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 (71)

•Diagnostic Errors (109)

•Identification Errors (54)

•Discontinuities, Gaps, and Hand-Off Problems (163)

•Fatigue and Sleep Deprivation (28)

•Medication Safety (642)

•Medical Complications (183)

•Nonsurgical Procedural Complications (21)

•Surgical Complications (197)

•Transfusion Complications (13)

•Psychological and Social Complications (33)

Origin/Sponsor

•Africa (3)

•Asia (34)

•Australia and New Zealand (49)

•Central and South America (9)

•Europe (249)

•North America (1074)

Resource Types

•Audiovisual (4)

•Book/Report (40)

•Journal Article (1312)

•Legislation/Regulation (3)

•Meeting/Conference (2)

•Newspaper/Magazine Article (51)

•Press Release/Announcement (2)

•Special or Theme Issue (3)

•Tools/Toolkit (1)

•Web Resource (7)

Error Types
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Epidemiology of Errors and Adverse Events

Approach to Improving Safety

•Quality Improvement Strategies (253)

•Legal and Policy Approaches (65)

•Error Reporting and Analysis (588)

•Communication Improvement (236)

•Human Factors Engineering (133)

•Teamwork (47)

•Specialization of Care (93)

•Logistical Approaches (104)

•Culture of Safety (87)

•Technologic Approaches (267)

•Education and Training (181)

Clinical Areas

•Allied Health Services (5)

Target Audience

•Health Care Providers (988)

•Health Care Executives and Administrators (1132)

•Non-Health Care Professionals (403)

•Patients (50)

Setting of Care

•Hospitals (1016)

•Psychiatric Facilities (7)

•Residential Facilities (38)

•Ambulatory Care (176)

•Outpatient Surgery (19)

•Patient Transport (18)

1 - 20 of 1425

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STUDY

Comparing errors in ED computer-assisted vs conventional pediatric drug dosing and administration.

Yamamoto L, Kanemori J. Am J Emerg Med. 2010;28:588-592.

STUDY

A human factors framework and study of the effect of nursing workload on patient safety and employee quality of working life.

Holden RJ, Scanlon MC, Patel NR, et al. BMJ Qual Saf. 2011;20:15-24.

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

An examination of technical efficiency, quality, and patient safety in acute care nursing units.

Mark B, Jones C, Lindley L, Ozcan Y. Policy Polit Nurs Pract. 2009;10:180-186.

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

Effects of learning climate and registered nurse staffing on medication errors.

Chang Y, Mark B. Nurs Res. 2011;60:32-39.

STUDY

Relationship between systems-level factors and hand hygiene adherence.

Dunn-Navarra AM, Cohen B, Stone PW, Pogorzelska M, Jordan S, Larson E. J Nurs Care Qual. 2011;26:30-38.

STUDY

Medication errors recovered by emergency department pharmacists.

Rothschild JM, Churchill W, Erickson A, et al. Ann Emerg Med. 2010;55:513-521.

STUDY

Learning from different lenses: reports of medical errors in primary care by clinicians, staff, and patients: a project of the American Academy of Family Physicians National Research Network.

Phillips RL, Dovey SM, Graham D, Elder NC, Hickner JM. J Patient Saf. 2006;2:140-146.

STUDY

Nurses relate the contributing factors involved in medication errors.

Tang FI, Sheu SJ, Yu S, Wei IL, Chen CH. J Clin Nurs. 2007;16:447-457.

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

Characteristics of medication errors and adverse drug events in hospitals participating in the California Pediatric Patient Safety Initiative.

Takata GS, Taketomo CK, Waite S; for the California Pediatric Patient Safety Initiative. Am J Health Syst Pharm. 2008;65:2036-2044.

STUDY

Achieving quality improvement in the nursing home: influence of nursing leadership on communication and teamwork.

Vogelsmeier A, Scott-Cawiezell J. J Nurs Care Qual. 2011;26:236-242.

NEWSPAPER/MAGAZINE ARTICLE

Patient safety in the ED.

Scalise D, Lazar C. Hosp Health Netw. May 2006:80:5,48,2.

NEWSPAPER/MAGAZINE ARTICLE

Medication errors common for hospital diabetes.

Nursing Times. April 1, 2011.

MEETING/CONFERENCE PROCEEDINGS

Safety in the NICU: preventing medical errors.

Stokowski LA. Highlights of the National Association of Neonatal Nurses 22nd Annual Conference [Medscape.com]. March 8, 2007.

STUDY

Enhancing patient safety with intelligent intravenous infusion devices: experience in a specialty cardiac hospital.

Wood JL, Burnette JS. Heart Lung. 2012;41:173-176.

STUDY

Medical errors recovered by critical care nurses.

Dykes PC, Rothschild JM, Hurley AC. J Nurs Adm. 2010;40:241-246.

REVIEW

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

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

STUDY

Effect of emergency medicine pharmacists on medication-error reporting in an emergency department.

Weant KA, Humphries RL, Hite K, Armitstead JA. Am J Health Syst Pharm. 2010;67:1851-1855.

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