AHRQ Patient Safety Network

The Collection > Quality and Safety Professionals

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Safety Target

•Device-related Complications (76)

•Diagnostic Errors (80)

•Identification Errors (57)

•Discontinuities, Gaps, and Hand-Off Problems (156)

•Fatigue and Sleep Deprivation (23)

•Medication Safety (567)

•Medical Complications (195)

•Nonsurgical Procedural Complications (43)

•Surgical Complications (211)

•Transfusion Complications (10)

•Psychological and Social Complications (45)

Origin/Sponsor

•Africa (1)

•Asia (56)

•Australia and New Zealand (81)

•Central and South America (7)

•Europe (294)

•North America (1038)

Resource Types

•Audiovisual (3)

•Book/Report (26)

•Journal Article (1364)

•Legislation/Regulation (7)

•Meeting/Conference (2)

•Newspaper/Magazine Article (61)

•Press Release/Announcement (3)

•Special or Theme Issue (17)

•Tools/Toolkit (8)

•Web Resource (6)

Error Types

•Epidemiology of Errors and Adverse Events (747)

•Active Errors (300)

•Latent Errors (88)

•Near Miss (43)

Approach to Improving Safety

•Quality Improvement Strategies (333)

•Legal and Policy Approaches (52)

•Error Reporting and Analysis (568)

•Communication Improvement (283)

•Human Factors Engineering (217)

•Teamwork (161)

•Specialization of Care (114)

•Logistical Approaches (113)

•Culture of Safety (189)

•Technologic Approaches (265)

•Education and Training (287)

Clinical Areas

•Allied Health Services (4)

Target Audience
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Quality and Safety Professionals

Setting of Care

•Hospitals (1089)

•Psychiatric Facilities (6)

•Residential Facilities (25)

•Ambulatory Care (110)

•Outpatient Surgery (10)

•Patient Transport (14)

1 - 20 of 1497

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STUDY

Medication administration errors by nurses: adherence to guidelines.

Kim J, Bates DW. J Clin Nurs. 2013;22:590-598.

STUDY

Errors in the administration of intravenous medications in hospital and the role of correct procedures and nurse experience.

Westbrook JI, Rob MI, Woods A, Parry D. BMJ Qual Saf. 2011;20:1027-1034.

COMMENTARY

Safeguarding patients: complexity science, high reliability organizations, and implications for team training in healthcare.

McKeon LM, Oswaks JD, Cunningham PD. Clin Nurse Spec. 2006;20:298-304 (CE Test 305-306).

STUDY

Association of interruptions with an increased risk and severity of medication administration errors.

Westbrook JI, Woods A, Rob MI, Dunsmuir WTM, Day RO. Arch Intern Med. 2010;170:683-690.

STUDY

Prospective pilot intervention study to prevent medication errors in drugs administered to children by mouth or gastric tube: a programme for nurses, physicians and parents.

Bertsche T, Bertsche A, Krieg EM, et al. Qual Saf Health Care. 2010;19:e26.

STUDY

Frequency of pediatric medication administration errors and contributing factors.

Ozkan S, Kocaman G, Ozturk C, Seren S. J Nurs Care Qual. 2011:26;136-143.

STUDY

The application of Aronson's taxonomy to medication errors in nursing.

Johnson M, Young H. J Nurs Care Qual. 2011;26:128-135.

REVIEW

Work interruptions and their contribution to medication administration errors: an evidence review.

Biron AD, Loiselle CG, Lavoie-Tremblay M. Worldviews Evid Based Nurs. 2009;6:70-86.

STUDY

Nursing care quality and adverse events in US hospitals.

Lucero RJ, Lake ET, Aiken LH. J Clin Nurs. 2010;19:2185-2195.

STUDY

Medication Administration Time Study (MATS): nursing staff performance of medication administration.

Elganzouri ES, Standish CA, Androwich I. J Nurs Adm. 2009;39:204-210.

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.

STUDY

Nursing home error and level of staff credentials.

Scott-Cawiezell J, Pepper GA, Madsen RW, Petroski G, Vogelsmeier A, Zellmer D. Clin Nurs Res. 2007;16:72-78.

STUDY

Interruptions and multitasking in nursing care.

Kalisch BJ, Aebersold M. Jt Comm J Qual Patient Saf. 2010;36:126-132.

STUDY

The impact of traditional and smart pump infusion technology on nurse medication administration performance in a simulated inpatient unit.

Trbovich PL, Pinkney S, Cafazzo JA, Easty AC. Qual Saf Health Care. 2010;19:430-434.

STUDY

The impact of teamwork on missed nursing care.

Kalisch BJ, Lee KH. Nurs Outlook. 2010;58:233-241.

STUDY

Nurses' work schedule characteristics, nurse staffing, and patient mortality.

Trinkoff AM, Johantgen M, Storr CL, Gurses AP, Liang Y, Han K. Nurs Res. 2011;60:1-8.

COMMENTARY

Medication errors in nursing—part 1 and part 2.

Leufer T, Cleary-Holdforth J. Nurse Educ Pract. 2013;13:213-220.

STUDY

Benefits of direct observation in medication administration to detect errors.

Diaz-Navarlaz T, Pronovost P, Beortegui E, Segui-Gomez M. J Patient Saf. 2007;3:200-207.

STUDY

Medication errors reported in a pediatric intensive care unit for oncologic patients.

Belela AS, Peterlini MA, Pedreira ML. Cancer Nurs. 2011;34:393-400.

STUDY

Nurses relate the contributing factors involved in medication errors.

Tang FI, Sheu SJ, Yu S, Wei IL, Chen CH. J Clin Nurs. 2007;16:447-457.

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