AHRQ Patient Safety Network

The Collection > Quality and Safety Professionals

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Safety Target

•Device-related Complications (114)

•Diagnostic Errors (120)

•Identification Errors (86)

•Discontinuities, Gaps, and Hand-Off Problems (269)

•Fatigue and Sleep Deprivation (43)

•Medication Safety (765)

•Medical Complications (302)

•Nonsurgical Procedural Complications (76)

•Surgical Complications (330)

•Transfusion Complications (13)

•Psychological and Social Complications (64)

Origin/Sponsor

•Africa (2)

•Asia (40)

•Australia and New Zealand (73)

•Central and South America (8)

•Europe (338)

•North America (1844)

Resource Types

•Audiovisual (9)

•Award (5)

•Book/Report (68)

•Clinical Guideline (3)

•Journal Article (1964)

•Legislation/Regulation (30)

•Meeting/Conference (12)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (127)

•Press Release/Announcement (15)

•Special or Theme Issue (22)

•Tools/Toolkit (18)

•Web Resource (40)

•Grant (5)

Error Types

•Epidemiology of Errors and Adverse Events (758)

•Active Errors (439)

•Latent Errors (139)

•Near Miss (52)

Approach to Improving Safety

•Quality Improvement Strategies (584)

•Legal and Policy Approaches (110)

•Error Reporting and Analysis (675)

•Communication Improvement (534)

•Human Factors Engineering (367)

•Teamwork (227)

•Specialization of Care (174)

•Logistical Approaches (163)

•Culture of Safety (269)

•Technologic Approaches (431)

•Education and Training (451)

Clinical Areas

•Allied Health Services (6)

Target Audience
< All

Quality and Safety Professionals

Setting of Care

•Hospitals (1552)

•Psychiatric Facilities (8)

•Residential Facilities (37)

•Ambulatory Care (181)

•Outpatient Surgery (22)

•Patient Transport (18)

1 - 20 of 2321

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COMMENTARY

ISMP medication error report analysis.

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

STUDY

National survey on the effect of oncology drug shortages on cancer care.

McBride A, Holle LM, Westendorf C, et al. Am J Health Syst Pharm. 2013;70:609-617.

REVIEW

Patient safety in dermatology: a review of the literature.

Cao LY, Taylor JS, Vidimos A. Dermatol Online J. 2010;16:3.

STUDY

ARV medication errors: experience of a community-based HIV specialty clinic and review of the literature.

Cocohoba J, Dong BJ. Hosp Pharm. 2007;42:720-728.

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.

COMMENTARY

ISMP medication error report analysis.

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

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

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

Outpatient adverse drug events identified by screening electronic health records.

Gandhi TK, Seger AC, Overhage JM, et al. J Patient Saf. 2010;6;91-96.

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

Medication errors in paediatric outpatients.

Kaushal R, Goldmann DA, Keohane CA, et al. Qual Saf Health Care. 2010;19:e30.

REVIEW

Medication errors in paediatric care: a systematic review of epidemiology and an evaluation of evidence supporting reduction strategy recommendations.

Miller MR, Robinson KA, Lubomski LH, Rinke ML, Pronovost PJ. Qual Saf Health Care. 2007;16:116-126.

STUDY

Cardiac surgery errors: results from the UK National Reporting and Learning System.

Martinez EA, Shore A, Colantuoni E, et al. Int J Qual Health Care. 2011;23:151-158.

STUDY

Methicillin-resistant Staphylococcus aureus central line–associated bloodstream infections in US intensive care units, 1997-2007.

Burton DC, Edwards JR, Horan TC, Jernigan JA, Fridkin SK. JAMA. 2009;301:727-736.

STUDY

A comparison of voluntarily reported medication errors in intensive care and general care units.

Kane-Gill SL, Kowiatek JG, Weber RJ. Qual Saf Health Care. 2010;19:55-59.

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

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.

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.

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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