AHRQ Patient Safety Network

The Collection > Quality and Safety Professionals

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Safety Target

•Device-related Complications (106)

•Diagnostic Errors (114)

•Identification Errors (73)

•Discontinuities, Gaps, and Hand-Off Problems (210)

•Fatigue and Sleep Deprivation (22)

•Medication Safety (622)

•Medical Complications (239)

•Nonsurgical Procedural Complications (67)

•Surgical Complications (288)

•Transfusion Complications (11)

•Psychological and Social Complications (42)

Origin/Sponsor

•Africa (2)

•Asia (42)

•Australia and New Zealand (77)

•Central and South America (8)

•Europe (344)

•North America (1257)

Resource Types

•Audiovisual (3)

•Award (5)

•Book/Report (47)

•Clinical Guideline (3)

•Journal Article (1513)

•Legislation/Regulation (19)

•Meeting/Conference (9)

•Newsletter/Journal (2)

•Newspaper/Magazine Article (77)

•Press Release/Announcement (12)

•Special or Theme Issue (16)

•Tools/Toolkit (12)

•Web Resource (30)

•Grant (4)

Error Types

•Epidemiology of Errors and Adverse Events (749)

•Active Errors (440)

•Latent Errors (111)

•Near Miss (51)

Approach to Improving Safety

•Quality Improvement Strategies (438)

•Legal and Policy Approaches (69)

•Error Reporting and Analysis (527)

•Communication Improvement (418)

•Human Factors Engineering (325)

•Teamwork (158)

•Specialization of Care (124)

•Logistical Approaches (101)

•Culture of Safety (179)

•Technologic Approaches (321)

•Education and Training (323)

Clinical Areas

•Allied Health Services (5)

Target Audience
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Quality and Safety Professionals

Setting of Care

•Hospitals (1211)

•Psychiatric Facilities (8)

•Residential Facilities (26)

•Ambulatory Care (164)

•Outpatient Surgery (17)

•Patient Transport (17)

1 - 20 of 1752

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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.

NEWSPAPER/MAGAZINE ARTICLE

Electronic prescribing vulnerabilities: height and weight mix-up leads to dosing error.

ISMP Medication Safety Alert! Acute Care Edition. August 26, 2010;15:1-3.

STUDY

Parents' medication administration errors: role of dosing instruments and health literacy.

Yin HS, Mendelsohn AL, Wolf MS, et al. Arch Pediatr Adolesc Med. 2010;164:181-186.

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.

STUDY

The role of advice in medication administration errors in the pediatric ambulatory setting.

Lemer C, Bates DW, Yoon C, Keohane C, Fitzmaurice G, Kaushal R. J Patient Saf. 2009;5:168-175.

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.

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.

ORGANIZATIONAL POLICY/GUIDELINES

American Society of Clinical Oncology/Oncology Nursing Society chemotherapy administration safety standards.

Jacobson JO, Polovich M, McNiff KK, et al; American Society of Clinical Oncology; Oncology Nursing Society. Oncol Nurs Forum. 2009;36:651-658.

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.

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.

STUDY

Electronic prescribing in an ambulatory care setting: a cluster randomized trial.

Dainty KN, Adhikari NK, Kiss A, Quan S, Zwarenstein M. J Eval Clin Pract. 2012;18:761-767.

STUDY

Medication errors in paediatric outpatients.

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

STUDY

Pediatric antidepressant medication errors in a national error reporting database.

Rinke ML, Bundy DG, Shore AD, Colantuoni E, Morlock LL, Miller MR. J Dev Behav Pediatr. 2010;31:129-136.

STUDY

Time-dependent drug–drug interaction alerts in care provider order entry: software may inhibit medication error reductions.

van der Sijs H, Lammers L, van den Tweel A, et al. J Am Med Inform Assoc. 2009;16:864-868.

STUDY

Wrong-site sinus surgery in otolaryngology.

Shah RK, Nussenbaum B, Kienstra M, et al. Otolaryngol Head Neck Surg. 2010;143:37-41.

STUDY

Electronic health record-based surveillance of diagnostic errors in primary care.

Singh H, Giardina TD, Forjuoh SN, et al. BMJ Qual Saf. 2012;22:93-100.

STUDY

Impact of a comprehensive safety initiative on patient-controlled analgesia errors.

Paul JE, Bertram B, Antoni K, et al. Anesthesiology. 2010;113:1427-1432.

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