AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (147)

•Diagnostic Errors (211)

•Identification Errors (105)

•Discontinuities, Gaps, and Hand-Off Problems (409)

•Fatigue and Sleep Deprivation (86)

•Medication Safety (1382)

•Medical Complications (386)

•Nonsurgical Procedural Complications (99)

•Surgical Complications (429)

•Transfusion Complications (17)

•Psychological and Social Complications (116)

Origin/Sponsor

•Africa (4)

•Asia (51)

•Australia and New Zealand (90)

•Central and South America (8)

•Europe (407)

•North America (3097)

Resource Types

•Clinical Guideline (8)

•Journal Article (2744)

•Legislation/Regulation (56)

•Meeting/Conference (31)

•Newsletter/Journal (14)

•Newspaper/Magazine Article (317)

•Press Release/Announcement (40)

•Special or Theme Issue (58)

•Tools/Toolkit (56)

•Web Resource (102)

•Grant (8)

Error Types

•Epidemiology of Errors and Adverse Events (1099)

•Active Errors (615)

•Latent Errors (216)

•Near Miss (72)

Approach to Improving Safety

•Quality Improvement Strategies (863)

•Legal and Policy Approaches (292)

•Error Reporting and Analysis (1074)

•Communication Improvement (919)

•Human Factors Engineering (491)

•Teamwork (287)

•Specialization of Care (263)

•Logistical Approaches (254)

•Culture of Safety (404)

•Technologic Approaches (645)

•Education and Training (677)

Clinical Areas

•Allied Health Services (11)

Target Audience
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Health Care Providers

•Allied Health Professionals (4)

•Clinical Technologists (40)

Setting of Care

•Psychiatric Facilities (17)

•Residential Facilities (67)

•Ambulatory Care (420)

•Outpatient Surgery (40)

•Patient Transport (29)

1 - 20 of 3691

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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

Adverse drug events in the outpatient setting: an 11-year national analysis.

Bourgeois FT, Shannon MW, Valim C, Mandl KD. Pharmacoepidemiol Drug Saf. 2010;19:901-910.

STUDY

Supratherapeutic dosing of acetaminophen among hospitalized patients.

Zhou L, Maviglia SM, Mahoney LM, et al. Arch Intern Med. 2012;172:1721-1728.

STUDY

Listen carefully: the risk of error in spoken medication orders.

Lambert BL, Dickey LW, Fisher WM, et al. Soc Sci Med. 2010;70:1599-1608.

REVIEW

Year in review: medication mishaps in the elderly.

Peron EP, Marcum ZA, Boyce R, Hanlon JT, Handler SM. Am J Geriatr Pharmacother. 2011;9:1-10.

STUDY

Iatrogenic events resulting in intensive care admission: frequency, cause, and disclosure to patients and institutions.

Lehmann LS, Puopolo AL, Shaykevich S, Brennan TA. Am J Med. 2005;118:409-413.

STUDY

Medication errors among acutely ill and injured children treated in rural emergency departments.

Marcin JP, Dharmar M, Cho M, et al. Ann Emerg Med. 2007;50:361-367.e1-2.

STUDY

Characteristics of medication errors and adverse drug events in hospitals participating in the California Pediatric Patient Safety Initiative.

Takata GS, Taketomo CK, Waite S; for the California Pediatric Patient Safety Initiative. Am J Health Syst Pharm. 2008;65:2036-2044.

STUDY

Characteristics of pediatric chemotherapy medication errors in a national error reporting database.

Rinke ML, Shore AD, Morlock L, Hicks RW, Miller MR. Cancer. 2007;110:186-195.

STUDY

Effect of a pharmacist-led multicomponent intervention focusing on the medication monitoring phase to prevent potential adverse drug events in nursing homes.

Lapane KL, Hughes CM, Daiello LA, Cameron KA, Feinberg J. J Am Geriatr Soc. 2011;59:1238-1245.

STUDY

Consistency between coded poison center data and fatality abstract narratives for therapeutic error deaths in older adults.

Hayes BD, Klein-Schwartz W. Clin Toxicol (Phila). 2010;48:68-71.

STUDY

Pediatric medication errors in the postanesthesia care unit: analysis of MEDMARX data.

Payne CH, Smith CR, Newkirk LE, Hicks RW. AORN J. 2007;85:731-740.

STUDY

The safety of hospital stroke care.

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

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

Nighttime and weekend medication error rates in an inpatient pediatric population.

Miller AD, Piro CC, Rudisill CN, Bookstaver PB, Bair JD, Bennett CL. Ann Pharmacother. 2010;44:1739-1746.

STUDY

The relationship between computerized physician order entry and pediatric adverse drug events: a nested matched case-control study.

Yu F, Salas M, Kim YI, Menachemi N. Pharmacoepidemiol Drug Saf. 2009;18:751-755.

STUDY

Pediatric antidepressant medication errors in a national error reporting database.

Rinke ML, Bundy DG, Shore AD, Colantuoni E, Morlock LL, Miller MR. J Dev Behav Pediatr. 2010;31:129-136.

STUDY

An exploratory study measuring verbal order content and context.

Wakefield DS, Brokel J, Ward MM, Schwichtenberg T, Groath D, Kolb M, Davis JW, Crandall D. Qual Saf Health Care. 2009;18:169-173.

STUDY

Potentially inappropriate medications defined by STOPP criteria and the risk of adverse drug events in older hospitalized patients.

Hamilton H, Gallagher P, Ryan C, Byrne S, O’Mahony D. Arch Intern Med. 2011;171:1013-1019.

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.

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