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 (73)

•Diagnostic Errors (110)

•Identification Errors (54)

•Discontinuities, Gaps, and Hand-Off Problems (179)

•Fatigue and Sleep Deprivation (29)

•Medication Safety (631)

•Medical Complications (200)

•Nonsurgical Procedural Complications (26)

•Surgical Complications (210)

•Transfusion Complications (14)

•Psychological and Social Complications (37)

Origin/Sponsor

•Africa (2)

•Asia (39)

•Australia and New Zealand (59)

•Central and South America (8)

•Europe (289)

•North America (1109)

Resource Types

•Audiovisual (4)

•Book/Report (52)

•Clinical Guideline (1)

•Journal Article (1380)

•Legislation/Regulation (4)

•Meeting/Conference (2)

•Newspaper/Magazine Article (53)

•Press Release/Announcement (3)

•Special or Theme Issue (2)

•Tools/Toolkit (1)

•Web Resource (12)

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Epidemiology of Errors and Adverse Events

Approach to Improving Safety

•Quality Improvement Strategies (275)

•Legal and Policy Approaches (76)

•Error Reporting and Analysis (641)

•Communication Improvement (245)

•Human Factors Engineering (135)

•Teamwork (48)

•Specialization of Care (97)

•Logistical Approaches (105)

•Culture of Safety (107)

•Technologic Approaches (270)

•Education and Training (184)

Clinical Areas

•Allied Health Services (2)

Target Audience

•Health Care Providers (1030)

•Health Care Executives and Administrators (1210)

•Non-Health Care Professionals (445)

•Patients (60)

Setting of Care

•Hospitals (1120)

•Psychiatric Facilities (7)

•Residential Facilities (34)

•Ambulatory Care (182)

•Outpatient Surgery (23)

•Patient Transport (15)

1 - 20 of 1514

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STUDY

Outcomes of care by hospitalists, general internists, and family physicians.

Lindenauer PK, Rothberg MB, Pekow PS, Kenwood C, Benjamin EM, Auerbach AD. N Engl J Med. 2007;357:2589-2600.

STUDY

Differences in outcomes between ICU attending and senior resident physician led medical emergency team responses.

Morris DS, Schweickert W, Holena D, et al. Resuscitation. 2012;83:1434-1437.

STUDY

Adverse drug events among hospitalized Medicare patients: epidemiology and national estimates from a new approach to surveillance.

Classen DC, Jaser L, Budnitz DS. Jt Comm J Qual Patient Saf. 2010;36:12-21, AP1-AP9.

STUDY

Eradicating medical student mistreatment: a longitudinal study of one institution's efforts.

Fried JM, Vermillion M, Parker NH, Uijtdehaage S. Acad Med. 2012;87:1191-1198.

STUDY

An inpatient fall prevention initiative in a tertiary care hospital.

Weinberg J, Proske D, Szerszen A, et al. Jt Comm J Qual Patient Saf. 2011;37:317-325.

STUDY

Multiple patient safety events within a single hospitalization: a national profile in US hospitals.

Yu H, Greenberg MD, Haviland AM, Farley DO. Am J Med Qual. 2012;27:472-479.

STUDY

Exploring relationships between hospital patient safety culture and adverse events.

Mardon RE, Khanna K, Sorra J, Dyer N, Famolaro T. J Patient Saf. 2010;6:226-232.

STUDY

Improving situation awareness to reduce unrecognized clinical deterioration and serious safety events.

Brady PW, Muething S, Kotagal U, et al. Pediatrics. 2013;131:e298-e308.

STUDY

Triangulating case-finding tools for patient safety surveillance: a cross-sectional case study of puncture/laceration.

Taylor JA, Gerwin D, Morlock L, Miller MR. Inj Prev. 2011;17:388-393.

STUDY

Adverse drug events caused by serious medication administration errors.

Kale A, Keohane CA, Maviglia S, Gandhi TK, Poon EG. BMJ Qual Saf. 2012;21:933-938.

REVIEW

Bar code technology and medication administration error.

Young J, Slebodnik M, Sands L. J Patient Saf. 2010;6;115-120.

STUDY

Do nurse and patient injuries share common antecedents? An analysis of associations with safety climate and working conditions.

Taylor JA, Dominici F, Agnew J, Gerwin D, Morlock L, Miller MR. BMJ Qual Saf. 2012;21:101-111.

STUDY

A theory-driven, longitudinal evaluation of the impact of team training on safety culture in 24 hospitals.

Jones KJ, Skinner AM, High R, Reiter-Palmon R. BMJ Qual Saf. 2013;22:394-404.

STUDY

The costs of adverse drug events in community hospitals.

Hug BL, Keohane C, Seger DL, Yoon C, Bates DW. Jt Comm J Qual Patient Saf. 2012;38:120-126.

STUDY

Getting doctors to clean their hands: lead the followers.

Haessler S, Bhagavan A, Kleppel R, Hinchey K, Visintainer P. BMJ Qual Saf. 2012;21:499-502.

STUDY

Improving patient safety using the sterile cockpit principle during medication administration: a collaborative, unit-based project.

Fore AM, Sculli GL, Albee D, Neily J. J Nurs Manag. 2013;21:106-111.

STUDY

Structured interdisciplinary rounds in a medical teaching unit: improving patient safety.

O’Leary KJ, Buck R, Fligiel HM, et al. Arch Intern Med. 2011;171:678-684.

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

Venous thromboembolism after trauma: a never event?

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

STUDY

Medical error reduction: the effect of employee satisfaction with organizational support.

Lee D, Lee SM, Schniederjans MJ. Serv Ind J. 2011;31:1311-1325.

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