AHRQ Patient Safety Network

The Collection > General Hospitals

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Safety Target

•Device-related Complications (60)

•Diagnostic Errors (27)

•Identification Errors (49)

•Discontinuities, Gaps, and Hand-Off Problems (142)

•Fatigue and Sleep Deprivation (27)

•Medication Safety (345)

•Medical Complications (137)

•Nonsurgical Procedural Complications (37)

•Surgical Complications (266)

•Transfusion Complications (3)

•Psychological and Social Complications (36)

Origin/Sponsor

•Africa (1)

•Asia (17)

•Australia and New Zealand (28)

•Central and South America (4)

Resource Types

•Clinical Guideline (1)

•Journal Article (930)

•Legislation/Regulation (9)

•Meeting/Conference (1)

•Newspaper/Magazine Article (62)

•Press Release/Announcement (2)

•Special or Theme Issue (10)

•Tools/Toolkit (1)

•Web Resource (8)

Error Types

•Epidemiology of Errors and Adverse Events (374)

•Active Errors (202)

•Latent Errors (42)

•Near Miss (26)

Approach to Improving Safety

•Quality Improvement Strategies (249)

•Legal and Policy Approaches (49)

•Error Reporting and Analysis (310)

•Communication Improvement (256)

•Human Factors Engineering (179)

•Teamwork (130)

•Specialization of Care (100)

•Logistical Approaches (90)

•Culture of Safety (120)

•Technologic Approaches (212)

•Education and Training (204)

Clinical Areas

•Allied Health Services (2)

•Medicine (904)

•Nursing (118)

•Pharmacy (90)

Target Audience

•Health Care Providers (739)

•Health Care Executives and Administrators (959)

•Non-Health Care Professionals (379)

•Patients (36)

Setting of Care
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General Hospitals

•Intensive Care Units (187)

•Emergency Departments (138)

•Operating Room (272)

•Labor and Delivery (49)

1 - 20 of 1045

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STUDY

Automated medication error studies with audit supplementation were effectively designed and analyzed by time series.

Shuster JJ, Winterstein AG. J Clin Epidemiol. 2006;59:957-963.

STUDY

Improving self-reporting of adverse drug events in a West Virginia hospital.

Schade CP, Hannah K, Ruddick P, Starling C, Brehm J. Am J Med Qual. 2006;21:335-341.

STUDY

The effect of a rapid response team on major clinical outcome measures in a community hospital.

Dacey MJ, Mirza ER, Wilcox V, et al. Crit Care Med. 2007;35:2076-2082.

STUDY

Adverse drug event reporting in intensive care units: a survey of current practices.

Kane-Gill SL, Devlin JW. Ann Pharmacother. 2006;40:1267-73.

STUDY

An examination of technical efficiency, quality, and patient safety in acute care nursing units.

Mark B, Jones C, Lindley L, Ozcan Y. Policy Polit Nurs Pract. 2009;10:180-186.

STUDY

Comparison of methods for identifying patients at risk of medication-related harm.

van Doormaal JE, Rommers MK, Kosterink JGW, Teepe-Twiss IM, Haaijer-Ruskamp FM, Mol PGM. Qual Saf Health Care. 2010;19:e26.

COMMENTARY

Passing the "Yo' Mama" test.

Blair R. Health Manage Tech. June 2006;27:16.

STUDY

Assessment of adverse drug events among patients in a tertiary care medical center.

Johnston PE, France DJ, Byrne DW, et al. Am J Health Syst Pharm. 2006;63:2218-2227.

STUDY

Patient risk factors for medical injury: a case–control study.

Marbella AM, Laud PW, Brasel KJ, Layde PM. BMJ Qual Saf. 2011;20:187-193.

STUDY

Evaluating clinical decision support systems: monitoring CPOE order check override rates in the Department of Veterans Affairs' computerized patient record system.

Lin C-P, Payne TH, Nichol WP, et al. J Am Med Inform Assoc. 2008;15:620-626.

STUDY

Tiering drug–drug interaction alerts by severity increases compliance rates.

Paterno MD, Maviglia SM, Gorman PN, et al. J Am Med Inform Assoc. 2009;16:40-46.

STUDY

Incidence and nature of adverse events during pediatric sedation/anesthesia for procedures outside the operating room: report from the Pediatric Sedation Research Consortium.

Cravero JP, Blike GT, Beach M, et al. Pediatrics. 2006;118:1087-1096.

STUDY

A randomised controlled trial of the effect of continuous electronic physiological monitoring on the adverse event rate in high risk medical and surgical patients.

Watkinson PJ, Barber VS, Price JD, et al. Anaesthesia. 2006;61:1031-1039.

STUDY

Can surveillance systems identify and avert adverse drug events? A prospective evaluation of a commercial application.

Jha AK, Laguette J, Seger A, Bates DW. J Am Med Inform Assoc. 2008;15:647-653.

STUDY

Iatrogenic events resulting in intensive care admission: frequency, cause, and disclosure to patients and institutions.

Lehmann LS, Puopolo AL, Shaykevich S, Brennan TA. Am J Med. 2005;118:409-413.

STUDY

Samoy LJ, Zed PJ, Wilbur K, Balen RM, Abu-Laban RB, Roberts M. Pharmacotherapy. 2006;26:1578-1586.

STUDY

Reducing medication errors and improving systems reliability using an electronic medication reconciliation system.

Agrawal A, Wu WY. Jt Comm J Qual Patient Saf. 2009;35:106-114.

STUDY

Medication errors resulting from computer entry by nonprescribers.

Santell JP, Kowiatek JG, Weber RJ, Hicks RW, Sirio CA. Am J Health Syst Pharm. 2009;66:843-853.

STUDY

Evaluation of causes and frequency of medication errors during information technology downtime.

Hanuscak TL, Szeinbach SL, Seoane-Vazquez E, Reichert BJ, McCluskey CF. Am J Health Syst Pharm. 2009;66:1119-1124.

STUDY

Adverse drug event rates in six community hospitals and the potential impact of computerized physician order entry for prevention.

Hug BL, Witkowski DJ, Sox CM, et al. J Gen Intern Med. 2010;25:31-38.

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