AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (96)

•Diagnostic Errors (100)

•Identification Errors (65)

•Discontinuities, Gaps, and Hand-Off Problems (162)

•Fatigue and Sleep Deprivation (24)

•Medication Safety (609)

•Medical Complications (219)

•Nonsurgical Procedural Complications (54)

•Surgical Complications (217)

•Transfusion Complications (10)

•Psychological and Social Complications (36)

Origin/Sponsor

•Australia and New Zealand (87)

•Central and South America (7)

•Europe (310)

•North America (1102)

Resource Types

•Audiovisual (1)

•Book/Report (31)

•Clinical Guideline (2)

•Journal Article (1407)

•Legislation/Regulation (9)

•Meeting/Conference (3)

•Newspaper/Magazine Article (78)

•Press Release/Announcement (7)

•Special or Theme Issue (19)

•Tools/Toolkit (10)

•Web Resource (5)

Error Types

•Epidemiology of Errors and Adverse Events (749)

•Active Errors (430)

•Latent Errors (113)

•Near Miss (46)

Approach to Improving Safety

•Quality Improvement Strategies (365)

•Legal and Policy Approaches (53)

•Error Reporting and Analysis (570)

•Communication Improvement (293)

•Human Factors Engineering (253)

•Teamwork (139)

•Specialization of Care (135)

•Logistical Approaches (110)

•Culture of Safety (179)

•Technologic Approaches (283)

•Education and Training (240)

Clinical Areas

•Allied Health Services (3)

•Dentistry (1)

•Medicine (1184)

•Nursing (289)

•Pharmacy (176)

Target Audience
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Quality and Safety Professionals

Setting of Care

•Hospitals (1122)

•Psychiatric Facilities (6)

•Residential Facilities (25)

•Ambulatory Care (125)

•Outpatient Surgery (13)

•Patient Transport (18)

1 - 20 of 1574

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STUDY

Impact of computerized orders for pediatric continuous drug infusions on detecting infusion pump programming errors: a simulated study.

Sowan AK, Gaffoor MI, Soeken K, Johantgen ME, Vaidya VU. J Pediatr Nurs. 2010;25:108-118.

STUDY

Comparing errors in ED computer-assisted vs conventional pediatric drug dosing and administration.

Yamamoto L, Kanemori J. Am J Emerg Med. 2010;28:588-592.

STUDY

Medical errors recovered by critical care nurses.

Dykes PC, Rothschild JM, Hurley AC. J Nurs Adm. 2010;40:241-246.

STUDY

Medication errors in an intensive care unit.

Bohomol E, Ramos LH, D'Innocenzo M. J Adv Nurs. 2009;65:1259-1267.

STUDY

Role of registered nurses in error prevention, discovery and correction.

Rogers AE, Dean GE, Hwang WT, Scott LD. Qual Saf Health Care. 2008;17:117-121.

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

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

A "back to basics" approach to reduce ED medication errors.

Blank FSJ, Tobin J, Macomber S, Jaouen M, Dinoia M, Visintainer P. J Emerg Nurs. 2011;37:141-147.

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.

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

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

Safety as a criterion for quality: The Critical Nursing Situation Index in paediatric critical care, an observational study.

de Neef M, Bos AP, Tol D. Intensive Crit Care Nurs. 2009;25:341-347.

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

Selected medical errors in the intensive care unit: results of the IATROREF study: parts I and II.

Garrouste-Orgeas M, Timsit JF, Vesin A, et al; OUTCOMEREA Study Group. Am J Respir Crit Care Med. 2010:181:134-142.

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

Nurses' behaviors and visual scanning patterns may reduce patient identification errors.

Marquard JL, Henneman PL, He Z, Jo J, Fisher DL, Henneman EA. J Exp Psychol Appl. 2011;17:247-256.

STUDY

Risk and pharmacoeconomic analyses of the injectable medication process in the paediatric and neonatal intensive care units.

De Giorgi I, Fonzo-Christe C, Cingria L, et al. Int J Qual Health Care. 2010;22:170-178.

COMMENTARY

Preventing sentinel events caused by family members.

Wall Y, Kautz DD. Dimens Crit Care Nurs. 2011;30:25-27.

STUDY

Errors in administration of parenteral drugs in intensive care units: multinational prospective study.

Valentin A, Capuzzo M, Guidet B, et al; Research Group on Quality Improvement of the European Society of Intensive Care Medicine (ESICM); Sentinel Events Evaluation (SEE) Study Investigators. BMJ. 2009;338:b814.

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