AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (24)

•Diagnostic Errors (5)

•Identification Errors (14)

•Discontinuities, Gaps, and Hand-Off Problems (62)

•Fatigue and Sleep Deprivation (23)

•Medication Safety (240)

•Medical Complications (74)

•Nonsurgical Procedural Complications (13)

•Surgical Complications (50)

•Transfusion Complications (1)

•Psychological and Social Complications (31)

Origin/Sponsor

•Asia (21)

•Australia and New Zealand (35)

•Central and South America (1)

Resource Types

•Clinical Guideline (1)

•Journal Article (567)

•Legislation/Regulation (4)

•Meeting/Conference (3)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (34)

•Press Release/Announcement (1)

•Special or Theme Issue (17)

•Tools/Toolkit (5)

•Web Resource (4)

Error Types

•Epidemiology of Errors and Adverse Events (121)

•Active Errors (106)

•Latent Errors (55)

•Near Miss (20)

Approach to Improving Safety

•Quality Improvement Strategies (112)

•Legal and Policy Approaches (31)

•Error Reporting and Analysis (143)

•Communication Improvement (141)

•Human Factors Engineering (98)

•Teamwork (74)

•Specialization of Care (31)

•Logistical Approaches (118)

•Culture of Safety (107)

•Technologic Approaches (90)

•Education and Training (165)

Clinical Areas
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Nursing

•Medical/Surgical/Psychiatric Nursing (79)

•Critical Care Nursing (71)

•Anesthesia Nursing (11)

•Obstetrical Nursing (10)

•Emergency Nursing (27)

•Home Nursing (14)

Target Audience

•Health Care Providers (573)

•Health Care Executives and Administrators (605)

•Non-Health Care Professionals (204)

•Patients (13)

Setting of Care

•Hospitals (421)

•Psychiatric Facilities (6)

•Residential Facilities (18)

•Ambulatory Care (29)

•Outpatient Surgery (6)

•Patient Transport (2)

1 - 20 of 653

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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.

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

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

Interruptions and multitasking in nursing care.

Kalisch BJ, Aebersold M. Jt Comm J Qual Patient Saf. 2010;36:126-132.

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.

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

Learning mechanisms to limit medication administration errors.

Drach-Zahavy A, Pud D. J Adv Nurs. 2010;66:794-805.

REVIEW

Do calculation errors by nurses cause medication errors in clinical practice? A literature review.

Wright K. Nurse Educ Today. 2010;30:85-97.

COMMENTARY

Examining medication errors in a tertiary hospital.

Maricle K, Whitehead L, Rhodes M. J Nurs Care Qual. 2007;22:20-27.

STUDY

Implementing bedside handover: strategies for change management.

McMurray A, Chaboyer W, Wallis M, Fetherston C. J Clin Nurs. 2010;19:2580-2589.

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

Empowering frontline nurses: a structured intervention enables nurses to improve medication administration accuracy.

Kliger J, Blegen MA, Gootee D, O'Neil E. Jt Comm J Qual Patient Saf. 2009;35:604-612.

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

Hospital RNs' experiences with disruptive behavior: a qualitative study.

Walrath JM, Dang D, Nyberg D. J Nurs Care Qual. 2010;25:105-116.

STUDY

Bar-code technology for medication administration: medication errors and nurse satisfaction.

Fowler SB, Sohler P, Zarillo DF. MedSurg Nursing. 2009;18:103-110.

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.

NEWSPAPER/MAGAZINE ARTICLE

Medication errors common for hospital diabetes.

Nursing Times. April 1, 2011.

COMMENTARY

Implementing a safe and reliable process for medication administration.

Richardson B, Bromirski B, Hayden A. Clin Nurse Spec. 2012;26:169-176.

COMMENTARY

Medication errors: don't let them happen to you.

Anderson P, Townsend T. Amer Nurs Today. March 2010;5:23-27.

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