AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (8)

•Diagnostic Errors (40)

•Identification Errors (3)

•Discontinuities, Gaps, and Hand-Off Problems (65)

•Fatigue and Sleep Deprivation (5)

•Medication Safety (79)

•Medical Complications (17)

•Nonsurgical Procedural Complications (7)

•Surgical Complications (4)

•Transfusion Complications (1)

•Psychological and Social Complications (5)

Origin/Sponsor

•Australia and New Zealand (12)

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•North America (218)

Resource Types

•Book/Report (5)

•Journal Article (235)

•Legislation/Regulation (2)

•Newspaper/Magazine Article (18)

•Special or Theme Issue (5)

•Tools/Toolkit (1)

•Web Resource (3)

Error Types

•Epidemiology of Errors and Adverse Events (91)

•Active Errors (63)

•Latent Errors (19)

•Near Miss (4)

Approach to Improving Safety

•Quality Improvement Strategies (59)

•Legal and Policy Approaches (15)

•Error Reporting and Analysis (58)

•Communication Improvement (85)

•Human Factors Engineering (21)

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•Culture of Safety (17)

•Technologic Approaches (37)

•Education and Training (55)

Clinical Areas

•Medicine (260)

•Nursing (21)

•Pharmacy (17)

Target Audience

•Health Care Providers (206)

•Health Care Executives and Administrators (192)

•Non-Health Care Professionals (79)

•Patients (13)

Setting of Care
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Emergency Departments

1 - 20 of 270

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STUDY

The influence of the causes and contexts of medical errors on emergency medicine residents' responses to their errors: an exploration.

Hobgood C, Hevia A, Tamayo-Sarver JH, Weiner B, Riviello R. Acad Med. 2005;80:758-764.

STUDY

Medical error identification, disclosure, and reporting: do emergency medicine provider groups differ?

Hobgood C, Weiner B, Tamayo-Sarver JH. Acad Emerg Med. 2006;13:443-451.

COMMENTARY

Assessing diagnostic reasoning: a consensus statement summarizing theory, practice, and future needs.

Ilgen JS, Humbert AJ, Kuhn G, et al. Acad Emerg Med. 2012;19:1454-1461.

NEWSPAPER/MAGAZINE ARTICLE

Non-English speakers find ERs hard to reach.

Hua V. San Francisco Chronicle. February 17, 2006:B6.

STUDY

Healthcare provider complaints to the emergency department: a preliminary report on a new quality improvement instrument.

Griffey RT, Bohan JS. Qual Saf Health Care. 2006;15:344-346.

NEWSPAPER/MAGAZINE ARTICLE

Patient safety in the ED.

Scalise D, Lazar C. Hosp Health Netw. May 2006:80:5,48,2.

NEWSPAPER/MAGAZINE ARTICLE

A case that shook medicine.

Lerner BH. The Washington Post. November 28, 2006:HE01.

MULTI-USE WEBSITE

Maryland Patient Safety Center Emergency Department Collaborative.

Maryland Patient Safety Center.

STUDY

The effects of resident level of training on the rate of pediatric prescription errors in an academic emergency department.

Pacheco GS, Viscusi C, Hays DP, Woolridge DP. J Emerg Med. 2012;43:e343-e348.

ORGANIZATIONAL POLICY/GUIDELINES

Joint Policy Statement—Guidelines for Care of Children in the Emergency Department.

American Academy of Pediatrics Committee on Pediatric Emergency Medicine; American College of Emergency Physicians Pediatric Committee; Emergency Nurses Association Pediatric Committee. Pediatrics. 2009;124:1233-1243.

STUDY

The multitasking clinician: decision-making and cognitive demand during and after team handoffs in emergency care.

Laxmisan A, Hakimzada F, Sayan OR, et al. Int J Med Inform. 2007;76:801-811.

STUDY

Characteristics of patient care management problems identified in emergency department morbidity and mortality investigations during 15 years.

Cosby KS, Roberts R, Palivos L, et al. Ann Emerg Med. 2008;51:251-61, 261.e1.

STUDY

A survey of the use of time-out protocols in emergency medicine.

Kelly JJ, Farley H, O'Cain C, et al. Jt Comm J Qual Patient Saf. 2011;37:285-288.

STUDY

Voluntarily reported emergency department errors.

Henneman PL, Blank FSJ, Smithline HA, et al. J Patient Safety. 2005;1:126-132.

REVIEW

classic

Effects of rapid response systems on clinical outcomes: systematic review and meta-analysis.

Ranji SR, Auerbach AD, Hurd CJ, O'Rourke K, Shojania KG. J Hosp Med. 2007;2:422-432.

STUDY

Using a preprinted order sheet to reduce prescription errors in a pediatric emergency department: a randomized, controlled trial.

Kozer E, Scolnik D, MacPherson A, Rauchwerger D, Koren G. Pediatrics. 2005;116:1299-1302.

COMMENTARY

Words: the "drug" with the highest frequency of dispensing errors.

Lamba S. Acad Emerg Med. 2011;18:93-95.

COMMENTARY

Profiles in patient safety: misplaced femoral line guidewire and multiple failures to detect the foreign body on chest radiography.

Lum TE, Fairbanks RJ, Pennington EC, Zwemer FL. Acad Emerg Med. 2005;12:658-662.

STUDY

Emergency department discharge prescription interventions by emergency medicine pharmacists.

Cesarz JL, Steffenhagen AL, Svenson J, Hamedani AG. Ann Emerg Med. 2013;61:209-214.e1.

SPECIAL OR THEME ISSUE

Patient Safety in Pediatric Emergency Medicine.

Frush KS, Hohenhaus SM, eds. Clin Ped Emerg Med. 2006;7:213-277.

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