AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (118)

•Diagnostic Errors (181)

•Identification Errors (83)

•Discontinuities, Gaps, and Hand-Off Problems (358)

•Fatigue and Sleep Deprivation (54)

•Medication Safety (832)

•Medical Complications (401)

•Nonsurgical Procedural Complications (84)

•Surgical Complications (344)

•Transfusion Complications (14)

•Psychological and Social Complications (83)

Origin/Sponsor

•Africa (5)

•Asia (50)

•Australia and New Zealand (98)

•Central and South America (8)

•Europe (433)

•North America (1948)

Resource Types

•Audiovisual (12)

•Award (8)

•Book/Report (125)

•Clinical Guideline (4)

•Journal Article (2096)

•Legislation/Regulation (31)

•Meeting/Conference (13)

•Newsletter/Journal (4)

•Newspaper/Magazine Article (130)

•Press Release/Announcement (14)

•Special or Theme Issue (34)

•Tools/Toolkit (35)

•Web Resource (58)

•Grant (5)

Error Types

•Epidemiology of Errors and Adverse Events (995)

•Active Errors (517)

•Latent Errors (168)

•Near Miss (59)

Approach to Improving Safety

•Quality Improvement Strategies (650)

•Legal and Policy Approaches (156)

•Error Reporting and Analysis (815)

•Communication Improvement (701)

•Human Factors Engineering (356)

•Teamwork (226)

•Specialization of Care (213)

•Logistical Approaches (180)

•Culture of Safety (297)

•Technologic Approaches (435)

•Education and Training (491)

Clinical Areas

•Allied Health Services (11)

Target Audience
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Health Care Providers

•Allied Health Professionals (3)

•Clinical Technologists (24)

Setting of Care

•Psychiatric Facilities (12)

•Residential Facilities (49)

•Ambulatory Care (296)

•Outpatient Surgery (25)

•Patient Transport (25)

1 - 20 of 2569

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STUDY

Incidence of potentially avoidable urgent readmissions and their relation to all-cause urgent readmissions.

van Walraven C, Jennings A, Taljaard M, et al. CMAJ. 2011;183:E1067-E1072.

STUDY

Errors and omissions in hospital prescriptions: a survey of prescription writing in a hospital.

Calligaris L, Panzera A, Arnoldo L, et al. BMC Clin Pharmacol. 2009;9:9.

STUDY

Identifying causes of adverse events detected by an automated trigger tool through in-depth analysis.

Muething SE, Conway PH, Kloppenborg E, et al. Qual Saf Health Care. 2010;19:435-439.

STUDY

Development of a core drug list towards improving prescribing education and reducing errors in the UK.

Baker E, Roberts AP, Wilde K, et al. Br J Clin Pharmacol. 2011;71:190-198.

STUDY

Early readmissions to the department of medicine as a screening tool for monitoring quality of care problems.

Balla U, Malnick S, Schattner A. Medicine (Baltimore). 2008;87:294-300.

STUDY

Inability of providers to predict unplanned readmissions.

Allaudeen N, Schnipper JL, Orav EJ, Wachter RM, Vidyarthi AR. J Gen Intern Med. 2011;26:771-776.

STUDY

Accuracy of medication documentation in hospital discharge summaries: a retrospective analysis of medication transcription errors in manual and electronic discharge summaries.

Callen J, McIntosh J, Li J. Int J Med Inform. 2010;79:58-64.

STUDY

Challenges and opportunities to prevent transfusion errors: a Qualitative Evaluation for Safer Transfusion (QUEST).

Heddle NM, Fung M, Hervig T, et al; BEST Collaborative. Transfusion. 2012;52:1687-1695.

STUDY

The effect of hospital-acquired Clostridium difficile infection on in-hospital mortality.

Oake N, Taljaard M, van Walraven C, Wilson K, Roth V, Forster AJ. Arch Intern Med. 2010;170:1804-1810.

BOOK/REPORT

Patient Safety in Canada: An Update.

Ottawa, ON, Canada: Canadian Institute for Health Information; August 14, 2007.

STUDY

Hospital discharge documentation and risk of rehospitalisation.

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

STUDY

The safety of hospital stroke care.

Holloway RG, Tuttle D, Baird T, Skelton WK. Neurology. 2007;68:550-555.

STUDY

Assessing and improving safety culture throughout an academic medical centre: a prospective cohort study.

Paine LA, Rosenstein BJ, Sexton JB, Kent P, Holzmueller CG, Pronovost PJ. Qual Saf Health Care. 2010;19:547-554.

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

Does the implementation of an electronic prescribing system create unintended medication errors? A study of the sociotechnical context through the analysis of reported medication incidents.

Redwood S, Rajakumar A, Hodson J, Coleman JJ. BMC Med Inform Decis Mak. 2011;11:29.

STUDY

Medication details documented on hospital discharge: cross-sectional observational study of factors associated with medication non-reconciliation.

Grimes TC, Duggan CA, Delaney TP, et al. Br J Clin Pharmacol. 2011;71:449-457.

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

Structured interdisciplinary rounds in a medical teaching unit: improving patient safety.

O’Leary KJ, Buck R, Fligiel HM, et al. Arch Intern Med. 2011;171:678-684.

STUDY

Improving situation awareness to reduce unrecognized clinical deterioration and serious safety events.

Brady PW, Muething S, Kotagal U, et al. Pediatrics. 2013;131:e298-e308.

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.

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