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 (67)

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Epidemiology of Errors and Adverse Events

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Target Audience

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1 - 20 of 1416

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NEWSPAPER/MAGAZINE ARTICLE

Medication errors: when pharmacy is closed.

PA-PSRS Patient Saf Advis. March 2012;9:11-17.

STUDY

Iatrogenic events resulting in intensive care admission: frequency, cause, and disclosure to patients and institutions.

Lehmann LS, Puopolo AL, Shaykevich S, Brennan TA. Am J Med. 2005;118:409-413.

STUDY

Medication reconciliation for reducing drug-discrepancy adverse events.

Boockvar KS, Carlson Lacorte H, Giambanco V, Fridman B, Siu A. Am J Geriatr Pharmacother. 2006;4:236-243.

STUDY

Inter-rater reliability of a classification system for hospital adverse drug event reports.

Haynes K, Hennessy S, Morales KH, et al. Clin Pharmacol Ther. 2008;83:485-488.

COMMENTARY

Smart pumps: advanced capabilities and continuous quality improvement.

Vanderveen T. Patient Saf Quality Healthc. January/February 2007.

STUDY

Supratherapeutic dosing of acetaminophen among hospitalized patients.

Zhou L, Maviglia SM, Mahoney LM, et al. Arch Intern Med. 2012;172:1721-1728.

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

Operational failures and interruptions in hospital nursing.

Tucker AL, Spear SJ. Health Serv Res. 2006;41:643-662.

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.

COMMENTARY

Eliminating preventable death at Ascension Health.

Tolchin S, Brush R, Lange P, Bates P, Garbo JJ. Jt Comm J Qual Patient Saf. 2007;33:145-154.

STUDY

Predictors of medication errors among elderly hospital patients.

Picone DM, Titler MG, Dochterman J, et al. Am J Med Qual. 2008;23:115-127.

STUDY

Costs of intravenous adverse drug events in academic and nonacademic intensive care units.

Nuckols TK, Paddock SM, Bower AG, et al. Med Care. 2008;46:17-24.

STUDY

Provider and pharmacist responses to warfarin drug–drug interaction alerts: a study of healthcare downstream of CPOE alerts.

Miller AM, Boro MS, Korman NE, Davoren JB. J Am Med Inform Assoc. 2011;18(suppl 1):i45-i50.

STUDY

Effects of learning climate and registered nurse staffing on medication errors.

Chang Y, Mark B. Nurs Res. 2011;60:32-39.

STUDY

Pediatric safety incidents from an intensive care reporting system.

Skapik JL, Pronovost PJ, Miller MR, Thompson DA, Wu AW. J Patient Saf. 2009;5:95-101.

STUDY

Sustained effectiveness of a primary-team-based rapid response system.

Howell MD, Ngo L, Folcarelli P, et al. Crit Care Med. 2012;40:2562-2568.

STUDY

How useful are voluntary medication error reports? The case of warfarin-related medication errors.

Zhan C, Smith SR, Keyes MA, Hicks RW, Cousins DD, Clancy CM. Jt Comm J Qual Patient Saf. 2008;34:36-45.

STUDY

Antecedents of severe and nonsevere medication errors.

Chang YK, Mark BA. J Nurs Scholarsh. 2009;41:70-78.

STUDY

Pediatric medication errors in the postanesthesia care unit: analysis of MEDMARX data.

Payne CH, Smith CR, Newkirk LE, Hicks RW. AORN J. 2007;85:731-740.

STUDY

Adverse drug event reporting in intensive care units: a survey of current practices.

Kane-Gill SL, Devlin JW. Ann Pharmacother. 2006;40:1267-73.

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