AHRQ Patient Safety Network

The Collection > Quality and Safety Professionals

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Safety Target

•Device-related Complications (64)

•Diagnostic Errors (85)

•Identification Errors (48)

•Discontinuities, Gaps, and Hand-Off Problems (135)

•Fatigue and Sleep Deprivation (36)

•Medication Safety (588)

•Medical Complications (167)

•Nonsurgical Procedural Complications (23)

•Surgical Complications (177)

•Transfusion Complications (9)

•Psychological and Social Complications (33)

Origin/Sponsor

•Africa (1)

•Asia (31)

•Australia and New Zealand (68)

•Central and South America (7)

Resource Types

•Clinical Guideline (1)

•Journal Article (1174)

•Legislation/Regulation (8)

•Meeting/Conference (3)

•Newspaper/Magazine Article (72)

•Press Release/Announcement (3)

•Special or Theme Issue (11)

•Tools/Toolkit (11)

•Web Resource (12)

Error Types

•Epidemiology of Errors and Adverse Events (747)

•Active Errors (270)

•Latent Errors (75)

•Near Miss (36)

Approach to Improving Safety

•Quality Improvement Strategies (331)

•Legal and Policy Approaches (60)

•Error Reporting and Analysis (574)

•Communication Improvement (227)

•Human Factors Engineering (164)

•Teamwork (81)

•Specialization of Care (93)

•Logistical Approaches (94)

•Culture of Safety (156)

•Technologic Approaches (272)

•Education and Training (193)

Clinical Areas

•Allied Health Services (2)

•Complementary and Alternative Medicine (1)

Target Audience
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Quality and Safety Professionals

Setting of Care

•Hospitals (901)

•Psychiatric Facilities (3)

•Residential Facilities (30)

•Ambulatory Care (120)

•Outpatient Surgery (12)

•Patient Transport (12)

1 - 20 of 1333

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STUDY

Iatrogenic events resulting in intensive care admission: frequency, cause, and disclosure to patients and institutions.

Lehmann LS, Puopolo AL, Shaykevich S, Brennan TA. Am J Med. 2005;118:409-413.

STUDY

Adverse drug events in general practice patients in Australia.

Miller GC, Britt HC, Valenti L. Med J Aust. 2006;184:321-324.

STUDY

Medication error reporting in nursing homes: identifying targets for patient safety improvement.

Greene SB, Williams CE, Pierson S, Hansen RA, Carey TS. Qual Saf Health Care. 2010;19:218-222.

STUDY

The safety of hospital stroke care.

Holloway RG, Tuttle D, Baird T, Skelton WK. Neurology. 2007;68:550-555.

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.

REVIEW

Epidemiology of medication-related adverse events in nursing homes.

Handler SM, Wright RM, Ruby CM, Hanlon JT. Am J Geriatr Pharmacother. 2006;4:264-272.

STUDY

An observational study of changes to long-term medication after admission to an intensive care unit.

Campbell AJ, Bloomfield R, Noble DW. Anaesthesia. 2006;61:1087-1092.

STUDY

Patient safety in intensive care: results from the multinational Sentinel Events Evaluation (SEE) study.

Valentin A, Capuzzo M, Guidet B, et al. Intensive Care Med. 2006;32:1591-1598.

STUDY

An in-depth analysis of medication errors in hospitalized patients with HIV.

Snyder AM, Klinker K, Orrick JJ, Janelle J, Winterstein AG. Ann Pharmacother. 2011;45:459-468.

STUDY

The costs of adverse drug events in community hospitals.

Hug BL, Keohane C, Seger DL, Yoon C, Bates DW. Jt Comm J Qual Patient Saf. 2012;38:120-126.

STUDY

Facility-level variation in potentially inappropriate prescribing for older veterans.

Gellad WF, Good CB, Amuan ME, Marcum ZA, Hanlon JT, Pugh MJ. J Am Geriatr Soc. 2012;60:1222-1229.

STUDY

Feasibility of centre-based incident reporting in primary healthcare: the SPIEGEL study.

Zwart DL, Steerneman AH, van Rensen EL, Kalkman CJ, Verheij TJ. BMJ Qual Saf. 2011;20:121-127.

STUDY

Risk models to improve safety of dispensing high-alert medications in community pharmacies.

Cohen MR, Smetzer JL, Westphal JE, Comden SC, Horn DM. J Am Pharm Assoc. 2012;52:584-602.

REVIEW

Medication errors in paediatric care: a systematic review of epidemiology and an evaluation of evidence supporting reduction strategy recommendations.

Miller MR, Robinson KA, Lubomski LH, Rinke ML, Pronovost PJ. Qual Saf Health Care. 2007;16:116-126.

STUDY

Medication-error reporting and pharmacy resident experience during implementation of computerized prescriber order entry.

Weant KA, Cook AM, Armitstead JA. Am J Health Syst Pharm. 2007;64:526-530.

STUDY

Adverse drug events in a paediatric intensive care unit: a prospective cohort.

Silva DCB, Araujo OR, Arduini RG, Alonso CFR, Shibata ARO, Troster EJ. BMJ Open. 2013;3:ee001868.

STUDY

Outpatient adverse drug events identified by screening electronic health records.

Gandhi TK, Seger AC, Overhage JM, et al. J Patient Saf. 2010;6;91-96.

STUDY

Discontinuity of chronic medications in patients discharged from the intensive care unit.

Bell CM, Rahimi-Darabad P, Orner AI. J Gen Intern Med. 2006;21:937-941.

NEWSPAPER/MAGAZINE ARTICLE

Ambulatory surgery facilities: a comprehensive review of medication error reports in Pennsylvania.

PA-PSRS Patient Saf Advis. September 2011;8:85-93.

STUDY

Adverse drug event reporting in intensive care units: a survey of current practices.

Kane-Gill SL, Devlin JW. Ann Pharmacother. 2006;40:1267-73.

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