AHRQ Patient Safety Network

The Collection > Specialty Hospitals

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Safety Target

•Device-related Complications (8)

•Diagnostic Errors (8)

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

•Fatigue and Sleep Deprivation (1)

•Medication Safety (34)

•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 (10)

•North America (65)

Resource Types

•Award (1)

•Journal Article (87)

•Newspaper/Magazine Article (3)

Error Types

•Epidemiology of Errors and Adverse Events (42)

•Active Errors (19)

•Latent Errors (3)

Approach to Improving Safety

•Quality Improvement Strategies (23)

•Legal and Policy Approaches (5)

•Error Reporting and Analysis (20)

•Communication Improvement (20)

•Human Factors Engineering (11)

•Teamwork (5)

•Specialization of Care (17)

•Logistical Approaches (5)

•Culture of Safety (9)

•Technologic Approaches (23)

•Education and Training (10)

Clinical Areas

•Medicine (76)

•Nursing (5)

•Pharmacy (9)

Target Audience

•Health Care Providers (73)

•Health Care Executives and Administrators (83)

•Non-Health Care Professionals (35)

•Patients (4)

Setting of Care
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Specialty Hospitals

1 - 20 of 91

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STUDY

Responding to patient safety incidents: the "seven pillars."

McDonald TB, Helmchen LA, Smith KM, et al. Qual Saf Health Care. 2010;19:e11.

STUDY

Using an enhanced oral chemotherapy computerized provider order entry system to reduce prescribing errors and improve safety.

Collins CM, Elsaid KA. Int J Qual Health Care. 2011;23:36-43.

STUDY

Hospital admission medication reconciliation in medically complex children: an observational study.

Stone BL, Boehme S, Mundorff MB, Maloney CG, Srivastava R. Arch Dis Child. 2010;95:250-255.

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

Errors of diagnosis in pediatric practice: a multisite survey.

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

STUDY

Comparison of Broselow tape measurements versus physician estimations of pediatric weights.

Rosenberg M, Greenberger S, Rawal A, Latimer-Pierson J, Thundiyil J. Am J Emerg Med. 2011;29:482-488.

STUDY

Delays and errors in cardiopulmonary resuscitation and defibrillation by pediatric residents during simulated cardiopulmonary arrests.

Hunt EA, Vera K, Diener-West M, et al. Resuscitation. 2009;80:819-825.

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

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

An in-depth analysis of medication errors in hospitalized patients with HIV.

Snyder AM, Klinker K, Orrick JJ, Janelle J, Winterstein AG. Ann Pharmacother. 2011;45:459-468.

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

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

Medication reconciliation in a rural trauma population.

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

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

Use of colour-coded labels for intravenous high-risk medications and lines to improve patient safety.

Porat N, Bitan Y, Shefi D, Donchin Y, Rozenbaum H. Qual Saf Health Care. 2009;18:505-509.

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

The effect of resident duty hour restriction on trauma center outcomes in teaching hospitals in the state of Pennsylvania.

Helling TS, Kaswan S, Boccardo J, Bost JE. J Trauma. 2010;69:607-613.

STUDY

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

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

A medication error prevention survey: five years of results.

Cusano F, Chambers C, Summach DL. J Oncol Pharm Pract. 2009;15:87-93.

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