AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (119)

•Diagnostic Errors (176)

•Identification Errors (80)

•Discontinuities, Gaps, and Hand-Off Problems (286)

•Fatigue and Sleep Deprivation (33)

•Medication Safety (734)

•Medical Complications (327)

•Nonsurgical Procedural Complications (77)

•Surgical Complications (324)

•Transfusion Complications (13)

•Psychological and Social Complications (55)

Origin/Sponsor

•Australia and New Zealand (89)

•Central and South America (7)

•Europe (381)

•North America (1625)

Resource Types

•Audiovisual (4)

•Book/Report (78)

•Clinical Guideline (4)

•Journal Article (1839)

•Legislation/Regulation (25)

•Meeting/Conference (12)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (105)

•Press Release/Announcement (14)

•Special or Theme Issue (26)

•Tools/Toolkit (23)

•Web Resource (52)

Error Types

•Epidemiology of Errors and Adverse Events (926)

•Active Errors (599)

•Latent Errors (170)

•Near Miss (64)

Approach to Improving Safety

•Quality Improvement Strategies (575)

•Legal and Policy Approaches (132)

•Error Reporting and Analysis (614)

•Communication Improvement (580)

•Human Factors Engineering (354)

•Teamwork (206)

•Specialization of Care (208)

•Logistical Approaches (133)

•Culture of Safety (235)

•Technologic Approaches (361)

•Education and Training (424)

Clinical Areas

•Allied Health Services (11)

•Dentistry (3)

•Medicine (1752)

•Nursing (184)

•Pharmacy (254)

Target Audience
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Health Care Providers

•Allied Health Professionals (5)

•Clinical Technologists (19)

•Physicians (206)

•Nurses (198)

•Pharmacists (74)

Setting of Care

•Hospitals (1549)

•Psychiatric Facilities (10)

•Residential Facilities (42)

•Ambulatory Care (218)

•Outpatient Surgery (25)

•Patient Transport (39)

1 - 20 of 2199

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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

Reduction in hospital mortality over time in a hospital without a pediatric medical emergency team: limitations of before-and-after study designs.

Joffe AR, Anton NR, Burkholder SC. Arch Pediatr Adolesc Med. 2011;165:419-423.

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

Attitudes and barriers to a medical emergency team system at a tertiary paediatric hospital.

Azzopardi P, Kinney S, Moulden A, Tibballs J. Resuscitation. 2011;82:167-174.

STUDY

A 5-year analysis of rapid response system activation at an in-hospital haemodialysis unit.

Galhotra S, Devita MA, Dew MA, Simmons RL. Qual Saf Health Care. 2010;19:e38.

STUDY

Changing cardiac arrest and hospital mortality rates through a medical emergency team takes time and constant review.

Santamaria J, Tobin A, Holmes J. Crit Care Med. 2010;38:445-450.

STUDY

Drug formulations that require potentially inaccurate volumes to prepare doses for infants and children.

Uppal N, Yasseen B, Seto W, Parshuram CS. CMAJ. 2011;183:E246-E248.

STUDY

Epidemiology and patient outcome after medical emergency team calls triggered by atrial fibrillation.

Schneider A, Calzavacca P, Jones D, Bellomo R. Resuscitation. 2011;82:410-414.

STUDY

Four years' experience with a hospitalist-led medical emergency team: an interrupted time series.

Rothberg MB, Belforti R, Fitzgerald J, Friderici J, Keyes M. J Hosp Med. 2012;7:98-103.

STUDY

A prospective controlled trial of the effect of a multi-faceted intervention on early recognition and intervention in deteriorating hospital patients.

Mitchell IA, McKay H, Van Leuvan C, et al. Resuscitation. 2010;81:658-666.

STUDY

Uncovering system errors using a rapid response team: cross-coverage caught in the crossfire.

Kaplan LJ, Maerz LL, Schuster K, et al. J Trauma. 2009;67:173-179.

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

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.

STUDY

Factors associated with medication errors in the pediatric emergency department.

Vilà-de-Muga M, Colom-Ferrer L, Gonzàlez-Herrero M, Luaces-Cubells C. Pediatr Emerg Care. 2011;27:290-294.

COMMENTARY

An implementation strategy for a multicenter pediatric rapid response system in Ontario.

Lobos A, Costello J, Gilleland J, Gaiteiro R, Kotsakis A; The Ontario Pediatric Critical Care Response Team Collaborative. Jt Comm J Qual Patient Saf. 2010;36:271-280.

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

A survey of nurses' beliefs about the medical emergency team system in a Canadian tertiary hospital.

Bagshaw SM, Mondor EE, Scouten C, et al; Capital Health Medical Emergency Team Investigators. Am J Crit Care. 2010;19:74-83.

STUDY

Trauma resuscitation errors and computer-assisted decision support.

Fitzgerald M, Cameron P, Mackenzie C, et al. Arch Surg. 2011;146:218-225.

STUDY

ED overcrowding is associated with an increased frequency of medication errors.

Kulstad EB, Sikka R, Sweis RT, Kelley KM, Rzechula KH. Am J Emerg Med. 2010;28:304-309.

STUDY

Retrospective review of emergency response activations during a 13-year period at a tertiary care children's hospital.

Wang GS, Erwin N, Zuk J, Henry DB, Dobyns EL. J Hosp Med. 2011;6:131-135.

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