AHRQ Patient Safety Network

The Collection > Quality and Safety Professionals

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Safety Target

•Device-related Complications (107)

•Diagnostic Errors (98)

•Identification Errors (74)

•Discontinuities, Gaps, and Hand-Off Problems (226)

•Fatigue and Sleep Deprivation (27)

•Medication Safety (683)

•Medical Complications (273)

•Nonsurgical Procedural Complications (67)

•Surgical Complications (293)

•Transfusion Complications (11)

•Psychological and Social Complications (46)

Origin/Sponsor

•Africa (2)

•Asia (49)

•Australia and New Zealand (91)

•Central and South America (8)

•Europe (400)

•North America (1364)

Resource Types

•Audiovisual (4)

•Award (5)

•Book/Report (47)

•Clinical Guideline (3)

•Journal Article (1681)

•Legislation/Regulation (22)

•Meeting/Conference (9)

•Newsletter/Journal (2)

•Newspaper/Magazine Article (77)

•Press Release/Announcement (11)

•Special or Theme Issue (23)

•Tools/Toolkit (12)

•Web Resource (30)

•Grant (4)

Error Types

•Epidemiology of Errors and Adverse Events (747)

•Active Errors (407)

•Latent Errors (115)

•Near Miss (50)

Approach to Improving Safety

•Quality Improvement Strategies (478)

•Legal and Policy Approaches (78)

•Error Reporting and Analysis (556)

•Communication Improvement (455)

•Human Factors Engineering (319)

•Teamwork (190)

•Specialization of Care (153)

•Logistical Approaches (132)

•Culture of Safety (226)

•Technologic Approaches (349)

•Education and Training (358)

Clinical Areas

•Allied Health Services (5)

Target Audience
< All

Quality and Safety Professionals

Setting of Care

•Hospitals (1377)

•Psychiatric Facilities (8)

•Residential Facilities (34)

•Ambulatory Care (142)

•Outpatient Surgery (18)

•Patient Transport (17)

1 - 20 of 1930

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STUDY

Prevalence of medication administration errors in two medical units with automated prescription and dispensing.

Rodriguez-Gonzalez CG, Herranz-Alonso A, Martin-Barbero ML, et al. J Am Med Inform Assoc. 2012;19:72-78.

STUDY

The incidence and nature of prescribing and medication administration errors in paediatric inpatients.

Ghaleb MA, Barber N, Franklin BD, Wong ICK. Arch Dis Child. 2010;95:113-118.

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

Automated drug dispensing system reduces medication errors in an intensive care setting.

Chapuis C, Roustit M, Bal G, et al. Crit Care Med. 2010;38:2275-2281.

STUDY

The impact of a closed-loop electronic prescribing and administration system on prescribing errors, administration errors and staff time: a before-and-after study.

Franklin BD, O'Grady K, Donyai P, Jacklin A, Barber N. Qual Saf Health Care. 2007;16:279-284.

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

Effect of bar-code technology on the safety of medication administration.

Poon EG, Keohane CA, Yoon CS, et al. N Engl J Med. 2010;362:1698-1707.

STUDY

Adverse drug events in hospitalized cardiac patients.

Fanikos J, Cina JL, Baroletti S, Fiumara K, Matta L, Goldhaber SZ. Am J Cardiol. 2007;100:1465-1469.

STUDY

High incidence of medication documentation errors in a Swiss university hospital due to the handwritten prescription process.

Hartel MJ, Staub LP, Röder C, Eggli S. BMC Health Serv Res. 2011;11:199.

STUDY

Does the implementation of an electronic prescribing system create unintended medication errors? A study of the sociotechnical context through the analysis of reported medication incidents.

Redwood S, Rajakumar A, Hodson J, Coleman JJ. BMC Med Inform Decis Mak. 2011;11:29.

STUDY

Nurses' satisfaction with medication administration point-of-care technology.

Hurley AC, Bane A, Fotakis S, et al. J Nurs Adm. 2007;37:343-349.

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

The frequency of diagnostic errors in radiologic reports depends on the patient's age.

Diaz S, Ekberg O. Acta Radiol. 2010;51:934-938.

STUDY

Reducing interruptions to improve medication safety.

Freeman R, McKee S, Lee-Lehner B, Pesenecker J. J Nurs Care Qual. 2013;28:176-185.

STUDY

Pharmacists' interventions in prescribing errors at hospital discharge: an observational study in the context of an electronic prescribing system in a UK teaching hospital.

Abdel-Qader DH, Harper L, Cantrill JA, Tully MP. Drug Saf. 2010;33:1027-1044.

COMMENTARY

Addressing safety concerns about U-500 insulin in a hospital setting.

Samaan KH, Dahlke M, Stover J. Am J Health Syst Pharm. 2011;68:63-68.

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

An examination of technical efficiency, quality, and patient safety in acute care nursing units.

Mark B, Jones C, Lindley L, Ozcan Y. Policy Polit Nurs Pract. 2009;10:180-186.

STUDY

Comparison of methods for identifying patients at risk of medication-related harm.

van Doormaal JE, Rommers MK, Kosterink JGW, Teepe-Twiss IM, Haaijer-Ruskamp FM, Mol PGM. Qual Saf Health Care. 2010;19:e26.

STUDY

Evaluation of inpatient admissions and potential antimicrobial and analgesic dosing errors in overweight children.

Miller JL, Johnson PN, Harrison DL, Hagemann TM. Ann Pharmacother. 2010;44:35-42.

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