AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (178)

•Diagnostic Errors (272)

•Identification Errors (128)

•Discontinuities, Gaps, and Hand-Off Problems (587)

•Fatigue and Sleep Deprivation (121)

•Medication Safety (1437)

•Medical Complications (458)

•Nonsurgical Procedural Complications (123)

•Surgical Complications (498)

•Transfusion Complications (19)

•Psychological and Social Complications (151)

Origin/Sponsor

•Africa (6)

•Asia (70)

•Australia and New Zealand (134)

•Central and South America (11)

•Europe (528)

•North America (3545)

Resource Types

•Clinical Guideline (9)

•Journal Article (3294)

•Legislation/Regulation (65)

•Meeting/Conference (34)

•Newsletter/Journal (14)

•Newspaper/Magazine Article (355)

•Press Release/Announcement (38)

•Special or Theme Issue (75)

•Tools/Toolkit (68)

•Web Resource (120)

•Grant (7)

Error Types

•Epidemiology of Errors and Adverse Events (1090)

•Active Errors (792)

•Latent Errors (292)

•Near Miss (92)

Approach to Improving Safety

•Quality Improvement Strategies (1016)

•Legal and Policy Approaches (351)

•Error Reporting and Analysis (1129)

•Communication Improvement (1173)

•Human Factors Engineering (621)

•Teamwork (367)

•Specialization of Care (311)

•Logistical Approaches (372)

•Culture of Safety (522)

•Technologic Approaches (740)

•Education and Training (937)

Clinical Areas

•Allied Health Services (15)

•Complementary and Alternative Medicine (1)

Target Audience
< All

Health Care Providers

•Allied Health Professionals (11)

•Clinical Technologists (45)

Setting of Care

•Psychiatric Facilities (22)

•Residential Facilities (86)

•Ambulatory Care (479)

•Outpatient Surgery (46)

•Patient Transport (38)

1 - 20 of 4390

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NEWSPAPER/MAGAZINE ARTICLE

Medication errors occurring with the use of bar-code administration technology.

PA-PSRS Patient Saf Advis. December 2008;5:122-126.

STUDY

Association of interruptions with an increased risk and severity of medication administration errors.

Westbrook JI, Woods A, Rob MI, Dunsmuir WTM, Day RO. Arch Intern Med. 2010;170:683-690.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2008;43:696–698.

STUDY

The impact of resident duty hour reform on hospital readmission rates among Medicare beneficiaries.

Press MJ, Silber JH, Rosen AK, et al. J Gen Intern Med. 2011;26:405-411.

STUDY

The computerized rounding report: implementation of a model system to support transitions of care.

Wohlauer MV, Rove KO, Pshak TJ, et al. J Surg Res. 2012;172:11-17.

STUDY

Hospital discharge documentation and risk of rehospitalisation.

Hansen LO, Strater A, Smith L, et al. BMJ Qual Saf. 2011;20:773-778.

STUDY

A July spike in fatal medication errors: a possible effect of new medical residents.

Phillips DP, Barker GEC. J Gen Intern Med. 2010;25:774-779.

STUDY

Adverse drug events caused by serious medication administration errors.

Kale A, Keohane CA, Maviglia S, Gandhi TK, Poon EG. BMJ Qual Saf. 2012;21:933-938.

STUDY

Potential unintended consequences due to Medicare's "No Pay for Errors Rule"? A randomized controlled trial of an educational intervention with internal medicine residents.

Mookherjee S, Vidyarthi AR, Ranji SR, Maselli J, Wachter RM, Baron RB. J Gen Intern Med. 2010;25:1097-1101.

STUDY

Do nurse and patient injuries share common antecedents? An analysis of associations with safety climate and working conditions.

Taylor JA, Dominici F, Agnew J, Gerwin D, Morlock L, Miller MR. BMJ Qual Saf. 2012;21:101-111.

COMMENTARY

Academic year-end transfers of outpatients from outgoing to incoming residents: an unaddressed patient safety issue.

Young JQ, Wachter RM. JAMA. 2009;302:1327-1329.

COMMENTARY

2009 National Patient Safety Goals.

Saufl NM. J Perianesth Nurs. 2009;24:114-118.

COMMENTARY

Preparing your hospital for compliance with The Joint Commission's National Patient Safety Goals.

Murdaugh L, Jordin R. Hosp Pharm. 2008;43:728-733.

STUDY

Safety of using a computerized rounding and sign-out system to reduce resident duty hours.

Van Eaton EG, McDonough K, Lober WB, Johnson EA, Pellegrini CA, Horvath KD. Acad Med. 2010;85:1189-1195.

STUDY

Why patient summaries in electronic health records do not provide the cognitive support necessary for nurses' handoffs on medical and surgical units: insights from interviews and observations.

Staggers N, Clark L, Blaz JW, Kapsandoy S. Health Informatics J. 2011;17:209-223.

COMMENTARY

Using simulation to teach nursing students and licensed clinicians obstetric emergencies.

Alderman JT. MCN Am J Matern Child Nurs. 2012;37:394-400.

REVIEW

Fall prevention in hospitals: an integrative review.

Spoelstra SL, Given BA, Given CW. Clin Nurs Res. 2012;21:92-112.

STUDY

The application of Aronson's taxonomy to medication errors in nursing.

Johnson M, Young H. J Nurs Care Qual. 2011;26:128-135.

STUDY

Effect of bar-code technology on the safety of medication administration.

Poon EG, Keohane CA, Yoon CS, et al. N Engl J Med. 2010;362:1698-1707.

STUDY

Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station.

Colligan L, Guerlain S, Steck SE, Hoke TR. BMJ Qual Saf. 2012;21:939-947.

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