AHRQ Patient Safety Network

The Collection > Specialty Hospitals

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Safety Target

•Device-related Complications (8)

•Diagnostic Errors (8)

•Identification Errors (2)

•Discontinuities, Gaps, and Hand-Off Problems (13)

•Fatigue and Sleep Deprivation (1)

•Medication Safety (36)

•Medical Complications (21)

•Nonsurgical Procedural Complications (5)

•Surgical Complications (9)

•Transfusion Complications (2)

•Psychological and Social Complications (3)

Origin/Sponsor

•Asia (5)

•Australia and New Zealand (9)

•Central and South America (1)

•Europe (12)

•North America (65)

Resource Types

•Award (1)

•Journal Article (89)

•Newspaper/Magazine Article (3)

Error Types

•Epidemiology of Errors and Adverse Events (43)

•Active Errors (20)

•Latent Errors (3)

Approach to Improving Safety

•Quality Improvement Strategies (22)

•Legal and Policy Approaches (5)

•Error Reporting and Analysis (22)

•Communication Improvement (20)

•Human Factors Engineering (11)

•Teamwork (5)

•Specialization of Care (16)

•Logistical Approaches (5)

•Culture of Safety (8)

•Technologic Approaches (23)

•Education and Training (11)

Clinical Areas

•Medicine (76)

•Nursing (6)

•Pharmacy (9)

Target Audience

•Health Care Providers (75)

•Health Care Executives and Administrators (84)

•Non-Health Care Professionals (35)

•Patients (4)

Setting of Care
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Specialty Hospitals

1 - 20 of 93

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STUDY

Preventing potentially inappropriate medication use in hospitalized older patients with a computerized provider order entry warning system.

Mattison MLP, Afonso KA, Ngo LH, Mukamal KJ. Arch Intern Med. 2010;170:1331-1336.

STUDY

Prescription errors and outcomes related to inconsistent information transmitted through computerized order entry: a prospective study.

Singh H, Mani S, Espadas D, Petersen N, Franklin V, Petersen LA. Arch Intern Med. 2009;169:982-989.

STUDY

Developing a programme for medication reconciliation at the time of admission into hospital.

Manzorro AG, Zoni AC, Rieiro CR, et al. Int J Clin Pharm. 2011;33:603-609.

STUDY

Chemotherapy medication errors in a pediatric cancer treatment center: prospective characterization of error types and frequency and development of a quality improvement initiative to lower the error rate.

Watts RG, Parsons K. Pediatr Blood Cancer. 2013 Mar 20; [Epub ahead of print].

STUDY

Errors of diagnosis in pediatric practice: a multisite survey.

Singh H, Thomas EJ, Wilson L, et al. Pediatrics. 2010;126:70-79.

STUDY

Impact of a comprehensive safety initiative on patient-controlled analgesia errors.

Paul JE, Bertram B, Antoni K, et al. Anesthesiology. 2010;113:1427-1432.

STUDY

Medication reconciliation during internal hospital transfer and impact of computerized prescriber order entry.

Lee JY, Leblanc K, Fernandes OA, et al. Ann Pharmacother. 2010;44:1887-1895.

COMMENTARY

Successful remediation of patient safety incidents: a tale of two medication errors.

Helmchen LA, Richards MR, McDonald TB. Health Care Manage Rev. 2011;36:1-10.

STUDY

An inpatient fall prevention initiative in a tertiary care hospital.

Weinberg J, Proske D, Szerszen A, et al. Jt Comm J Qual Patient Saf. 2011;37:317-325.

STUDY

Missed opportunities to initiate endoscopic evaluation for colorectal cancer diagnosis.

Singh H, Daci K, Petersen LA, et al. Am J Gastroenterol. 2009;104:2543-2554.

STUDY

A trigger tool fails to identify serious errors and adverse events in pediatric otolaryngology.

Lander L, Roberson DW, Plummer KM, Forbes PW, Healy GB, Shah RK. Otolaryngol Head Neck Surg. 2010;143:480-486.

STUDY

Do emergency physicians attribute drug-related emergency department visits to medication-related problems?

Hohl CM, Zed PJ, Brubacher JR, Abu-Laban RB, Loewen PS, Purssell RA. Ann Emerg Med. 2010;55:493-502.e4.

STUDY

Medication reconciliation in a rural trauma population.

Miller SL, Miller S, Balon J, Helling TS. Ann Emerg Med. 2008;52:483-491.

NEWSPAPER/MAGAZINE ARTICLE classic

Doctor’s orders killed cancer patient: Dana-Farber admits drug overdose caused death of Globe columnist, damage to second woman.

Knox RA. The Boston Globe. March 23, 1995; Metro/Region section: 1.

STUDY

Trends in central line–associated bloodstream infections in a trauma-surgical intensive care unit.

Ong A, Dysert K, Herbert C, et al. Arch Surg. 2011;146:302-307.

STUDY

A prospective observational study of physician handoff for intensive-care-unit-to-ward patient transfers.

Li P, Stelfox HT, Ghali WA. Am J Med. 2011;124:860-867.

STUDY

Evaluation of the contributions of an electronic web-based reporting system: enabling action.

Levtzion-Korach O, Alcalai H, Orav EJ, et al. J Patient Saf. 2009;5:9-15.

STUDY

A human factors framework and study of the effect of nursing workload on patient safety and employee quality of working life.

Holden RJ, Scanlon MC, Patel NR, et al. BMJ Qual Saf. 2011;20:15-24.

STUDY

Enhancing patient safety with intelligent intravenous infusion devices: experience in a specialty cardiac hospital.

Wood JL, Burnette JS. Heart Lung. 2012;41:173-176.

STUDY

Patient safety measures in burn care: do national reporting systems accurately reflect quality of burn care?

Mandell SP, Robinson EF, Cooper CL, Klein MB, Gibran NS. J Burn Care Res. 2010;31:125-129.

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