AHRQ Patient Safety Network

The Collection > Quality and Safety Professionals

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Safety Target

•Device-related Complications (109)

•Diagnostic Errors (111)

•Identification Errors (85)

•Discontinuities, Gaps, and Hand-Off Problems (260)

•Fatigue and Sleep Deprivation (43)

•Medication Safety (692)

•Medical Complications (280)

•Nonsurgical Procedural Complications (80)

•Surgical Complications (313)

•Transfusion Complications (13)

•Psychological and Social Complications (63)

Origin/Sponsor

•Africa (2)

•Asia (37)

•Australia and New Zealand (64)

•Central and South America (7)

•Europe (276)

•North America (1808)

Resource Types

•Audiovisual (8)

•Award (6)

•Book/Report (64)

•Clinical Guideline (3)

•Journal Article (1854)

•Legislation/Regulation (29)

•Meeting/Conference (13)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (127)

•Press Release/Announcement (15)

•Special or Theme Issue (21)

•Tools/Toolkit (18)

•Web Resource (40)

•Grant (5)

Error Types

•Epidemiology of Errors and Adverse Events (626)

•Active Errors (454)

•Latent Errors (143)

•Near Miss (50)

Approach to Improving Safety

•Quality Improvement Strategies (560)

•Legal and Policy Approaches (108)

•Error Reporting and Analysis (610)

•Communication Improvement (531)

•Human Factors Engineering (366)

•Teamwork (223)

•Specialization of Care (165)

•Logistical Approaches (160)

•Culture of Safety (266)

•Technologic Approaches (422)

•Education and Training (450)

Clinical Areas

•Allied Health Services (7)

Target Audience
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Quality and Safety Professionals

Setting of Care

•Hospitals (1486)

•Psychiatric Facilities (7)

•Residential Facilities (36)

•Ambulatory Care (166)

•Outpatient Surgery (21)

•Patient Transport (19)

1 - 20 of 2206

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COMMENTARY

Safety strategies in an academic radiation oncology department and recommendations for action.

Terezakis SA, Pronovost P, Harris K, Deweese T, Ford E. Jt Comm J Qual Patient Saf. 2011;37:291-299.

STUDY

Incidence and root cause analysis of wrong-site pain management procedures: a multicenter study.

Cohen SP, Hayek SM, Datta S, et al. Anesthesiology. 2010;112:711-718.

STUDY

Computerized physician order entry of injectable antineoplastic drugs: an epidemiologic study of prescribing medication errors.

Nerich V, Limat S, Demarchi M, et al. Int J Med Inform. 2010;79:699-706.

STUDY

Medication errors involving oral chemotherapy.

Weingart SN, Toro J, Spencer J, et al. Cancer. 2010;116:2455-2464.

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.

COMMENTARY

Fatal consequences of a simple mistake: how can a patient be saved from inadvertent intrathecal vincristine?

Reddy GK, Brown B, Nanda A. Clin Neurol Neurosurg. 2011;113:68-71.

STUDY

Chemotherapy patients' perceptions of drug administration safety.

Schwappach DLB, Wernli M. J Clin Oncol. 2010;28:2896-2901.

NEWSPAPER/MAGAZINE ARTICLE

Oops, sorry, wrong patient! A patient verification process is needed everywhere, not just at the bedside.

ISMP Medication Safety Alert! Acute Care Edition. March 10, 2011;16:1-4.

STUDY

Polypharmacy in hospitalized older adult cancer patients: experience from a prospective, observational study of an oncology-acute care for elders unit.

Flood KL, Carroll MB, Le CV, Brown CJ. Am J Geriatr Pharmacother. 2009;7:151-158.

COMMENTARY

Use of an anatomic marking form as an alternative to the Universal Protocol for Preventing Wrong Site, Wrong Procedure and Wrong Person Surgery.

Knight N, Aucar J. Am J Surg. 2010;200:803-807.

COMMENTARY

A simple checklist for preventing major complications associated with cesarean delivery.

Duff P. Obstet Gynecol. 2010;116:1393-1396.

COMMENTARY

Structured communication for patient safety in emergency medical services: a legal case report.

Greenwood MJ, Heninger JR. Prehosp Emerg Care. 2010;14:345-348.

STUDY

Results of the Medications At Transitions and Clinical Handoffs (MATCH) study: an analysis of medication reconciliation errors and risk factors at hospital admission.

Gleason KM, McDaniel MR, Feinglass J, et al. J Gen Intern Med. 2010;25:441-447.

STUDY

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

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

STUDY

Checking it twice: an evaluation of checklists for detecting medication errors at the bedside using a chemotherapy model.

White RE, Trbovich PL, Easty AC, Savage P, Trip K, Hyland S. Qual Saf Health Care. 2010;19:562-567.

STUDY

Detection, classification, and correction of defective chemotherapy orders through nursing and pharmacy oversight.

Mertens WC, Brown DE, Parisi R, et al. J Patient Saf. 2008;4:195-200.

STUDY

Decreasing mislabeled laboratory specimens using barcode technology and bedside printers.

Brown JE, Smith N, Sherfy BR. J Nurs Care Qual. 2011;26:13-21.

ORGANIZATIONAL POLICY/GUIDELINES

Safety considerations for IMRT.

Moran JM, Dempsey M, Eisbruch A, et al. Pract Radiat Oncol. 2011;1(suppl 1):1-33.

BOOK/REPORT

Fluorouracil Incident Root Cause Analysis Report.

Toronto, ON, Canada: Institute for Safe Medication Practices Canada. May 8, 2007.

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.

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