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 (68)

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Epidemiology of Errors and Adverse Events

Approach to Improving Safety

•Quality Improvement Strategies (264)

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Clinical Areas

•Allied Health Services (4)

Target Audience

•Health Care Providers (1013)

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Setting of Care

•Hospitals (944)

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1 - 20 of 1343

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STUDY

Potentially inappropriate prescribing in older people with dementia in care homes: a retrospective analysis.

Parsons C, Johnston S, Mathie E, et al. Drugs Aging. 2012;29:143-155.

STUDY

Medication errors during patient transitions into nursing homes: characteristics and association with patient harm.

Desai R, Williams CE, Greene SB, Pierson S, Hansen RA. Am J Geriatr Pharmacother. 2011;9:413-422.

STUDY

Medication error reporting in nursing homes: identifying targets for patient safety improvement.

Greene SB, Williams CE, Pierson S, Hansen RA, Carey TS. Qual Saf Health Care. 2010;19:218-222.

STUDY

Cause and effect analysis of closed claims in obstetrics and gynecology.

White AA, Pichert JW, Bledsoe SH, Irwin C, Entman SS. Obstet Gynecol. 2005;105:1031-1038.

STUDY

Hospitalization and death associated with potentially inappropriate medication prescriptions among elderly nursing home residents.

Lau DT, Kasper JD, Potter DE, Lyles A, Bennett RG. Arch Intern Med. 2005;165:68-74.

STUDY

Dementia and risk of adverse warfarin-related events in the nursing home setting.

Tjia J, Field TS, Mazor KM, et al. Am J Geriatr Pharmacother. 2012;10:323-330.

STUDY

Medication reconciliation and hypertension control.

Persell SD, Bailey SC, Tang J, Davis TC, Wolf MS. Am J Med. 2010;123:182.e9-182.e15.

STUDY

Team safety and innovation by learning from errors in long-term care settings.

Buljac-Samardžić M, van Woerkom M, Paauwe J. Health Care Manag Rev. 2012;37:280-291.

STUDY

Effect of a pharmacist-led multicomponent intervention focusing on the medication monitoring phase to prevent potential adverse drug events in nursing homes.

Lapane KL, Hughes CM, Daiello LA, Cameron KA, Feinberg J. J Am Geriatr Soc. 2011;59:1238-1245.

STUDY

Patterns in nursing home medication errors: disproportionality analysis as a novel method to identify quality improvement opportunities.

Hansen RA, Cornell PY, Ryan PB, Williams CE, Pierson S, Greene SB. Pharmacoepidemiol Drug Saf. 2010;19:1087-1094.

STUDY

Effect of computerized provider order entry with clinical decision support on adverse drug events in the long-term care setting.

Gurwitz JH, Field TS, Rochon P, et al. J Am Geriatr Soc. 2008;56:2225-2233.

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.

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.

STUDY

The impact of computerized provider order entry on medication errors in a multispecialty group practice.

Devine EB, Hansen RN, Wilson-Norton JL, et al. J Am Med Inform Assoc. 2010;17:78-84.

STUDY

Emergency department medication lists are not accurate.

Caglar S, Henneman PL, Blank FS, Smithline HA, Henneman EA. J Emerg Med. 2011;40:613-616.

STUDY

Barriers and facilitators to communicating nursing errors in long-term care settings.

Wagner LM, Damianakis T, Pho L, Tourangeau A. J Patient Saf. 2013;9:1-7.

STUDY

Health outcomes associated with potentially inappropriate medication use in older adults.

Fick DM, Mion LC, Beers MH, Waller JL. Res Nurs Health. 2008;31:42-51.

STUDY

Primary medication non-adherence: analysis of 195,930 electronic prescriptions.

Fischer MA, Stedman MR, Lii J, et al. J Gen Intern Med. 2010;25:284-290.

STUDY

Inadequate health literacy among paid caregivers of seniors.

Lindquist LA, Jain N, Tam K, Martin GJ, Baker DW. J Gen Intern Med. 2011;26:474-479.

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.

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