AHRQ Patient Safety Network

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•Device-related Complications (37)

•Diagnostic Errors (46)

•Identification Errors (24)

•Discontinuities, Gaps, and Hand-Off Problems (87)

•Fatigue and Sleep Deprivation (10)

•Medication Safety (152)

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•Nonsurgical Procedural Complications (14)

•Surgical Complications (51)

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Latent Errors

Approach to Improving Safety

•Quality Improvement Strategies (107)

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•Error Reporting and Analysis (146)

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Clinical Areas

•Allied Health Services (5)

•Medicine (324)

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Target Audience

•Health Care Providers (328)

•Health Care Executives and Administrators (323)

•Non-Health Care Professionals (199)

•Patients (51)

Setting of Care

•Hospitals (304)

•Psychiatric Facilities (1)

•Residential Facilities (9)

•Ambulatory Care (50)

•Outpatient Surgery (4)

•Patient Transport (4)

1 - 20 of 461

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NEWSPAPER/MAGAZINE ARTICLE

Baby's death spotlights safety risks linked to computerized systems.

Graham J, Dizikes C. Chicago Tribune. June 27, 2011.

STUDY

Medical errors recovered by critical care nurses.

Dykes PC, Rothschild JM, Hurley AC. J Nurs Adm. 2010;40:241-246.

MEETING/CONFERENCE PROCEEDINGS

Safety in the NICU: preventing medical errors.

Stokowski LA. Highlights of the National Association of Neonatal Nurses 22nd Annual Conference [Medscape.com]. March 8, 2007.

STUDY

Uncovering system errors using a rapid response team: cross-coverage caught in the crossfire.

Kaplan LJ, Maerz LL, Schuster K, et al. J Trauma. 2009;67:173-179.

STUDY

Evaluation of consistency in dosing directions and measuring devices for pediatric nonprescription liquid medications.

Yin HS, Wolf MS, Dreyer BP, Sanders LM, Parker RM. JAMA. 2010;304:2595-2602.

NEWSPAPER/MAGAZINE ARTICLE

Preventing catheter/tubing misconnections: much needed help is on the way.

ISMP Medication Safety Alert! Acute Care Edition. July 15, 2010;15:1-2.

REVIEW

Medical error and decision making: learning from the past and present in intensive care.

Bucknall TK. Aust Crit Care. 2010;23:150-156.

REVIEW

The high-reliability pediatric intensive care unit.

Niedner MF, Muething SE, Sutcliffe KM. Pediatr Clin North Am. 2013;60:563-580.

STUDY

Critical incidents related to cardiac arrests reported to the Danish Patient Safety Database.

Andersen PO, Maaløe R, Andersen HB. Resuscitation. 2010;81:312-316.

STUDY

Time-dependent drug–drug interaction alerts in care provider order entry: software may inhibit medication error reductions.

van der Sijs H, Lammers L, van den Tweel A, et al. J Am Med Inform Assoc. 2009;16:864-868.

STUDY

Auroy Y, Benhamou D, Péquignot F, Bovet M, Jougla E, Lienhart A. Anaesthesia. 2009;64:366-370.

COMMENTARY

Double Dosing, by the Rules

Cohen H. AHRQ WebM&M [serial online]. February/March 2009.

STUDY

Interruption handling strategies during paediatric medication administration.

Colligan L, Bass EJ. BMJ Qual Saf. 2012;21:912-917.

STUDY

Identifying causes of adverse events detected by an automated trigger tool through in-depth analysis.

Muething SE, Conway PH, Kloppenborg E, et al. Qual Saf Health Care. 2010;19:435-439.

COMMENTARY

Where’s the Feeding Tube?

Metheny MA., Meert KL, AHRQ WebM&M [serial online]. September 2008.

NEWSPAPER/MAGAZINE ARTICLE

Fatal drug mix-up exposes hospital flaws.

Davies T. Washington Post. September 22, 2006.

COMMENTARY

Resuscitation Errors: A Shocking Problem

Abella BS, Edelson DP. AHRQ WebM&M [serial online]. July 2007.

STUDY

Learning from different lenses: reports of medical errors in primary care by clinicians, staff, and patients: a project of the American Academy of Family Physicians National Research Network.

Phillips RL, Dovey SM, Graham D, Elder NC, Hickner JM. J Patient Saf. 2006;2:140-146.

COMMENTARY

Learning from adverse events and near misses.

Greenberg CC. J Gastrointest Surg. 2008;13:3-5.

COMMENTARY

Systems approach and systems engineering applied to health care: improving patient safety and health care delivery.

Ravitz AD, Sapirstein A, Pham JC, Doyle PA. Johns Hopkins APL Tech Dig. 2013;31:354-365.

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