AHRQ Patient Safety Network

The Collection > Audit and Feedback

Narrow By

clear selections

Safety Target

•Device-related Complications (16)

•Diagnostic Errors (29)

•Identification Errors (7)

•Discontinuities, Gaps, and Hand-Off Problems (31)

•Fatigue and Sleep Deprivation (3)

•Medication Safety (98)

•Medical Complications (51)

•Nonsurgical Procedural Complications (8)

•Surgical Complications (27)

•Transfusion Complications (1)

•Psychological and Social Complications (3)

Origin/Sponsor

•Asia (9)

•Australia and New Zealand (6)

Resource Types

•Journal Article (224)

•Legislation/Regulation (2)

•Newspaper/Magazine Article (25)

•Special or Theme Issue (2)

•Tools/Toolkit (5)

•Web Resource (1)

Error Types

•Epidemiology of Errors and Adverse Events (97)

•Active Errors (62)

•Latent Errors (21)

•Near Miss (5)

Approach to Improving Safety
< All

Audit and Feedback

Clinical Areas

•Allied Health Services (1)

•Medicine (196)

•Nursing (15)

•Pharmacy (33)

Target Audience

•Health Care Providers (195)

•Health Care Executives and Administrators (243)

•Non-Health Care Professionals (89)

•Patients (11)

Setting of Care

•Hospitals (198)

•Residential Facilities (6)

•Ambulatory Care (28)

•Outpatient Surgery (6)

•Patient Transport (1)

1 - 20 of 274

Show ExcerptDon't Show Excerpt

dropdown

NEWSPAPER/MAGAZINE ARTICLE

Common cause analysis.

Clapper C, Crea K. Patient Saf Qual Healthc. May/June 2010;7:30-35.

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.

STUDY

Characteristics of medication errors and adverse drug events in hospitals participating in the California Pediatric Patient Safety Initiative.

Takata GS, Taketomo CK, Waite S; for the California Pediatric Patient Safety Initiative. Am J Health Syst Pharm. 2008;65:2036-2044.

REVIEW

Nonhospital health care–associated hepatitis B and C virus transmission: United States, 1998-2008.

Thompson ND, Perz JF, Moorman AC, Holmberg SD. Ann Intern Med. 2009;150:33-39.

NEWSPAPER/MAGAZINE ARTICLE

Misadministration of IV insulin associated with dose measurement and hyperkalemia treatment.

ISMP Medication Safety Alert! Acute Care Edition. August 11, 2011;16:1-3.

TOOLKIT

Making Strides in Safety.

Chicago, IL: American Medical Association.

STUDY

Comparison of computerized surveillance and manual chart review for adverse events.

Tinoco A, Evans RS, Staes CJ, Lloyd JF, Rothschild JM, Haug PJ. J Am Med Inform Assoc. 2011;18:491-497.

COMMENTARY

Missed Appendicitis.

Adams JG. AHRQ WebM&M [serial online]. June 2003.

STUDY

ED overcrowding is associated with an increased frequency of medication errors.

Kulstad EB, Sikka R, Sweis RT, Kelley KM, Rzechula KH. Am J Emerg Med. 2010;28:304-309.

STUDY

Development of trigger tools for surveillance of adverse events in ambulatory surgery.

Kaafarani HM, Rosen AK, Nebeker JR, et al. Qual Saf Health Care. 2010;19:425-429.

STUDY

Hospital discharge documentation and risk of rehospitalisation.

Hansen LO, Strater A, Smith L, et al. BMJ Qual Saf. 2011;20:773-778.

STUDY

'Global Trigger Tool' shows that adverse events in hospitals may be ten times greater than previously measured.

Classen DC, Resar R, Griffin F, et al. Health Aff (Millwood). 2011;30:581-589.

STUDY

Family-centered multidisciplinary rounds enhance the team approach in pediatrics.

Rosen P, Stenger E, Bochkoris M, Hannon MJ, Kwoh CK. Pediatrics. 2009;123:e603-e608.

STUDY

Consistency between coded poison center data and fatality abstract narratives for therapeutic error deaths in older adults.

Hayes BD, Klein-Schwartz W. Clin Toxicol (Phila). 2010;48:68-71.

ORGANIZATIONAL POLICY/GUIDELINES

Using medication reconciliation to prevent errors.

Sentinel Event Alert. January 25, 2006;(35):1-4.

STUDY

Improving medication reconciliation in the outpatient setting.

Varkey P, Cunningham J, Bisping S. Jt Comm J Qual Patient Saf. 2007;33:286-292.

STUDY

Adverse drug event rates in six community hospitals and the potential impact of computerized physician order entry for prevention.

Hug BL, Witkowski DJ, Sox CM, et al. J Gen Intern Med. 2010;25:31-38.

STUDY

National estimates of adverse events during nonpsychiatric hospitalizations for persons with schizophrenia.

Khaykin E, Ford DE, Pronovost PJ, Dixon L, Daumit GL. Gen Hosp Psychiatry. 2010;32:419-425.

STUDY

Infection control assessment of ambulatory surgical centers.

Schaefer MK, Jhung M, Dahl M, et al. JAMA. 2010;303:2273-2279.

STUDY

Saving lives by studying deaths: using standardized mortality reviews to improve inpatient safety.

Lau H, Litman KC. Jt Comm J Qual Patient Saf. 2011;37:400-408.

1 2 3 4 5 6 7 8 9 10 11 Next >