AHRQ Patient Safety Network

The Collection > Medicine

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Safety Target

•Device-related Complications (95)

•Diagnostic Errors (121)

•Identification Errors (88)

•Discontinuities, Gaps, and Hand-Off Problems (266)

•Fatigue and Sleep Deprivation (42)

•Medication Safety (604)

•Medical Complications (228)

•Nonsurgical Procedural Complications (67)

•Surgical Complications (283)

•Transfusion Complications (12)

•Psychological and Social Complications (56)

Origin/Sponsor

•Asia (11)

•Australia and New Zealand (32)

•Central and South America (1)

•Europe (126)

•North America (1761)

Resource Types

•Audiovisual (18)

•Award (5)

•Book/Report (53)

•Clinical Guideline (3)

•Journal Article (1550)

•Legislation/Regulation (32)

•Meeting/Conference (15)

•Newsletter/Journal (2)

•Newspaper/Magazine Article (197)

•Press Release/Announcement (11)

•Special or Theme Issue (24)

•Tools/Toolkit (14)

•Web Resource (26)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (505)

•Active Errors (395)

•Latent Errors (283)

•Near Miss (42)

Approach to Improving Safety

•Quality Improvement Strategies (455)

•Legal and Policy Approaches (130)

•Error Reporting and Analysis (503)

•Communication Improvement (472)

•Human Factors Engineering (398)

•Teamwork (169)

•Specialization of Care (146)

•Logistical Approaches (150)

•Culture of Safety (212)

•Technologic Approaches (520)

•Education and Training (383)

Clinical Areas
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Medicine

Target Audience

•Health Care Providers (1407)

•Health Care Executives and Administrators (1709)

•Non-Health Care Professionals (834)

•Patients (105)

Setting of Care

•Hospitals (1347)

•Psychiatric Facilities (7)

•Residential Facilities (31)

•Ambulatory Care (185)

•Outpatient Surgery (25)

•Patient Transport (13)

1 - 20 of 1952

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REVIEW

A review of medical error reporting system design considerations and a proposed cross-level systems research framework.

Holden RJ, Karsh BT. Hum Factors. 2007;49:257-276.

COMMENTARY

Physical environments that promote safe medication use.

Grissinger M. P T. 2012;37:377-378.

COMMENTARY

Why don't we know whether care is safe?

Pham JC, Frick KD, Pronovost PJ. Am J Med Qual. 2013 Mar 24; [Epub ahead of print].

COMMENTARY

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:1062-1065.

COMMENTARY

Doctors are more dangerous than gun owners: a rejoinder to error counting.

Dekker S. Hum Factors. 2007;49:177-184.

REVIEW

Informatics confronts drug–drug interactions.

Percha B, Altman RB. Trends Pharmacol Sci. 2013;34:178-184.

STUDY

Analysis and prioritization of near-miss adverse events in a radiology department.

Thornton RH, Miransky J, Killen AR, Solomon SB, Brody LA. AJR Am J Roentgenol. 2011;196:1120-1124.

STUDY

Why patient summaries in electronic health records do not provide the cognitive support necessary for nurses' handoffs on medical and surgical units: insights from interviews and observations.

Staggers N, Clark L, Blaz JW, Kapsandoy S. Health Informatics J. 2011;17:209-223.

STUDY

The nature and occurrence of registration errors in the emergency department.

Hakimzada AF, Green RA, Sayan OR, Zhang J, Patel VL. Int J Med Inform. 2008;77:169-175.

STUDY

Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station.

Colligan L, Guerlain S, Steck SE, Hoke TR. BMJ Qual Saf. 2012;21:939-947.

STUDY

Effect of noise on auditory processing in the operating room.

Way TJ, Long A, Weihing J, et al. J Am Coll Surg. 2013;216:933-938.

STUDY

Errors of diagnosis in pediatric practice: a multisite survey.

Singh H, Thomas EJ, Wilson L, et al. Pediatrics. 2010;126:70-79.

BOOK/REPORT

Order from Chaos: Accelerating Care Integration.

Boston, MA: Lucian Leape Institute at the National Patient Safety Foundation; October 2012.

STUDY

Medication errors in paediatric outpatients.

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

STUDY

An intervention to decrease patient identification band errors in a children's hospital.

Hain PD, Joers B, Rush M, et al. Qual Saf Health Care. 2010;19:244-247.

REGULATION

Health Information Technology Patient Safety Action & Surveillance Plan.

Washington, DC: Office of the National Coordinator for Health Information Technology; December 2012.

COMMENTARY

Adverse events: root causes and latent factors.

Karl R, Karl MC. Surg Clin North Am. 2012;92:89-100.

BOOK/REPORT

Designing for Patient Safety: Developing Methods to Integrate Patient Safety Concerns in the Design Process.

Joseph A, Quan X, Taylor E, Jelen M. Concord, CA: Center for Health Design; 2012.

STUDY

Improving general practice computer systems for patient safety: qualitative study of key stakeholders.

Avery AJ, Savelyich BSP, Sheikh A, Morris CJ, Bowler I, Teasdale S. Qual Saf Health Care. 2007;16:28-33.

STUDY

Protocol-based computer reminders, the quality of care and the non-perfectability of man.

McDonald CJ. N Engl J Med. 1976;295:1351-1355.

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