AHRQ Patient Safety Network

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Identification Errors

•Wrong Patient (14)

•Wrong-Site Surgery (14)

Origin/Sponsor

•Asia (2)

•Australia and New Zealand (4)

Resource Types

•Journal Article (56)

•Legislation/Regulation (2)

•Meeting/Conference (1)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (22)

•Special or Theme Issue (2)

•Tools/Toolkit (3)

•Web Resource (4)

Error Types

•Epidemiology of Errors and Adverse Events (38)

•Active Errors (27)

•Latent Errors (15)

•Near Miss (7)

Approach to Improving Safety

•Quality Improvement Strategies (30)

•Legal and Policy Approaches (13)

•Error Reporting and Analysis (36)

•Communication Improvement (39)

•Human Factors Engineering (29)

•Teamwork (6)

•Specialization of Care (2)

•Logistical Approaches (17)

•Culture of Safety (9)

•Technologic Approaches (29)

•Education and Training (23)

Clinical Areas

•Medicine (81)

•Nursing (8)

•Pharmacy (5)

Target Audience

•Health Care Providers (69)

•Health Care Executives and Administrators (76)

•Non-Health Care Professionals (32)

•Patients (24)

Setting of Care

•Hospitals (77)

•Psychiatric Facilities (1)

•Residential Facilities (2)

•Ambulatory Care (8)

•Outpatient Surgery (5)

1 - 20 of 103

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BOOK/REPORT

Patient Safety Authority Annual Reports.

Harrisburg, PA: Patient Safety Authority; April 2013.

NEWSPAPER/MAGAZINE ARTICLE

Never events: Utah hospitals saw nearly 60 serious errors in 2007.

May H. Salt Lake Tribune. August 18, 2008.

NEWSPAPER/MAGAZINE ARTICLE

Get me out alive.

Feldman R. The Washington Post. May 2, 2006:HE01.

BOOK/REPORT

Consumer Guide to Adverse Health Events.

St. Paul, MN: Minnesota Department of Health; January 2009.

NEWSPAPER/MAGAZINE ARTICLE

Empowered to improve.

Gardner E. Mod Healthc. May 18, 2009;39:28-31.

BOOK/REPORT

Meeting the Joint Commission's 2013 National Patient Safety Goals.

Oakbrook Terrace, IL: The Joint Commission; September 2012. ISBN: 9781599407555.

STUDY

Automated identification of extreme-risk events in clinical incident reports.

Ong MS, Magrabi F, Coiera E. J Am Med Inform Assoc. 2012;19:e110-e118.

NEWSPAPER/MAGAZINE ARTICLE

10 things your hospital won't tell you.

Kapadia R. Smart Money. October 2006;15:112-114.

BOOK/REPORT

Never Events: Framework 2009/10.

National Patient Safety Agency. London, UK: National Reporting and Learning Service; 2009.

BOOK/REPORT

Improving America's Hospitals: A Report on Quality and Safety.

Oakbrook Terrace, IL: The Joint Commission; March 2007.

STUDY

Reduction in pediatric identification band errors: a quality collaborative.

Phillips SC, Saysana M, Worley S, Hain PD. Pediatrics. 2012;129:e1587-e1593.

STUDY

Closing the safety loop: evaluation of the National Patient Safety Agency's guidance regarding wristband identification of hospital inpatients.

Sevdalis N, Norris B, Ranger C, Bothwell S; Wristband Project Team. J Eval Clin Pract. 2009;15:311-315.

STUDY

Indication-based prescribing prevents wrong-patient medication errors in computerized provider order entry (CPOE).

Galanter W, Falck S, Burns M, Laragh M, Lambert BL. J Am Med Inform Assoc. 2013;20:477-481.

COMMENTARY

In Conversation with…Eric G. Poon, MD, MPH

AHRQ WebM&M [serial online]. September 2008.

ORGANIZATIONAL POLICY/GUIDELINES

Standardising wristbands improves patient safety.

Safe Practice Notice 24. London, England: National Patient Safety Agency; July 3, 2007.

SPECIAL OR THEME ISSUE

Cognitive Factors in Health Care.

Rogers WA, ed. J Exp Psychol Appl. 2011;17:191-302.

MULTI-USE WEBSITE

Standardization Projects.

Washington State Hospital Association.

STUDY

Incident reporting practices in the preanalytical phase: low reported frequencies in the primary health care setting.

Söderberg J, Grankvist K, Brulin C, Wallin O. Scand J Clin Lab Invest. 2009;69:731-735.

NEWSPAPER/MAGAZINE ARTICLE

Five hospitals release data on inspections.

Kowalczyk L. Boston Globe. April 21, 2007:B1.

NEWSPAPER/MAGAZINE ARTICLE

Hospital bracelets face hurdles as they fix hazard.

Hartocollis A. New York Times. September 25, 2008; Metropolitan Desk section: A1.

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