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 (56)

•Diagnostic Errors (99)

•Identification Errors (51)

•Discontinuities, Gaps, and Hand-Off Problems (145)

•Fatigue and Sleep Deprivation (25)

•Medication Safety (505)

•Medical Complications (175)

•Nonsurgical Procedural Complications (25)

•Surgical Complications (177)

•Transfusion Complications (14)

•Psychological and Social Complications (27)

Origin/Sponsor

•Africa (4)

•Asia (34)

•Australia and New Zealand (61)

•Central and South America (7)

Resource Types

•Clinical Guideline (1)

•Journal Article (1156)

•Legislation/Regulation (5)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (38)

•Press Release/Announcement (2)

•Special or Theme Issue (3)

•Tools/Toolkit (1)

•Web Resource (11)

Error Types
< All

Epidemiology of Errors and Adverse Events

Approach to Improving Safety

•Quality Improvement Strategies (246)

•Legal and Policy Approaches (66)

•Error Reporting and Analysis (550)

•Communication Improvement (207)

•Human Factors Engineering (122)

•Teamwork (37)

•Specialization of Care (77)

•Logistical Approaches (88)

•Culture of Safety (87)

•Technologic Approaches (219)

•Education and Training (154)

Clinical Areas

•Allied Health Services (3)

Target Audience

•Health Care Providers (934)

•Health Care Executives and Administrators (1051)

•Non-Health Care Professionals (363)

•Patients (46)

Setting of Care

•Hospitals (967)

•Psychiatric Facilities (6)

•Residential Facilities (28)

•Ambulatory Care (137)

•Outpatient Surgery (18)

•Patient Transport (17)

1 - 20 of 1272

Show ExcerptDon't Show Excerpt

dropdown

REVIEW

Clinical errors and medical negligence.

Oyebode F. Med Princ Pract. 2013 Jan 18; [Epub ahead of print].

STUDY

Last orders: follow-up of tests ordered on the day of hospital discharge.

Ong MS, Magrabi F, Jones G, Coiera E. Arch Intern Med. 2012;172:1347-1349.

STUDY

Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retrospective patient case note review.

Sari AB, Sheldon TA, Cracknell A, Turnbull A. BMJ. 2007;334;79.

REVIEW

Double checking the administration of medicines: what is the evidence? A systematic review.

Alsulami Z, Conroy S, Choonara I. Arch Dis Child. 2012;97:833-837.

STUDY

Clinical impact associated with corrected results in clinical microbiology testing.

Yuan S, Astion ML, Schapiro J, Limaye AP. J Clin Microbiol. 2005;43:2188-2193.

STUDY

Do split-side rails present an increased risk to patient safety?

Hignett S, Griffiths P. Qual Saf Health Care. 2005;14:113-116.

STUDY

Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event reports from 30 health care organizations.

Snydman LK, Harubin B, Kumar S, Chen J, Lopez RE, Salem DN. Am J Med Qual. 2012;27:147-153.

STUDY

Undiagnosed breast cancer at MR imaging: analysis of causes.

Pages EB, Millet I, Hoa D, Doyon FC, Taourel P. Radiology. 2012;264:40-50.

STUDY

Rate of occult specimen provenance complications in routine clinical practice.

Pfeifer JD, Liu J. Am J Clin Pathol. 2013;139:93-100.

COMMENTARY

The development of the National Reporting and Learning System in England and Wales, 2001-2005.

Williams SK, Osborn SS. Med J Aust. 2006;184:S65-S68.

STUDY

Recognition of adverse drug events in older hospitalized medical patients.

Klopotowska JE, Wierenga PC, Smorenburg SM, et al; WINGS study group. Eur J Clin Pharmacol. 2013;69:75-85.

COMMENTARY

Establishing a culture for patient safety - the role of education.

Milligan FJ. Nurse Educ Today. 2007;27:95-102.

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

Thirty-day, all-cause readmissions for elderly patients who have an injury-related inpatient stay.

Spector WD, Mutter R, Owens P, Limcangco R. Med Care. 2012;50:863-869.

STUDY

'Global Trigger Tool' shows that adverse events in hospitals may be ten times greater than previously measured.

Classen DC, Resar R, Griffin F, et al. Health Aff (Millwood). 2011;30:581-589.

STUDY

Classifying laboratory incident reports to identify problems that jeopardize patient safety.

Astion ML, Shojania KG, Hamill TR, Kim S, Ng VL. Am J Clin Pathol. 2003;120:18-26.

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.

STUDY

Venous thromboembolism after trauma: a never event?

Thorson CM, Ryan ML, Van Haren RM, et al. Crit Care Med. 2012;40:2967-2973.

BOOK/REPORT

National Diabetes Inpatient Audit 2011.

Leeds, UK: Health and Social Care Information Centre; 2012.

STUDY

Falls in English and Welsh hospitals: a national observational study based on retrospective analysis of 12 months of patient safety incident reports.

Healey F, Scobie S, Oliver D, Pryce A, Thomson R, Glampson B. Qual Saf Health Care. 2008;17:424-430.

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