AHRQ Patient Safety Network

The Collection > Risk Managers

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Safety Target

•Device-related Complications (40)

•Diagnostic Errors (67)

•Identification Errors (30)

•Discontinuities, Gaps, and Hand-Off Problems (87)

•Fatigue and Sleep Deprivation (35)

•Medication Safety (244)

•Medical Complications (62)

•Nonsurgical Procedural Complications (29)

•Surgical Complications (111)

•Transfusion Complications (6)

•Psychological and Social Complications (25)

Origin/Sponsor

•Asia (22)

•Australia and New Zealand (24)

•Central and South America (1)

Resource Types

•Clinical Guideline (1)

•Journal Article (658)

•Legislation/Regulation (9)

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•Newspaper/Magazine Article (66)

•Press Release/Announcement (15)

•Special or Theme Issue (6)

•Tools/Toolkit (6)

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Error Types

•Epidemiology of Errors and Adverse Events (308)

•Active Errors (139)

•Latent Errors (46)

•Near Miss (24)

Approach to Improving Safety

•Quality Improvement Strategies (162)

•Legal and Policy Approaches (98)

•Error Reporting and Analysis (372)

•Communication Improvement (151)

•Human Factors Engineering (108)

•Teamwork (38)

•Specialization of Care (32)

•Logistical Approaches (65)

•Culture of Safety (53)

•Technologic Approaches (110)

•Education and Training (88)

Clinical Areas

•Allied Health Services (2)

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Risk Managers

Setting of Care

•Hospitals (452)

•Psychiatric Facilities (3)

•Residential Facilities (11)

•Ambulatory Care (49)

•Outpatient Surgery (11)

•Patient Transport (10)

1 - 20 of 802

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STUDY

Measuring adverse events and levels of harm in pediatric inpatients with the Global Trigger Tool.

Kirkendall ES, Kloppenborg E, Papp J, et al. Pediatrics. 2012;130:e1206-e1214.

STUDY

Paid malpractice claims for adverse events in inpatient and outpatient settings.

Bishop TF, Ryan AK, Casalino LP. JAMA. 2011;305:2427-2431.

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

Safety culture and complications after bariatric surgery.

Birkmeyer NJ, Finks JF, Greenberg CK, et al. Ann Surg. 2013;257:260-265.

STUDY

PCA safety data review after clinical decision support and smart pump technology implementation.

Prewitt J, Schneider S, Horvath M, Hammond J, Jackson J, Ginsberg B. J Patient Saf. 2013;9:103-109.

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

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

Probabilistic risk assessment of accidental ABO-incompatible thoracic organ transplantation before and after 2003.

Cook RI, Wreathall J, Smith A, et al. Transplantation. 2007;84:1602-1609.

REVIEW

Accountability for medical error: moving beyond blame to advocacy.

Bell SK, Delbanco T, Anderson-Shaw L, McDonald TB, Gallagher TH. Chest. 2011;140:519-526.

COMMENTARY

Using medical malpractice closed claims data to reduce surgical risk and improve patient safety.

Manuel BM, Greenwald LM. Bull Am Coll Surg. March 2007;92:27-30.

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

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

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.

BOOK/REPORT

2011 Annual Benchmarking Report: Malpractice Risks in Emergency Medicine.

Ruoff G, ed. Cambridge, MA: CRICO Strategies; 2012.

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

Analysis of risk factors for adverse drug events in critically ill patients.

Kane-Gill SL, Kirisci L, Verrico MM, Rothschild JM. Crit Care Med. 2012;40:823-828.

STUDY

Severity and probability of harm of medication errors intercepted by an emergency department pharmacist.

Patanwala AE, Hays DP, Sanders AB, Erstad BL. Int J Pharm Pract. 2011;19:358-362.

STUDY

Drug shortage-associated increase in catheter-related blood stream infection in children.

Ralls MW, Blackwood RA, Arnold MA, Partipilo ML, Dimond J, Teitelbaum DH. Pediatrics. 2012;130:e1369-e1373.

REVIEW

Clinical errors and medical negligence.

Oyebode F. Med Princ Pract. 2013 Jan 18; [Epub ahead of print].

STUDY

Medication reconciliation for reducing drug-discrepancy adverse events.

Boockvar KS, Carlson Lacorte H, Giambanco V, Fridman B, Siu A. Am J Geriatr Pharmacother. 2006;4:236-243.

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