AHRQ Patient Safety Network

The Collection > Quality and Safety Professionals

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Safety Target

•Device-related Complications (111)

•Diagnostic Errors (108)

•Identification Errors (82)

•Discontinuities, Gaps, and Hand-Off Problems (253)

•Fatigue and Sleep Deprivation (43)

•Medication Safety (691)

•Medical Complications (274)

•Nonsurgical Procedural Complications (74)

•Surgical Complications (307)

•Transfusion Complications (13)

•Psychological and Social Complications (61)

Origin/Sponsor

•Africa (2)

•Asia (32)

•Australia and New Zealand (64)

•Central and South America (7)

•Europe (247)

•North America (1795)

Resource Types

•Audiovisual (9)

•Award (6)

•Book/Report (63)

•Clinical Guideline (3)

•Journal Article (1815)

•Legislation/Regulation (28)

•Meeting/Conference (13)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (122)

•Press Release/Announcement (14)

•Special or Theme Issue (23)

•Tools/Toolkit (18)

•Web Resource (39)

•Grant (5)

Error Types

•Epidemiology of Errors and Adverse Events (612)

•Active Errors (411)

•Latent Errors (133)

•Near Miss (44)

Approach to Improving Safety

•Quality Improvement Strategies (569)

•Legal and Policy Approaches (107)

•Error Reporting and Analysis (592)

•Communication Improvement (514)

•Human Factors Engineering (355)

•Teamwork (222)

•Specialization of Care (162)

•Logistical Approaches (159)

•Culture of Safety (254)

•Technologic Approaches (407)

•Education and Training (438)

Clinical Areas

•Allied Health Services (6)

Target Audience
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Quality and Safety Professionals

Setting of Care

•Hospitals (1426)

•Psychiatric Facilities (9)

•Residential Facilities (37)

•Ambulatory Care (175)

•Outpatient Surgery (22)

•Patient Transport (18)

1 - 20 of 2161

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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.

BOOK/REPORT

Fluorouracil Incident Root Cause Analysis Report.

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

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

Interruptions during the delivery of high-risk medications.

Trbovich P, Prakash V, Stewart J, Trip K, Savage P. J Nurs Adm. 2010;40:211-218.

STUDY

Medication errors in paediatric outpatients.

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

COMMENTARY

The quest to eliminate intrathecal vincristine errors: a 40-year journey.

Noble DJ, Donaldson LJ. Qual Saf Health Care. 2010;19:323-326.

STUDY

The impact of drug shortages on children with cancer—the example of mechlorethamine.

Metzger ML, Billett A, Link MP. N Engl J Med. 2012;367:2461-2463.

STUDY

High performance teamwork training and systems redesign in outpatient oncology.

Bunnell CA, Gross AH, Weingart SN, et al. BMJ Qual Saf. 2013;22:405-413.

BOOK/REPORT

Toward Improving the Outcome of Pregnancy: Enhancing Perinatal Health Through Quality, Safety and Performance Initiatives (TIOP III).

Berns SD, ed. White Plains, NY: March of Dimes; December 2010.

STUDY

Interruption handling strategies during paediatric medication administration.

Colligan L, Bass EJ. BMJ Qual Saf. 2012;21:912-917.

STUDY

Chemotherapy safety and severe adverse events in cancer patients: strategies to efficiently avoid chemotherapy errors in in- and outpatient treatment.

Markert A, Thierry V, Kleber M, Behrens M, Engelhardt M. Int J Cancer. 2009;124:722-728.

NEWSPAPER/MAGAZINE ARTICLE

Good intention, uncertain outcome...our take on physician dispensing in offices and clinics.

ISMP Medication Safety Alert! Acute Care Edition. March 8, 2012;17:1-3.

COMMENTARY

Chemotherapy in home care: one team's performance improvement journey toward reducing medication errors.

Ewen BM, Combs R, Popelas C, Faraone GM. Home Healthc Nurse. 2012;30:28-37.

COMMENTARY

Decreasing patient misidentification before chemotherapy administration.

Spruill A, Eron B, Coghill A, Talbert G. Clin J Oncol Nurs. 2009;13:716-717.

STUDY

The You CAN campaign: teamwork training for patients and families in ambulatory oncology.

Weingart SN, Simchowitz B, Kahlert Eng T, et al. Jt Comm J Qual Patient Saf. 2009;35:63-71.

STUDY

Process of care failures in breast cancer diagnosis.

Weingart SN, Saadeh MG, Simchowitz B, et al. J Gen Intern Med. 2009;24:702-709.

REVIEW

Medication errors in chemotherapy: incidence, types and involvement of patients in prevention. A review of the literature.

Schwappach DLB, Wernli M. Eur J Cancer Care (Engl). 2009;19:285-292.

CALIFORNIA MEETING/CONFERENCE

2013 Current & Emerging Issues Symposium.

Organization for Safety, Asepsis and Prevention. June 13–15, 2013; Hyatt Regency Mission Bay Spa & Marina, San Diego, CA.

STUDY

Risk of mistaken DNR orders.

Rohrer JE, Esler WV, Saeed Q, et al. Support Care Cancer. 2006;14:871-873.

STUDY

Medication errors involving oral chemotherapy.

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

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