AHRQ Patient Safety Network

The Collection > Epidemiology of Errors and Adverse Events

PATIENT SAFETY PRIMERS
Never Events
Adverse Events after Hospital Discharge

Narrow By

clear selections

Safety Target

•Device-related Complications (71)

•Diagnostic Errors (118)

•Identification Errors (57)

•Discontinuities, Gaps, and Hand-Off Problems (169)

•Fatigue and Sleep Deprivation (27)

•Medication Safety (602)

•Medical Complications (190)

•Nonsurgical Procedural Complications (24)

•Surgical Complications (232)

•Transfusion Complications (14)

•Psychological and Social Complications (34)

Origin/Sponsor

•Africa (2)

•Asia (37)

•Australia and New Zealand (51)

•Central and South America (7)

•Europe (262)

•North America (1071)

Resource Types

•Audiovisual (4)

•Book/Report (36)

•Journal Article (1329)

•Legislation/Regulation (3)

•Meeting/Conference (2)

•Newspaper/Magazine Article (52)

•Press Release/Announcement (2)

•Special or Theme Issue (2)

•Tools/Toolkit (1)

•Web Resource (9)

Error Types
< All

Epidemiology of Errors and Adverse Events

Approach to Improving Safety

•Quality Improvement Strategies (268)

•Legal and Policy Approaches (68)

•Error Reporting and Analysis (602)

•Communication Improvement (231)

•Human Factors Engineering (137)

•Teamwork (48)

•Specialization of Care (92)

•Logistical Approaches (100)

•Culture of Safety (90)

•Technologic Approaches (261)

•Education and Training (182)

Clinical Areas

•Allied Health Services (3)

Target Audience

•Health Care Providers (1010)

•Health Care Executives and Administrators (1148)

•Non-Health Care Professionals (408)

•Patients (51)

Setting of Care

•Hospitals (1032)

•Psychiatric Facilities (6)

•Residential Facilities (35)

•Ambulatory Care (169)

•Outpatient Surgery (21)

•Patient Transport (17)

1 - 20 of 1440

Show ExcerptDon't Show Excerpt

dropdown

STUDY

Impact of resident participation in surgical operations on postoperative outcomes: National Surgical Quality Improvement Program.

Kiran RP, Ahmed Ali U, Coffey JC, Vogel JD, Pokala N, Fazio VW. Ann Surg. 2012;256:469-475.

STUDY

Prevention of surgical malpractice claims by a surgical safety checklist.

de Vries EN, Eikens-Jansen MP, Hamersma AM, Smorenburg SM, Gouma DJ, Boermeester MA. Ann Surg. 2011;253:624-628.

STUDY

Nature, causes and consequences of unintended events in surgical units.

van Wagtendonk I, Smits M, Merten H, Heetveld MJ, Wagner C. Br J Surg. 2010;97:1730-1740.

STUDY

Preprinted order sets as a safety intervention in pediatric sedation.

Broussard M, Bass PF 3rd, Arnold CL, McLarty JW, Bocchini JA Jr. J Pediatr. 2009;154:865-868.

STUDY

Applicability of Healthcare Failure Mode and Effects Analysis to healthcare epidemiology: evaluation of the sterilization and use of surgical instruments.

Linkin DR, Sausman C, Santos L, et al. Clin Infect Dis. 2005;41:1014-1019.

STUDY

The 80-hour work guidelines and resident survey perceptions of quality.

Biller CK, Antonacci AC, Pelletier S, et al. J Surg Res. 2006;135:275-281.

STUDY

Retained surgical items: a problem yet to be solved.

Stawicki SP, Moffatt-Bruce SD, Ahmed HM, et al. J Am Coll Surg. 2013;216:15-22.

REVIEW

Avoiding wrong site surgery: a systematic review.

DeVine J, Chutkan N, Norvell DC, Dettori JR. Spine. 2010;35(suppl 9):S28-S36.

STUDY

Burnout and medical errors among American surgeons.

Shanafelt TD, Balch CM, Bechamps G, et al. Ann Surg. 2010;251:995-1000.

STUDY

Operating room briefings and wrong-site surgery.

Makary MA, Mukherjee A, Sexton BJ, et al. J Am Coll Surg. 2007;204:236-243.

STUDY

Benchmarking surgical incident reports using a database and a triage system to reduce adverse outcomes.

Antonacci AC, Lam S, Lavarias V, Homel P, Eavey RD. Arch Surg. 2008;143:1192-1197.

STUDY

Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: are they preventable?

Seiden SC, Barach P. Arch Surg. 2006;141:931-939.

REVIEW

Minimizing surgical error by incorporating objective assessment into surgical education.

Champion HR, Meglan DA, Shair EK. J Am Coll Surg. 2008;207:284-291.

STUDY

Classification of adverse events occurring in a surgical intensive care unit.

Frankel H, Sperry J, Kaplan L, Foley A, Rabinovici R. Am J Surg. 2007;194:328-332.

STUDY

Representative case series from public hospital admissions 1998 II: surgical adverse events.

Briant R, Morton J, Lay-Yee R, Davis P, Ali W. N Z Med J. 2005;118:U1591.

STUDY

Surgeon age and operative mortality in the United States.

Waljee JF, Greenfield LJ, Dimick JB, Birkmeyer JD. Ann Surg. 2006;244:353-362.

STUDY

Thirty-day outcomes support implementation of a surgical safety checklist.

Bliss LA, Ross-Richardson CB, Sanzari LJ, et al. J Am Coll Surg. 2012;215:766-776.

COMMENTARY

Use of an anatomic marking form as an alternative to the Universal Protocol for Preventing Wrong Site, Wrong Procedure and Wrong Person Surgery.

Knight N, Aucar J. Am J Surg. 2010;200:803-807.

STUDY

Practice-based learning and improvement: a two-year experience with the reporting of morbidity and mortality cases by general surgery residents.

Falcone JL, Lee KKW, Billiar TR, Hamad GG. J Surg Educ. 2012;69:385-392.

STUDY

Paid malpractice claims for adverse events in inpatient and outpatient settings.

Bishop TF, Ryan AK, Casalino LP. JAMA. 2011;305:2427-2431.

1 2 3 4 5 6 7 8 9 10 11 Next >