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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•Device-related Complications (66)

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•Discontinuities, Gaps, and Hand-Off Problems (171)

•Fatigue and Sleep Deprivation (27)

•Medication Safety (600)

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•Audiovisual (4)

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Epidemiology of Errors and Adverse Events

Approach to Improving Safety

•Quality Improvement Strategies (251)

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Clinical Areas

•Allied Health Services (5)

Target Audience

•Health Care Providers (983)

•Health Care Executives and Administrators (1145)

•Non-Health Care Professionals (398)

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Setting of Care

•Hospitals (1028)

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•Residential Facilities (32)

•Ambulatory Care (170)

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1 - 20 of 1428

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STUDY

Missed and delayed diagnoses in the emergency department: a study of closed malpractice claims from 4 liability insurers.

Kachalia A, Gandhi TK, Puopolo AL, et al. Ann Emerg Med. Ann Emerg Med. 2007;49:196-205.

STUDY

EMS helicopter crashes: what influences fatal outcome?

Baker SP, Grabowski JG, Dodd RS, Shanahan DF, Lamb MW, Li GH. Ann Emerg Med. 2006;47:351-356.

BOOK/REPORT

2011 Annual Benchmarking Report: Malpractice Risks in Emergency Medicine.

Ruoff G, ed. Cambridge, MA: CRICO Strategies; 2012.

STUDY

Accuracy of radiographic readings in the emergency department.

Petinaux B, Bhat R, Boniface K, Aristizabal J. Am J Emerg Med. 2011;29:18-25.

STUDY

Implications of the failure to identify high-risk electrocardiogram findings for the quality of care of patients with acute myocardial infarction: results of the Emergency Department Quality in Myocardial Infarction (EDQMI) study.

Masoudi FA, Magid DJ, Vinson DR, et al; Emergency Department Quality in Myocardial Infarction Study Investigators. Circulation. 2006;114:1565-1571.

STUDY

Surgeon commitment to trauma care decreases missed injuries.

Lin YK, Lin CJ, Chan HM, et al. Injury. 2012 Nov 3; [Epub ahead of print].

STUDY

A prospective, multicenter study of pharmacist activities resulting in medication error interception in the emergency department.

Patanwala AE, Sanders AB, Thomas MC, et al. Ann Emerg Med. 2012;59:369-373.

STUDY

National surveillance of emergency department visits for outpatient adverse drug events.

Budnitz DS, Pollock DA, Weidenbach KN, et al. JAMA. 2006;296:1858-1866.

STUDY

The nature and occurrence of registration errors in the emergency department.

Hakimzada AF, Green RA, Sayan OR, Zhang J, Patel VL. Int J Med Inform. 2008;77:169-175.

STUDY

Medication errors among acutely ill and injured children treated in rural emergency departments.

Marcin JP, Dharmar M, Cho M, et al. Ann Emerg Med. 2007;50:361-367.e1-2.

STUDY

Severity and probability of harm of medication errors intercepted by an emergency department pharmacist.

Patanwala AE, Hays DP, Sanders AB, Erstad BL. Int J Pharm Pract. 2011;19:358-362.

STUDY

Incidence and types of non-ideal care events in an emergency department.

Hall KK, Schenkel SM, Hirshon JM, Xiao Y, Noskin GA. Qual Saf Health Care. 2010;19(suppl 3):i20-i25.

STUDY

Medication errors recovered by emergency department pharmacists.

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

STUDY

Preventable deaths in patients admitted from emergency department.

Lu T-C, Tsai C-L, Lee C-C, et al. Emerg Med J. 2006;23:452-455.

STUDY

Intralipid medication errors in the neonatal intensive care unit.

Chuo J, Lambert G, Hicks RW. Jt Comm J Qual Patient Saf. 2007;33:104-111.

STUDY

Outside case review of surgical pathology for referred patients: the impact on patient care.

Swapp RE, Aubry MC, Salomão DR, Cheville JC. Arch Pathol Lab Med. 2013;137:233-240.

STUDY

Incidence and nature of adverse events during pediatric sedation/anesthesia for procedures outside the operating room: report from the Pediatric Sedation Research Consortium.

Cravero JP, Blike GT, Beach M, et al. Pediatrics. 2006;118:1087-1096.

STUDY

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

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

STUDY

The influence of the causes and contexts of medical errors on emergency medicine residents' responses to their errors: an exploration.

Hobgood C, Hevia A, Tamayo-Sarver JH, Weiner B, Riviello R. Acad Med. 2005;80:758-764.

COMMENTARY

Using incident reporting to improve patient safety: a conceptual model.

Pronovost PJ, Holzmueller CG, Young J, et al. J Patient Saf. 2007;3:27-33.

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