nurs Stud. 2011;48:791-797.

STUDY

The impact of teamwork on missed nursing care.

Kalisch BJ, Lee KH. Nurs Outlook. 2010;58:233-241.

STUDY

The association of shift-level nurse staffing with adverse patient events.

Patrician PA, Loan L, McCarthy M, et al. J Nurs Adm. 2011;41:64-70.

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

Medication Administration Time Study (MATS): nursing staff performance of medication administration.

Elganzouri ES, Standish CA, Androwich I. J Nurs Adm. 2009;39:204-210.

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