AHRQ Patient Safety Network

The Collection > Audit and Feedback

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Safety Target

•Device-related Complications (9)

•Diagnostic Errors (11)

•Identification Errors (2)

•Discontinuities, Gaps, and Hand-Off Problems (19)

•Fatigue and Sleep Deprivation (2)

•Medication Safety (75)

•Medical Complications (35)

•Nonsurgical Procedural Complications (6)

•Surgical Complications (25)

•Psychological and Social Complications (2)

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•Asia (4)

•Australia and New Zealand (1)

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•Journal Article (174)

•Legislation/Regulation (2)

•Newspaper/Magazine Article (21)

•Special or Theme Issue (2)

•Tools/Toolkit (3)

•Web Resource (1)

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•Epidemiology of Errors and Adverse Events (74)

•Active Errors (32)

•Latent Errors (7)

•Near Miss (2)

Approach to Improving Safety
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Audit and Feedback

Clinical Areas

•Allied Health Services (1)

•Medicine (149)

•Nursing (10)

•Pharmacy (28)

Target Audience

•Health Care Providers (141)

•Health Care Executives and Administrators (188)

•Non-Health Care Professionals (77)

•Patients (10)

Setting of Care

•Hospitals (151)

•Residential Facilities (3)

•Ambulatory Care (20)

•Outpatient Surgery (6)

•Patient Transport (1)

1 - 20 of 215

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STUDY

The impact of electronic medical records data sources on an adverse drug event quality measure.

Kahn MG, Ranade D. J Am Med Inform Assoc. 2010;17:185-191.

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

Risk reduction for adverse drug events through sequential implementation of patient safety initiatives in a children's hospital.

Leonard MS, Cimino M, Shaha S, McDougal S, Pilliod J, Brodsky L. Pediatrics. 2006;118:e1124-e1129.

NEWSPAPER/MAGAZINE ARTICLE

Standards, audits, and saying I'm sorry: an engineer's family proposes solutions.

Wojcieszak D. Patient Safety Qual Healthc. May/June 2005;2:6, 8-9.

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.

REVIEW

Errors and adverse events in otolaryngology.

Shah RK, Roberson DW, Healy GB. Curr Opin Otolaryngol Head Neck Surg. 2006;14:164-169.

STUDY

Improving self-reporting of adverse drug events in a West Virginia hospital.

Schade CP, Hannah K, Ruddick P, Starling C, Brehm J. Am J Med Qual. 2006;21:335-341.

NEWSPAPER/MAGAZINE ARTICLE

Soaring to new safety heights.

Ketter P. T&D. January 2006;60:51-54.

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.

NEWSPAPER/MAGAZINE ARTICLE

Computerized medication order errors studied.

McGee MK. Information Week. April 28, 2010.

STUDY

Medication errors in intravenous drug preparation and administration: a multicentre audit in the UK, Germany and France.

Cousins DH, Sabatier B, Begue D, Schmitt C, Hoppe-Tichy T. Qual Saf Health Care. 2005;14:190-195.

STUDY

Automated medication error studies with audit supplementation were effectively designed and analyzed by time series.

Shuster JJ, Winterstein AG. J Clin Epidemiol. 2006;59:957-963.

STUDY

The effects of resident level of training on the rate of pediatric prescription errors in an academic emergency department.

Pacheco GS, Viscusi C, Hays DP, Woolridge DP. J Emerg Med. 2012;43:e343-e348.

STUDY

Teaching but not learning: how medical residency programs handle errors.

Hoff TJ, Pohl H, Bartfield J. J Org Behav. 2006;27:869-896.

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.

NEWSPAPER/MAGAZINE ARTICLE

The enterprise take on patient safety.

Rogoski RR. Health Manage Technol. August 2005;26:12,14,16,18.

COMMENTARY

Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge.

Rodehaver C. Jt Comm J Qual Patient Saf. 2005;31:406-413.

STUDY

Designing and implementing a comprehensive quality and patient safety management model: a paradigm for perioperative improvement.

Herzer KR, Mark LJ, Michelson JD, Saletnik LA, Lundquist CA. J Patient Saf. 2008;4:84-92.

BOOK/REPORT

Assessment of the AHRQ Patient Safety Initiative: Moving from Research to Practice Evaluation Report II (2003–2004).

Farley DO, Morton SC, Damberg CL, et al. Santa Monica, CA: The Rand Corporation; 2007. ISBN: 9780833041487.

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.

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