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 (58)

•Diagnostic Errors (88)

•Identification Errors (46)

•Discontinuities, Gaps, and Hand-Off Problems (123)

•Fatigue and Sleep Deprivation (20)

•Medication Safety (510)

•Medical Complications (147)

•Nonsurgical Procedural Complications (24)

•Surgical Complications (167)

•Transfusion Complications (12)

•Psychological and Social Complications (29)

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•Africa (2)

•Asia (36)

•Australia and New Zealand (54)

•Central and South America (8)

•Europe (304)

•North America (750)

Resource Types

•Book/Report (26)

•Clinical Guideline (1)

•Journal Article (1095)

•Legislation/Regulation (1)

•Meeting/Conference (1)

•Newspaper/Magazine Article (23)

•Press Release/Announcement (2)

•Special or Theme Issue (3)

•Web Resource (5)

Error Types
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Epidemiology of Errors and Adverse Events

Approach to Improving Safety

•Quality Improvement Strategies (203)

•Legal and Policy Approaches (39)

•Error Reporting and Analysis (556)

•Communication Improvement (166)

•Human Factors Engineering (113)

•Teamwork (41)

•Specialization of Care (72)

•Logistical Approaches (77)

•Culture of Safety (74)

•Technologic Approaches (200)

•Education and Training (147)

Clinical Areas

•Allied Health Services (4)

Target Audience

•Health Care Providers (804)

•Health Care Executives and Administrators (1015)

•Non-Health Care Professionals (334)

•Patients (15)

Setting of Care

•Hospitals (839)

•Psychiatric Facilities (6)

•Residential Facilities (38)

•Ambulatory Care (133)

•Outpatient Surgery (10)

•Patient Transport (14)

1 - 20 of 1157

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STUDY

Medication administration errors for older people in long-term residential care.

Szczepura A, Wild D, Nelson S. BMC Geriatr. 2011;11:82.

STUDY

The application of Aronson's taxonomy to medication errors in nursing.

Johnson M, Young H. J Nurs Care Qual. 2011;26:128-135.

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.

STUDY

Frequency of pediatric medication administration errors and contributing factors.

Ozkan S, Kocaman G, Ozturk C, Seren S. J Nurs Care Qual. 2011:26;136-143.

STUDY

Nursing home error and level of staff credentials.

Scott-Cawiezell J, Pepper GA, Madsen RW, Petroski G, Vogelsmeier A, Zellmer D. Clin Nurs Res. 2007;16:72-78.

STUDY

Reducing interruptions to improve medication safety.

Freeman R, McKee S, Lee-Lehner B, Pesenecker J. J Nurs Care Qual. 2013;28:176-185.

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

Decision-making processes used by nurses during intravenous drug preparation and administration.

Dougherty L, Sque M, Crouch R. J Adv Nurs. 2012;68:1302-1311.

STUDY

Medication errors reported in a pediatric intensive care unit for oncologic patients.

Belela AS, Peterlini MA, Pedreira ML. Cancer Nurs. 2011;34:393-400.

STUDY

Learning mechanisms to limit medication administration errors.

Drach-Zahavy A, Pud D. J Adv Nurs. 2010;66:794-805.

STUDY

The incidence and nature of prescribing and medication administration errors in paediatric inpatients.

Ghaleb MA, Barber N, Franklin BD, Wong ICK. Arch Dis Child. 2010;95:113-118.

COMMENTARY

Examining medication errors in a tertiary hospital.

Maricle K, Whitehead L, Rhodes M. J Nurs Care Qual. 2007;22:20-27.

STUDY

Lessons learned: use of event reporting by nurses to improve patient safety and quality.

Hession-Laband E, Mantell P. J Pediatr Nurs. 2011;26:149-155.

STUDY

Benefits of direct observation in medication administration to detect errors.

Diaz-Navarlaz T, Pronovost P, Beortegui E, Segui-Gomez M. J Patient Saf. 2007;3:200-207.

STUDY

Association of interruptions with an increased risk and severity of medication administration errors.

Westbrook JI, Woods A, Rob MI, Dunsmuir WTM, Day RO. Arch Intern Med. 2010;170:683-690.

NEWSPAPER/MAGAZINE ARTICLE

Medication errors common for hospital diabetes.

Nursing Times. April 1, 2011.

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

The influence of formulation and medicine delivery system on medication administration errors in care homes for older people.

Alldred DP, Standage C, Fletcher O, et al. BMJ Qual Saf. 2011;20:397-402.

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

Failures in communication and information transfer across the surgical care pathway: interview study.

Nagpal K, Arora S, Vats A, et al. BMJ Qual Saf. 2012;21:843-849.

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