AHRQ Patient Safety Network

The Collection > Risk Managers

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Safety Target

•Device-related Complications (46)

•Diagnostic Errors (67)

•Identification Errors (31)

•Discontinuities, Gaps, and Hand-Off Problems (86)

•Fatigue and Sleep Deprivation (42)

•Medication Safety (255)

•Medical Complications (60)

•Nonsurgical Procedural Complications (32)

•Surgical Complications (121)

•Transfusion Complications (6)

•Psychological and Social Complications (28)

Origin/Sponsor

•Asia (22)

•Australia and New Zealand (26)

•Central and South America (1)

Resource Types

•Clinical Guideline (1)

•Journal Article (687)

•Legislation/Regulation (9)

•Meeting/Conference (2)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (68)

•Press Release/Announcement (16)

•Special or Theme Issue (9)

•Tools/Toolkit (6)

•Web Resource (7)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (300)

•Active Errors (143)

•Latent Errors (44)

•Near Miss (24)

Approach to Improving Safety

•Quality Improvement Strategies (184)

•Legal and Policy Approaches (101)

•Error Reporting and Analysis (378)

•Communication Improvement (155)

•Human Factors Engineering (118)

•Teamwork (41)

•Specialization of Care (33)

•Logistical Approaches (68)

•Culture of Safety (69)

•Technologic Approaches (115)

•Education and Training (93)

Clinical Areas

•Allied Health Services (2)

Target Audience
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Risk Managers

Setting of Care

•Hospitals (456)

•Psychiatric Facilities (2)

•Residential Facilities (11)

•Ambulatory Care (51)

•Outpatient Surgery (12)

•Patient Transport (9)

1 - 20 of 847

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STUDY

Fall prevention in acute care hospitals: a randomized trial.

Dykes PC, Carroll DL, Hurley A, et al. JAMA. 2010;304:1912-1918.

STUDY

A trigger tool fails to identify serious errors and adverse events in pediatric otolaryngology.

Lander L, Roberson DW, Plummer KM, Forbes PW, Healy GB, Shah RK. Otolaryngol Head Neck Surg. 2010;143:480-486.

REVIEW

Hospital do-not-resuscitate orders: why they have failed and how to fix them.

Yuen JK, Reid MC, Fetters MD. J Gen Intern Med. 2011;26:791-797.

STUDY

Comparing two safety culture surveys: Safety Attitudes Questionnaire and Hospital Survey on Patient Safety.

Etchegaray JM, Thomas EJ. BMJ Qual Saf. 2012;21:490-498.

STUDY

The interrelationship of isolation precautions and adverse events in an acute care facility.

Spence MR, McQuaid M. Am J Infect Control. 2011;39:154-155.

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

Disclosure of hospital adverse events and its association with patients' ratings of the quality of care.

López L, Weissman JS, Schneider EC, Weingart SN, Cohen AP, Epstein AM. Arch Intern Med. 2009;169:1888-1894.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2009;44:654-657.

STUDY

Venous thromboembolism after trauma: a never event?

Thorson CM, Ryan ML, Van Haren RM, et al. Crit Care Med. 2012;40:2967-2973.

STUDY

Thirty-day, all-cause readmissions for elderly patients who have an injury-related inpatient stay.

Spector WD, Mutter R, Owens P, Limcangco R. Med Care. 2012;50:863-869.

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.

STUDY

Falls in English and Welsh hospitals: a national observational study based on retrospective analysis of 12 months of patient safety incident reports.

Healey F, Scobie S, Oliver D, Pryce A, Thomson R, Glampson B. Qual Saf Health Care. 2008;17:424-430.

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

The costs of adverse drug events in community hospitals.

Hug BL, Keohane C, Seger DL, Yoon C, Bates DW. Jt Comm J Qual Patient Saf. 2012;38:120-126.

STUDY

Impact of implementing alerts about medication black-box warnings in electronic health records.

Yu DT, Seger DL, Lasser KE, et al. Pharmacoepidemiol Drug Saf. 2011;20:192-202.

STUDY

Importance of prevention and early intervention of adverse events in pediatric cardiac catheterization: a review of three years of experience.

Huang YC, Chang JS, Lai YC, Li PC. Pediatr Neonatol. 2009;50:280-286.

STUDY

Using an enhanced oral chemotherapy computerized provider order entry system to reduce prescribing errors and improve safety.

Collins CM, Elsaid KA. Int J Qual Health Care. 2011;23:36-43.

STUDY

Triangulating case-finding tools for patient safety surveillance: a cross-sectional case study of puncture/laceration.

Taylor JA, Gerwin D, Morlock L, Miller MR. Inj Prev. 2011;17:388-393.

STUDY

Medical errors in US pediatric inpatients with chronic conditions.

Ahuja N, Zhao W, Xiang H. Pediatrics. 2012;130:e786-e793.

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.

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