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 (65)

•Diagnostic Errors (94)

•Identification Errors (49)

•Discontinuities, Gaps, and Hand-Off Problems (144)

•Fatigue and Sleep Deprivation (17)

•Medication Safety (537)

•Medical Complications (169)

•Nonsurgical Procedural Complications (23)

•Surgical Complications (188)

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•Africa (4)

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•Clinical Guideline (1)

•Journal Article (1131)

•Legislation/Regulation (4)

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Epidemiology of Errors and Adverse Events

Approach to Improving Safety

•Quality Improvement Strategies (256)

•Legal and Policy Approaches (44)

•Error Reporting and Analysis (478)

•Communication Improvement (200)

•Human Factors Engineering (125)

•Teamwork (46)

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•Technologic Approaches (228)

•Education and Training (183)

Clinical Areas

•Allied Health Services (4)

Target Audience

•Health Care Providers (939)

•Health Care Executives and Administrators (1044)

•Non-Health Care Professionals (369)

•Patients (29)

Setting of Care

•Hospitals (887)

•Psychiatric Facilities (7)

•Residential Facilities (29)

•Ambulatory Care (146)

•Outpatient Surgery (14)

•Patient Transport (17)

1 - 20 of 1219

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STUDY

A prevalence study of errors in opioid prescribing in a large teaching hospital.

Davies ED, Schneider F, Childs S, et al. Int J Clin Pract. 2011;65:923-929.

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

Errors and omissions in hospital prescriptions: a survey of prescription writing in a hospital.

Calligaris L, Panzera A, Arnoldo L, et al. BMC Clin Pharmacol. 2009;9:9.

STUDY

Medication errors: the impact of prescribing and transcribing errors on preventable harm in hospitalised patients.

van Doormaal JE, van den Bemt PM, Mol PG, et al. Qual Saf Health Care. 2009;18:22-27.

STUDY

Computerized physician order entry of injectable antineoplastic drugs: an epidemiologic study of prescribing medication errors.

Nerich V, Limat S, Demarchi M, et al. Int J Med Inform. 2010;79:699-706.

STUDY

Accuracy of medication documentation in hospital discharge summaries: a retrospective analysis of medication transcription errors in manual and electronic discharge summaries.

Callen J, McIntosh J, Li J. Int J Med Inform. 2010;79:58-64.

STUDY

Electronic health records and adverse drug events after patient transfer.

Boockvar KS, Livote EE, Goldstein N, Nebeker JR, Siu A, Fried T. Qual Saf Health Care. 2010;19:e16.

STUDY

Impact of a computerized physician order entry system on compliance with prescription accuracy requirements.

Mir C, Gadri A, Zelger GL, Pichon R, Pannatier A. Pharm World Sci. 2009;31:596-602.

STUDY

Importance of prevention and early intervention of adverse events in pediatric cardiac catheterization: a review of three years of experience.

Huang YC, Chang JS, Lai YC, Li PC. Pediatr Neonatol. 2009;50:280-286.

STUDY

Pharmacists' interventions in prescribing errors at hospital discharge: an observational study in the context of an electronic prescribing system in a UK teaching hospital.

Abdel-Qader DH, Harper L, Cantrill JA, Tully MP. Drug Saf. 2010;33:1027-1044.

STUDY

Incorrect surgical procedures within and outside of the operating room: a follow-up report.

Neily J, Mills PD, Eldridge N, et al. Arch Surg. 2011;146 1235-1239.

STUDY

Assessing the impact of an educational program on decreasing prescribing errors at a university hospital.

Peeters MJ, Pinto SL. J Hosp Med. 2009;4:97-101.

STUDY

Factors associated with medication errors in the pediatric emergency department.

Vilà-de-Muga M, Colom-Ferrer L, Gonzàlez-Herrero M, Luaces-Cubells C. Pediatr Emerg Care. 2011;27:290-294.

STUDY

Results of the Medications At Transitions and Clinical Handoffs (MATCH) study: an analysis of medication reconciliation errors and risk factors at hospital admission.

Gleason KM, McDaniel MR, Feinglass J, et al. J Gen Intern Med. 2010;25:441-447.

STUDY

Patient record review of the incidence, consequences, and causes of diagnostic adverse events.

Zwaan L, de Bruijne M, Wagner C, et al. Arch Intern Med. 2010;170:1015-1021.

STUDY

Analgesic prescribing errors and associated medication characteristics.

Smith HS, Lesar TS. J Pain. 2011;12:29-40.

STUDY

A multidisciplinary approach to adverse drug events in pediatric trauma patients in an adult trauma center.

Kalina M, Tinkoff G, Gleason W, Veneri P, Fulda G. Pediatr Emerg Care. 2009;25:444-446.

STUDY

Can an electronic prescribing system detect doctors who are more likely to make a serious prescribing error?

Coleman JJ, Hemming K, Nightingale PG, et al. J R Soc Med. 2011;104:208-218.

STUDY

Introduction of a rapid response system at a United States Veterans Affairs hospital reduced cardiac arrests.

Lighthall GK, Parast LM, Rapoport L, Wagner TH. Anesth Analg. 2010;111:679-686.

STUDY

Transitioning between electronic health records: effects on ambulatory prescribing safety.

Abramson EL, Malhotra S, Fischer K, et al. J Gen Intern Med. 2011;26:868-874.

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