AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (147)

•Diagnostic Errors (209)

•Identification Errors (105)

•Discontinuities, Gaps, and Hand-Off Problems (441)

•Fatigue and Sleep Deprivation (74)

•Medication Safety (1246)

•Medical Complications (395)

•Nonsurgical Procedural Complications (107)

•Surgical Complications (433)

•Transfusion Complications (18)

•Psychological and Social Complications (125)

Origin/Sponsor

•Africa (3)

•Asia (39)

•Australia and New Zealand (91)

•Central and South America (6)

•Europe (367)

•North America (3029)

Resource Types

•Clinical Guideline (7)

•Journal Article (2658)

•Legislation/Regulation (50)

•Meeting/Conference (33)

•Newsletter/Journal (12)

•Newspaper/Magazine Article (323)

•Press Release/Announcement (34)

•Special or Theme Issue (69)

•Tools/Toolkit (55)

•Web Resource (105)

•Grant (7)

Error Types

•Epidemiology of Errors and Adverse Events (817)

•Active Errors (720)

•Latent Errors (252)

•Near Miss (73)

Approach to Improving Safety

•Quality Improvement Strategies (838)

•Legal and Policy Approaches (307)

•Error Reporting and Analysis (925)

•Communication Improvement (1063)

•Human Factors Engineering (575)

•Teamwork (338)

•Specialization of Care (270)

•Logistical Approaches (252)

•Culture of Safety (440)

•Technologic Approaches (637)

•Education and Training (725)

Clinical Areas

•Allied Health Services (12)

Target Audience
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Health Care Providers

•Allied Health Professionals (8)

•Clinical Technologists (27)

Setting of Care

•Psychiatric Facilities (19)

•Residential Facilities (62)

•Ambulatory Care (386)

•Outpatient Surgery (39)

•Patient Transport (43)

1 - 20 of 3611

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NEWSPAPER/MAGAZINE ARTICLE

Misidentification of alphanumeric symbols in both handwritten and computer-generated information.

ISMP Medication Safety Alert! Acute Care Edition. July 2, 2009;14:1-2.

COMMENTARY

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:18-21.

STUDY

Ambulance personnel perceptions of near misses and adverse events in pediatric patients.

Cushman JT, Fairbanks RJ, O'Gara KG, et al. Prehosp Emerg Care. 2010;14:477-484.

STUDY

National study on the frequency, types, causes, and consequences of voluntarily reported emergency department medication errors.

Pham JC, Story JL, Hicks RW, et al. J Emerg Med. 2011;40:485-492.

NEWSPAPER/MAGAZINE ARTICLE

Neuromuscular blocking agents: reducing associated wrong-drug errors.

PA-PSRS Patient Saf Advis. December 2009;6:109-114.

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

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.

NEWSPAPER/MAGAZINE ARTICLE

DTaP–Tdap mix-ups now affecting hundreds of patients.

ISMP Medication Safety Alert! Acute Care Edition. July 1, 2010;15:1-2.

COMMENTARY

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:847-853.

COMMENTARY

Confusion about epinephrine dosing leading to iatrogenic overdose: a life-threatening problem with a potential solution.

Kanwar M, Irvin CB, Frank JJ, Weber K, Rosman H. Ann Emerg Med. 2010;55:341-344.

SPECIAL OR THEME ISSUE

Identification and Prevention of Common Adverse Drug Events in the Intensive Care Unit.

Papadopoulos J, Kane-Gill SL, Cooper B, eds. Crit Care Med. 2010;38:(suppl 6):S83-S264.

COMMENTARY

Weighing in on medication safety.

Paparella S. J Emerg Nurs. 2009;35:553-555.

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.

NEWSPAPER/MAGAZINE ARTICLE

Get a clue: it can be all too easy to make assessment errors in the field; here's some tips to prevent you from making mistakes.

Rubin M. EMS World. 2011;40:57-64.

COMMENTARY

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:937-938, 945.

NEWSPAPER/MAGAZINE ARTICLE

ISMP updates its list of drug name pairs with Tall man letters.

ISMP Medication Safety Alert! Acute Care Edition. November 18, 2010;15:1-3.

COMMENTARY

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:1062-1065.

COMMENTARY

Structured communication for patient safety in emergency medical services: a legal case report.

Greenwood MJ, Heninger JR. Prehosp Emerg Care. 2010;14:345-348.

NEWSPAPER/MAGAZINE ARTICLE

Action needed to prevent dangerous heparin-insulin confusion.

ISMP Medication Safety Alert! Acute Care Edition. May 3, 2007;12:1-2.

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.

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