AHRQ Patient Safety Network

The Collection > Medicine

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Safety Target

•Device-related Complications (117)

•Diagnostic Errors (123)

•Identification Errors (91)

•Discontinuities, Gaps, and Hand-Off Problems (265)

•Fatigue and Sleep Deprivation (44)

•Medication Safety (691)

•Medical Complications (242)

•Nonsurgical Procedural Complications (81)

•Surgical Complications (340)

•Transfusion Complications (12)

•Psychological and Social Complications (62)

Origin/Sponsor

•Asia (24)

•Australia and New Zealand (42)

•Central and South America (4)

•Europe (174)

•North America (1887)

Resource Types

•Audiovisual (24)

•Award (4)

•Book/Report (58)

•Clinical Guideline (8)

•Journal Article (1749)

•Legislation/Regulation (37)

•Meeting/Conference (12)

•Newsletter/Journal (2)

•Newspaper/Magazine Article (188)

•Press Release/Announcement (18)

•Special or Theme Issue (21)

•Tools/Toolkit (17)

•Web Resource (23)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (612)

•Active Errors (414)

•Latent Errors (158)

•Near Miss (54)

Approach to Improving Safety

•Quality Improvement Strategies (523)

•Legal and Policy Approaches (139)

•Error Reporting and Analysis (638)

•Communication Improvement (530)

•Human Factors Engineering (424)

•Teamwork (197)

•Specialization of Care (153)

•Logistical Approaches (152)

•Culture of Safety (245)

•Technologic Approaches (366)

•Education and Training (419)

Clinical Areas
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Medicine

Target Audience

•Health Care Providers (1627)

•Health Care Executives and Administrators (1944)

•Non-Health Care Professionals (687)

•Patients (110)

Setting of Care

•Hospitals (1485)

•Psychiatric Facilities (9)

•Residential Facilities (45)

•Ambulatory Care (165)

•Outpatient Surgery (29)

•Patient Transport (21)

1 - 20 of 2163

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STUDY

Characteristics of medication errors made by students during the administration phase: a descriptive study.

Wolf ZR, Hicks R, Serembus JF. J Prof Nurs. 2006;22:39-51.

NEWSPAPER/MAGAZINE ARTICLE

Promethazine conundrum: IV can hurt more than IM injection!

ISMP Medication Safety Alert! Acute Care Edition. November 2, 2006;11:1-3.

STUDY

Patient self-medication--a change in hospital practice.

Grantham G, McMillan V, Dunn SV, Gassner LA, Woodcock P. J Clin Nurs. 2006;15:962-970.

REVIEW

Fall prevention in hospitals: an integrative review.

Spoelstra SL, Given BA, Given CW. Clin Nurs Res. 2012;21:92-112.

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

Medication safety initiative in reducing medication errors.

Nguyen EE, Connolly PM, Wong V. J Nurs Care Qual. 2010;25:224-230.

STUDY

Barriers to nurses' reporting of medication administration errors in Taiwan.

Chiang HY, Pepper GA. J Nurs Scholarsh. 2006;38:392-399.

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.

COMMENTARY

A nurse-driven system for improving patient quality outcomes.

Johnson K, Hallsey D, Meredith RL, Warden E. J Nurs Care Qual. 2006;21:168-175.

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

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

Rework and workarounds in nurse medication administration process: implications for work processes and patient safety.

Halbesleben JRB, Savage GT, Wakefield DS, Wakefield BJ. Health Care Manage Rev. 2010;35:124-133.

NEWSPAPER/MAGAZINE ARTICLE

Manic for medication safety: bar codes and drug information databases are helping to reduce medication errors.

Rogoski RR. Health Manage Technol. February 2007;28:14, 16-18.

STUDY

Association of interruptions with an increased risk and severity of medication administration errors.

Westbrook JI, Woods A, Rob MI, Dunsmuir WTM, Day RO. Arch Intern Med. 2010;170:683-690.

COMMENTARY

Preventing sentinel events caused by family members.

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

STUDY

A human factors framework and study of the effect of nursing workload on patient safety and employee quality of working life.

Holden RJ, Scanlon MC, Patel NR, et al. BMJ Qual Saf. 2011;20:15-24.

STUDY

Nurses' perceptions of causes of medication errors and barriers to reporting.

Ulanimo VM, O'Leary-Kelley C, Connolly PM. J Nurs Care Qual. 2007;22:28-33.

COMMENTARY

A plan for achieving significant improvement in patient safety.

Johnson K, Maultsby CC. J Nurs Care Qual. 2007;22:164-171.

COMMENTARY

Smart pumps: implications for nurse leaders.

Kirkbride G, Vermace B. Nurs Adm Q. 2011;35:110-118.

STUDY

An investigation of the relationship between safety climate and medication errors as well as other nurse and patient outcomes.

Hofmann DA, Mark B. Personnel Psychol. 2006;59:847-869.

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