AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (104)

•Diagnostic Errors (150)

•Identification Errors (69)

•Discontinuities, Gaps, and Hand-Off Problems (300)

•Fatigue and Sleep Deprivation (48)

•Medication Safety (672)

•Medical Complications (304)

•Nonsurgical Procedural Complications (91)

•Surgical Complications (288)

•Transfusion Complications (11)

•Psychological and Social Complications (100)

Origin/Sponsor

•Africa (3)

•Asia (10)

•Australia and New Zealand (43)

•Central and South America (3)

•Europe (131)

•North America (2333)

Resource Types

•Clinical Guideline (7)

•Journal Article (1798)

•Legislation/Regulation (37)

•Meeting/Conference (28)

•Newsletter/Journal (11)

•Newspaper/Magazine Article (232)

•Press Release/Announcement (20)

•Special or Theme Issue (53)

•Tools/Toolkit (47)

•Web Resource (91)

•Grant (6)

Error Types

•Epidemiology of Errors and Adverse Events (503)

•Active Errors (406)

•Latent Errors (146)

•Near Miss (48)

Approach to Improving Safety

•Quality Improvement Strategies (631)

•Legal and Policy Approaches (252)

•Error Reporting and Analysis (629)

•Communication Improvement (738)

•Human Factors Engineering (313)

•Teamwork (355)

•Specialization of Care (209)

•Logistical Approaches (163)

•Culture of Safety (552)

•Technologic Approaches (381)

•Education and Training (519)

Clinical Areas

•Allied Health Services (10)

Target Audience
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Health Care Providers

•Allied Health Professionals (5)

•Clinical Technologists (30)

Setting of Care

•Psychiatric Facilities (11)

•Residential Facilities (53)

•Ambulatory Care (262)

•Outpatient Surgery (27)

•Patient Transport (38)

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NEWSPAPER/MAGAZINE ARTICLE

A hospital races to learn lessons of Ferrari pit stop.

Naik G. Wall Street Journal. November 14, 2006:A1. [reprinted on Post-gazette.com].

REVIEW

Pediatric patient safety in the prehospital/emergency department setting.

Barata IA, Benjamin LS, Mace SE, Herman MI, Goldman RD. Pediatr Emerg Care. 2007;23:412-418.

STUDY

Teamwork errors in trauma resuscitation.

Sarcevic A, Marsic I, Burd RS. ACM Trans Comput Hum Interact. 2012;19:13:1-13:30.

BOOK/REPORT classic

Patient Safety in Emergency Medicine.

Croskerry P, Cosby KS, Schenkel SM, Wears RL, eds. Philadelphia, PA: Lippincott Williams & Wilkins; 2009. ISBN: 9780781777278.

STUDY

The Emergency Medical Services Safety Attitudes Questionnaire.

Patterson PD, Huang DT, Fairbanks RJ, Wang HE. Am J Med Qual. 2010;25:109-115.

SPECIAL OR THEME ISSUE

Safety in EMS.

Brice JH, Patterson PD, eds. Prehosp Emerg Care. 2012;16:1-108.

BOOK/REPORT

Pediatric Patient Safety in the Emergency Department.

Krug SE, ed. Oak Brook, IL: Joint Commission Resources and the American Academy of Pediatrics; 2010. ISBN: 9781599402123.

STUDY

Emergency department visits for medical device–associated adverse events among children.

Wang C, Hefflin B, Cope JU, et al. Pediatrics. 2010;126:247-259.

STUDY

Accuracy of radiographic readings in the emergency department.

Petinaux B, Bhat R, Boniface K, Aristizabal J. Am J Emerg Med. 2011;29:18-25.

STUDY

Time motion study in a pediatric emergency department before and after computer physician order entry.

Yen K, Shane EL, Pawar SS, Schwendel ND, Zimmanck RJ, Gorelick MH. Ann Emerg Med. 2009;53:462-468.

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.

STUDY

Incidence and impact of physician and nurse disruptive behaviors in the emergency department.

Rosenstein AH, Naylor B. J Emerg Med. 2012;43:139-148.

NEWSPAPER/MAGAZINE ARTICLE

ED revamp: team approach to care reduces errors, boosts patient and clinician satisfaction.

ED Manag. 2011;23:78-80.

STUDY

Adverse events from cough and cold medications after a market withdrawal of products labeled for infants.

Shehab N, Schaefer MK, Kegler SR, Budnitz DS. Pediatrics. 2010;126:1100-1107.

STUDY

A multidisciplinary approach to adverse drug events in pediatric trauma patients in an adult trauma center.

Kalina M, Tinkoff G, Gleason W, Veneri P, Fulda G. Pediatr Emerg Care. 2009;25:444-446.

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

Randomized controlled trial of a pictogram-based intervention to reduce liquid medication dosing errors and improve adherence among caregivers of young children.

Yin HS, Dreyer BP, van Schaick L, et al. Arch Pediatr Adolesc Med. 2008;162:814-822.

STUDY

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

Bourgeois FT, Mandl KD, Valim C, Shannon MW. Pediatrics. 2009;124:e744-e750.

COMMENTARY

X-ray Flip.

Shapiro MJ. AHRQ WebM&M [serial online]. February 2004.

STUDY

The relationship between patients' perceptions of team effectiveness and their care experience in the emergency department.

Kipnis A, Rhodes KV, Burchill CN, Datner E. J Emerg Med. 2013 Mar 5; [Epub ahead of print].

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