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 (59)

•Diagnostic Errors (90)

•Identification Errors (52)

•Discontinuities, Gaps, and Hand-Off Problems (161)

•Fatigue and Sleep Deprivation (28)

•Medication Safety (527)

•Medical Complications (168)

•Nonsurgical Procedural Complications (17)

•Surgical Complications (169)

•Transfusion Complications (12)

•Psychological and Social Complications (36)

Origin/Sponsor

•Africa (1)

•Asia (29)

•Australia and New Zealand (36)

•Central and South America (4)

•Europe (162)

•North America (1058)

Resource Types

•Audiovisual (4)

•Book/Report (47)

•Journal Article (1172)

•Legislation/Regulation (4)

•Meeting/Conference (2)

•Newspaper/Magazine Article (51)

•Press Release/Announcement (1)

•Special or Theme Issue (3)

•Tools/Toolkit (1)

•Web Resource (11)

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Epidemiology of Errors and Adverse Events

Approach to Improving Safety

•Quality Improvement Strategies (233)

•Legal and Policy Approaches (72)

•Error Reporting and Analysis (564)

•Communication Improvement (214)

•Human Factors Engineering (108)

•Teamwork (36)

•Specialization of Care (77)

•Logistical Approaches (99)

•Culture of Safety (89)

•Technologic Approaches (226)

•Education and Training (159)

Clinical Areas

•Allied Health Services (3)

•Medicine (1024)

•Nursing (123)

•Pharmacy (192)

Target Audience

•Health Care Providers (895)

•Health Care Executives and Administrators (1009)

•Non-Health Care Professionals (374)

•Patients (56)

Setting of Care

•Hospitals (968)

•Psychiatric Facilities (8)

•Residential Facilities (35)

•Ambulatory Care (154)

•Outpatient Surgery (23)

•Patient Transport (13)

1 - 20 of 1296

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STUDY

Nurse staffing, burnout, and health care–associated infection.

Cimiotti JP, Aiken LH, Sloane DM, Wu ES. Am J Infect Control. 2012;40:486-490.

STUDY

Sleep and errors in a group of Australian hospital nurses at work and during the commute.

Dorrian J, Tolley C, Lamond N, et al. Appl Ergon. 2008;39:605-613.

STUDY

Prevalence and nature of errors and near errors reported by hospital staff nurses.

Balas MC, Scott LD, Rogers AE. Appl Nurs Res. 2004;17:224-230.

STUDY

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

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

STUDY

Nurse working conditions and patient safety outcomes.

Stone PW, Mooney-Kane C, Larson EL, et al. Med Care. 2007;45:571-578.

STUDY

Nurses' work schedule characteristics, nurse staffing, and patient mortality.

Trinkoff AM, Johantgen M, Storr CL, Gurses AP, Liang Y, Han K. Nurs Res. 2011;60:1-8.

STUDY

Do staffing levels predict missed nursing care?

Kalisch BJ, Tschannen D, Lee KH. Int J Qual Health Care. 2011;23:302-308.

STUDY

A human factors framework and study of the effect of nursing workload on patient safety and employee quality of working life.

Holden RJ, Scanlon MC, Patel NR, et al. BMJ Qual Saf. 2011;20:15-24.

STUDY

Longitudinal analyses of nurse staffing and patient outcomes: more about failure to rescue.

Seago JA, Williamson A, Atwood C. J Nurs Adm. 2006;36:13-21.

STUDY

Relationship between systems-level factors and hand hygiene adherence.

Dunn-Navarra AM, Cohen B, Stone PW, Pogorzelska M, Jordan S, Larson E. J Nurs Care Qual. 2011;26:30-38.

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.

COMMENTARY

Effects of extended work shifts and shift work on patient safety, productivity, and employee health.

Keller SM. AAOHN J. 2009;57:497-502.

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.

STUDY

What causes near-misses and how are they mitigated?

Speroni KG, Fisher J, Dennis M, Daniel M. Nursing. 2013;43(4):19-24.

STUDY

Medical emergency team calls in the radiology department: patient characteristics and outcomes.

Ott LK, Pinsky MR, Hoffman LA, et al. BMJ Qual Saf. 2012 Mar 2; [Epup ahead of print].

STUDY

The impact of nursing work environments on patient safety outcomes: the mediating role of burnout engagement.

Spence Laschinger HK, Leiter MP. J Nurs Adm. 2006;36:259-267.

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

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

Nursing care quality and adverse events in US hospitals.

Lucero RJ, Lake ET, Aiken LH. J Clin Nurs. 2010;19:2185-2195.

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