AHRQ Patient Safety Network

The Collection > Epidemiology of Errors and Adverse Events

PATIENT SAFETY PRIMERS
Never Events
Adverse Events after Hospital Discharge

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Safety Target

•Device-related Complications (68)

•Diagnostic Errors (102)

•Identification Errors (51)

•Discontinuities, Gaps, and Hand-Off Problems (153)

•Fatigue and Sleep Deprivation (26)

•Medication Safety (558)

•Medical Complications (190)

•Nonsurgical Procedural Complications (27)

•Surgical Complications (198)

•Transfusion Complications (14)

•Psychological and Social Complications (35)

Origin/Sponsor

•Africa (5)

•Asia (41)

•Australia and New Zealand (69)

•Central and South America (9)

Resource Types

•Clinical Guideline (1)

•Journal Article (1253)

•Legislation/Regulation (5)

•Meeting/Conference (1)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (39)

•Press Release/Announcement (2)

•Special or Theme Issue (3)

•Tools/Toolkit (1)

•Web Resource (13)

Error Types
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Epidemiology of Errors and Adverse Events

Approach to Improving Safety

•Quality Improvement Strategies (266)

•Legal and Policy Approaches (67)

•Error Reporting and Analysis (576)

•Communication Improvement (229)

•Human Factors Engineering (138)

•Teamwork (48)

•Specialization of Care (85)

•Logistical Approaches (91)

•Culture of Safety (104)

•Technologic Approaches (239)

•Education and Training (185)

Clinical Areas

•Allied Health Services (4)

Target Audience

•Health Care Providers (986)

•Health Care Executives and Administrators (1149)

•Non-Health Care Professionals (426)

•Patients (47)

Setting of Care

•Hospitals (1054)

•Psychiatric Facilities (6)

•Residential Facilities (30)

•Ambulatory Care (143)

•Outpatient Surgery (17)

•Patient Transport (18)

1 - 20 of 1374

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STUDY

Errare humanum est: frequency of laterality errors in radiology reports.

Sangwaiya MJ, Saini S, Blake MA, Dreyer KJ, Kalra MK. AJR Am J Roentgenol. 2009;192:W239-W244.

STUDY

Determinants of patient-reported medication errors: a comparison among seven countries.

Lu CY, Roughead E. Int J Clin Pract. 2011;65:733-740.

STUDY

Fractures of the fingers missed or misdiagnosed on poorly positioned or poorly taken radiographs: a retrospective study.

Tuncer S, Aksu N, Dilek H, Ozkan T, Hamzaoglu A. J Trauma. 2011;71:649-655.

STUDY

Diagnostic error in a national incident reporting system in the UK.

Sevdalis N, Jacklin R, Arora S, Vincent CA, Thomson RG. J Eval Clin Pract. 2010;16:1276-1281.

STUDY

Accuracy of radiographic readings in the emergency department.

Petinaux B, Bhat R, Boniface K, Aristizabal J. Am J Emerg Med. 2011;29:18-25.

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.

BOOK/REPORT

An In Depth Investigation into Causes of Prescribing Errors by Foundation Trainees in Relation to Their Medical Education—EQUIP Study.

Dornan T, Ashcroft D, Heathfield H, et al. London: General Medical Council; 2009.

STUDY

Reducing potentially fatal errors associated with high doses of insulin: a successful multifaceted multidisciplinary prevention strategy.

Dooley MJ, Wiseman M, McRae A, et al. BMJ Qual Saf. 2011;20:637-644.

STUDY

An exploratory study measuring verbal order content and context.

Wakefield DS, Brokel J, Ward MM, Schwichtenberg T, Groath D, Kolb M, Davis JW, Crandall D. Qual Saf Health Care. 2009;18:169-173.

STUDY

Pediatric antidepressant medication errors in a national error reporting database.

Rinke ML, Bundy DG, Shore AD, Colantuoni E, Morlock LL, Miller MR. J Dev Behav Pediatr. 2010;31:129-136.

REVIEW

An international review of patient safety measures in radiotherapy practice.

Shafiq J, Barton M, Noble D, Lemer C, Donaldson LJ. Radiother Oncol. 2009;92:15-21.

STUDY

Incidence, preventability and consequences of adverse events in older people: results of a retrospective case-note review.

Sari AB, Cracknell A, Sheldon TA. Age Ageing. 2008;37:265-269.

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

Critical incidents related to cardiac arrests reported to the Danish Patient Safety Database.

Andersen PO, Maaløe R, Andersen HB. Resuscitation. 2010;81:312-316.

STUDY

Medication safety initiative in reducing medication errors.

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

STUDY

Cardiovascular medication errors in children.

Alexander DC, Bundy DG, Shore AD, Morlock L, Hicks RW, Miller MR. Pediatrics. 2009;124:324-332.

STUDY

National study on the frequency, types, causes, and consequences of voluntarily reported emergency department medication errors.

Pham JC, Story JL, Hicks RW, et al. J Emerg Med. 2011;40:485-492.

STUDY

Use of the WHO surgical safety checklist in trauma and orthopaedic patients.

Sewell M, Adebibe M, Jayakumar P, et al. Int Orthop. 2011;35:897-901.

STUDY

Paediatric dosing errors before and after electronic prescribing.

Jani YH, Barber N, Wong ICK. Qual Saf Health Care. 2010;19:337-340.

REVIEW

Improving safety in the operating room: a systematic literature review of retained surgical sponges.

Wan W, Le T, Riskin L, Macario A. Curr Opin Anaesthesiol. 2009;22:207-214.

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