AHRQ Patient Safety Network

The Collection > Quality and Safety Professionals

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Safety Target

•Device-related Complications (100)

•Diagnostic Errors (98)

•Identification Errors (74)

•Discontinuities, Gaps, and Hand-Off Problems (209)

•Fatigue and Sleep Deprivation (41)

•Medication Safety (612)

•Medical Complications (233)

•Nonsurgical Procedural Complications (68)

•Surgical Complications (281)

•Transfusion Complications (11)

•Psychological and Social Complications (40)

Origin/Sponsor

•Africa (2)

•Asia (46)

•Australia and New Zealand (86)

•Central and South America (8)

•Europe (396)

•North America (1266)

Resource Types

•Audiovisual (6)

•Award (5)

•Book/Report (51)

•Clinical Guideline (3)

•Journal Article (1547)

•Legislation/Regulation (20)

•Meeting/Conference (8)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (101)

•Press Release/Announcement (15)

•Special or Theme Issue (22)

•Tools/Toolkit (16)

•Web Resource (31)

•Grant (5)

Error Types

•Epidemiology of Errors and Adverse Events (579)

•Active Errors (436)

•Latent Errors (116)

•Near Miss (46)

Approach to Improving Safety

•Quality Improvement Strategies (481)

•Legal and Policy Approaches (86)

•Error Reporting and Analysis (545)

•Communication Improvement (455)

•Human Factors Engineering (322)

•Teamwork (163)

•Specialization of Care (133)

•Logistical Approaches (123)

•Culture of Safety (192)

•Technologic Approaches (333)

•Education and Training (329)

Clinical Areas

•Allied Health Services (5)

Target Audience
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Quality and Safety Professionals

Setting of Care

•Hospitals (1235)

•Psychiatric Facilities (7)

•Residential Facilities (25)

•Ambulatory Care (138)

•Outpatient Surgery (20)

•Patient Transport (17)

1 - 20 of 1833

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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.

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.

STUDY

Am I (un)safe here? Chemotherapy patients' perspectives towards engaging in their safety.

Schwappach DLB, Wernli M. Qual Saf Health Care. 2010;19:e9.

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

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.

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

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

Oncology nurses' perceptions about involving patients in the prevention of chemotherapy administration errors.

Schwappach DLB, Hochreutener MA, Wernli M. Oncol Nurs Forum. 2010;37:E84-E91.

STUDY

Barriers and facilitators to chemotherapy patients' engagement in medical error prevention.

Schwappach DLB, Wernli M. Ann Oncol. 2011;22:424-430.

STUDY

Multidisciplinary system for detecting medication errors in antineoplastic chemotherapy.

Serrano-Fabiá A, Albert-Marí A, Almenar-Cubells D, Jiménez-Torres NV. J Oncol Pharm Pract. 2010;16:105-112.

COMMENTARY

Decreasing patient misidentification before chemotherapy administration.

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

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

Dealing honestly with an honest mistake.

Liang NL, Herring ME, Bush RL. J Vasc Surg. 2010;51:494-495.

STUDY

Prioritising the prevention of medication handling errors.

Bertsche T, Niemann D, Mayer Y, Ingram K, Hoppe-Tichy T, Haefeli WE. Pharm World Sci. 2008;30:907-915.

PRESS RELEASE/ANNOUNCEMENT

Serious medication errors from intravenous administration of nimodipine oral capsules.

MedWatch Safety Alert, FDA Drug Safety Communication. Silver Spring, MD: US Food and Drug Administration; August 2, 2010.

COMMENTARY

Unintended transplantation of three organs from an HIV-positive donor: report of the analysis of an adverse event in a regional health care service in Italy.

Bellandi T, Albolino S, Tartaglia R, Filipponi F. Transplant Proc. 2010;42:2187-2189.

STUDY

Medication details documented on hospital discharge: cross-sectional observational study of factors associated with medication non-reconciliation.

Grimes TC, Duggan CA, Delaney TP, et al. Br J Clin Pharmacol. 2011;71:449-457.

STUDY

Disclosure of hospital adverse events and its association with patients' ratings of the quality of care.

López L, Weissman JS, Schneider EC, Weingart SN, Cohen AP, Epstein AM. Arch Intern Med. 2009;169:1888-1894.

STUDY

Drug formulations that require potentially inaccurate volumes to prepare doses for infants and children.

Uppal N, Yasseen B, Seto W, Parshuram CS. CMAJ. 2011;183:E246-E248.

COMMENTARY

Confusion about epinephrine dosing leading to iatrogenic overdose: a life-threatening problem with a potential solution.

Kanwar M, Irvin CB, Frank JJ, Weber K, Rosman H. Ann Emerg Med. 2010;55:341-344.

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