AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (10)

•Diagnostic Errors (21)

•Identification Errors (6)

•Discontinuities, Gaps, and Hand-Off Problems (24)

•Fatigue and Sleep Deprivation (2)

•Medication Safety (85)

•Medical Complications (43)

•Nonsurgical Procedural Complications (6)

•Surgical Complications (31)

•Psychological and Social Complications (1)

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•Asia (11)

•Australia and New Zealand (7)

•Europe (60)

•North America (149)

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•Book/Report (5)

•Journal Article (208)

•Legislation/Regulation (1)

•Newspaper/Magazine Article (13)

•Special or Theme Issue (2)

•Tools/Toolkit (2)

•Web Resource (2)

Error Types

•Epidemiology of Errors and Adverse Events (106)

•Active Errors (53)

•Latent Errors (14)

•Near Miss (3)

Approach to Improving Safety
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Audit and Feedback

Clinical Areas

•Allied Health Services (1)

•Medicine (171)

•Nursing (14)

•Pharmacy (27)

Target Audience

•Health Care Providers (164)

•Health Care Executives and Administrators (215)

•Non-Health Care Professionals (67)

•Patients (4)

Setting of Care

•Hospitals (171)

•Residential Facilities (4)

•Ambulatory Care (25)

•Outpatient Surgery (3)

•Patient Transport (1)

1 - 20 of 233

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STUDY

Nature, causes and consequences of unintended events in surgical units.

van Wagtendonk I, Smits M, Merten H, Heetveld MJ, Wagner C. Br J Surg. 2010;97:1730-1740.

REVIEW

Systematic review of medication safety assessment methods.

Meyer-Massetti C, Cheng CM, Schwappach DL, et al. Am J Health Syst Pharm. 2011;68:227-240.

STUDY

Patient characteristics and the occurrence of never events.

Fry DE, Pine M, Jones BL, Meimban RJ. Arch Surg. 2010;145:148-151.

SPECIAL OR THEME ISSUE

Patient Safety Papers.

Baker GR, ed. Healthc Q. 2005;8:1-156.

STUDY

Surgical skill is predicted by the ability to detect errors.

Bann S, Khan M, Datta V, Darzi A. Am J Surg. 2005;189:412-415.

STUDY

What is the measure of a safe hospital? Medication errors missed by risk management, clinical staff, and surveyors.

Grasso BC, Rothschild JM, Jordan CW, Jayaram G. J Psychiatr Pract. 2005;11:268-273.

STUDY

Prospective evaluation of consultant surgeon sleep deprivation and outcomes in more than 4000 consecutive cardiac surgical procedures.

Chu MWA, Stitt LW, Fox SA, et al. Arch Surg. 2011;146:1080-1085.

STUDY

Applying trigger tools to detect adverse events associated with outpatient surgery.

Rosen AK, Mull HJ, Kaafarani H, et al. J Patient Saf. 2011;7:45-59.

STUDY

Personalised performance feedback reduces narcotic prescription errors in a NICU.

Sullivan KM, Suh S, Monk H, Chuo J. BMJ Qual Saf. 2013;22:256-262.

STUDY

Identifying medication errors in surgical prescription charts.

Simons J. Paediatr Nurs. 2010;22:20-24.

COMMENTARY

Patient Safety in the United Kingdom: Evolution and Progress

Burnett S, Vincent C. AHRQ WebM&M [serial online]. May 2007.

STUDY

Medication errors recovered by emergency department pharmacists.

Rothschild JM, Churchill W, Erickson A, et al. Ann Emerg Med. 2010;55:513-521.

STUDY

Incidence and types of non-ideal care events in an emergency department.

Hall KK, Schenkel SM, Hirshon JM, Xiao Y, Noskin GA. Qual Saf Health Care. 2010;19(suppl 3):i20-i25.

STUDY

Do emergency physicians attribute drug-related emergency department visits to medication-related problems?

Hohl CM, Zed PJ, Brubacher JR, Abu-Laban RB, Loewen PS, Purssell RA. Ann Emerg Med. 2010;55:493-502.e4.

STUDY

Association between license status and medication errors.

Conroy S. Arch Dis Child. 2011;96:305-306.

STUDY

Attitudes and barriers to incident reporting: a collaborative hospital study.

Evans SM, Berry JG, Smith BJ, et al. Qual Saf Health Care. 2006;15:39-43.

STUDY

Safety on an inpatient pediatric otolaryngology service: many small errors, few adverse events.

Shah RK, Lander L, Forbes P, Jenkins K, Healy GB, Roberson DW. Laryngoscope. 2009;119:871-879.

STUDY

A trigger tool fails to identify serious errors and adverse events in pediatric otolaryngology.

Lander L, Roberson DW, Plummer KM, Forbes PW, Healy GB, Shah RK. Otolaryngol Head Neck Surg. 2010;143:480-486.

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.

STUDY

Incidence of potentially avoidable urgent readmissions and their relation to all-cause urgent readmissions.

van Walraven C, Jennings A, Taljaard M, et al. CMAJ. 2011;183:E1067-E1072.

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