AHRQ Patient Safety Network

The Collection > Quality and Safety Professionals

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Safety Target

•Device-related Complications (95)

•Diagnostic Errors (95)

•Identification Errors (79)

•Discontinuities, Gaps, and Hand-Off Problems (246)

•Fatigue and Sleep Deprivation (49)

•Medication Safety (672)

•Medical Complications (251)

•Nonsurgical Procedural Complications (63)

•Surgical Complications (243)

•Transfusion Complications (12)

•Psychological and Social Complications (62)

Origin/Sponsor

•Africa (2)

•Asia (24)

•Australia and New Zealand (45)

•Central and South America (3)

•Europe (187)

•North America (1742)

Resource Types

•Audiovisual (8)

•Award (4)

•Book/Report (65)

•Clinical Guideline (3)

•Journal Article (1698)

•Legislation/Regulation (27)

•Meeting/Conference (9)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (127)

•Press Release/Announcement (8)

•Special or Theme Issue (17)

•Tools/Toolkit (18)

•Web Resource (31)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (572)

•Active Errors (347)

•Latent Errors (132)

•Near Miss (43)

Approach to Improving Safety

•Quality Improvement Strategies (515)

•Legal and Policy Approaches (98)

•Error Reporting and Analysis (616)

•Communication Improvement (455)

•Human Factors Engineering (309)

•Teamwork (186)

•Specialization of Care (152)

•Logistical Approaches (162)

•Culture of Safety (250)

•Technologic Approaches (367)

•Education and Training (384)

Clinical Areas

•Allied Health Services (6)

Target Audience
< All

Quality and Safety Professionals

Setting of Care

•Hospitals (1403)

•Psychiatric Facilities (5)

•Residential Facilities (32)

•Ambulatory Care (144)

•Outpatient Surgery (19)

•Patient Transport (15)

1 - 20 of 2020

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COMMENTARY

Lean Six Sigma reduces medication errors.

Esimai G. Qual Prog. April 2005;38:51-57.

COMMENTARY

Nursing student medication errors: a case study using root cause analysis.

Dolansky MA, Druschel K, Helba M, Courtney K. J Prof Nurs. 2013;29:102-108.

COMMENTARY

Opioids, iatrogenic harm and disclosure of medical error.

Blinderman CD. J Pain Symptom Manage. 2010;39:309-313.

STUDY

Comparison of computerized surveillance and manual chart review for adverse events.

Tinoco A, Evans RS, Staes CJ, Lloyd JF, Rothschild JM, Haug PJ. J Am Med Inform Assoc. 2011;18:491-497.

REVIEW

"Tech-check-tech": a review of the evidence on its safety and benefits.

Adams AJ, Martin SJ, Stolpe SF. Am J Health Syst Pharm. 2011;68:1824-1833.

STUDY

Medication discrepancies upon hospital to skilled nursing facility transitions.

Tjia J, Bonner A, Briesacher BA, McGee S, Terrill E, Miller K. J Gen Intern Med. 2009;24:630-635.

COMMENTARY

Increasing the use of 'smart' pump drug libraries by nurses: a continuous quality improvement project.

Harding AD. Am J Nurs. 2012;112:26-35.

REVIEW

Systematic review of medication safety assessment methods.

Meyer-Massetti C, Cheng CM, Schwappach DL, et al. Am J Health Syst Pharm. 2011;68:227-240.

STUDY

Improving documentation of a beta-blocker quality measure through an anesthesia information management system and real-time notification of documentation errors.

Nair BG, Peterson GN, Newman S, Wu W, Kolios-Morris V, Schwid HA. Jt Comm J Qual Patient Saf. 2012:38;283-288.

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.

COMMENTARY

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2010;45:191-195.

STUDY

Use of temporary nurses and nurse and patient safety outcomes in acute care hospital units.

Bae SH, Mark B, Fried B. Health Care Manage Rev. 2010;35:333-344.

STUDY

Risk of medication errors at hospital discharge and barriers to problem resolution.

Enguidanos SM, Brumley RD. Home Health Care Serv Q. 2005;24:123-135.

COMMENTARY

A nurse-driven system for improving patient quality outcomes.

Johnson K, Hallsey D, Meredith RL, Warden E. J Nurs Care Qual. 2006;21:168-175.

STUDY

The safety of hospital stroke care.

Holloway RG, Tuttle D, Baird T, Skelton WK. Neurology. 2007;68:550-555.

STUDY

The effect of work hours on adverse events and errors in health care.

Olds DM, Clarke SP. J Safety Res. 2010;41:153-162.

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.

NEWSPAPER/MAGAZINE ARTICLE

Patients taking their own medications while in the hospital.

PA-PSRS Patient Saf Advis. June 2012;9:50-57.

STUDY

Design and implementation of an application and associated services to support interdisciplinary medication reconciliation efforts at an integrated healthcare delivery network.

Poon EG, Blumenfeld B, Hamann C, et al. J Am Med Inform Assoc. 2006;13:581-592.

COMMENTARY

Missed nursing care: a concept analysis.

Kalisch BJ, Landstrom GL, Hinshaw AS. J Adv Nurs. 2009;65:1509-1517.

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