AHRQ Patient Safety Network

The Collection > Error Reporting and Analysis

PATIENT SAFETY PRIMERS
Detection of Safety Hazards

Narrow By

clear selections

Safety Target

•Device-related Complications (64)

•Diagnostic Errors (88)

•Identification Errors (38)

•Discontinuities, Gaps, and Hand-Off Problems (81)

•Fatigue and Sleep Deprivation (16)

•Medication Safety (464)

•Medical Complications (145)

•Nonsurgical Procedural Complications (31)

•Surgical Complications (161)

•Transfusion Complications (16)

•Psychological and Social Complications (56)

Origin/Sponsor

•Africa (1)

•Asia (17)

•Australia and New Zealand (37)

•Central and South America (3)

•Europe (189)

•North America (1140)

Resource Types

•Audiovisual (22)

•Award (4)

•Book/Report (99)

•Clinical Guideline (1)

•Journal Article (1049)

•Legislation/Regulation (6)

•Meeting/Conference (8)

•Newsletter/Journal (4)

•Newspaper/Magazine Article (128)

•Press Release/Announcement (10)

•Special or Theme Issue (26)

•Tools/Toolkit (17)

•Web Resource (31)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (443)

•Active Errors (196)

•Latent Errors (95)

•Near Miss (57)

Approach to Improving Safety
< All

Error Reporting and Analysis

•Error Reporting (566)

•Error Analysis (644)

•Patient Safety Indicators (65)

Clinical Areas

•Allied Health Services (2)

Target Audience

•Health Care Providers (959)

•Health Care Executives and Administrators (1214)

•Non-Health Care Professionals (493)

•Patients (109)

Setting of Care

•Hospitals (766)

•Psychiatric Facilities (10)

•Residential Facilities (29)

•Ambulatory Care (98)

•Outpatient Surgery (18)

•Patient Transport (15)

1 - 20 of 1407

Show ExcerptDon't Show Excerpt

dropdown

STUDY

Iatrogenic events resulting in intensive care admission: frequency, cause, and disclosure to patients and institutions.

Lehmann LS, Puopolo AL, Shaykevich S, Brennan TA. Am J Med. 2005;118:409-413.

STUDY

What’s past is prologue: organizational learning from a serious patient injury.

Tamuz M, Franchois KE, Thomas EJ. Safety Sci. 2011;49:75-82.

STUDY

A comparison of voluntarily reported medication errors in intensive care and general care units.

Kane-Gill SL, Kowiatek JG, Weber RJ. Qual Saf Health Care. 2010;19:55-59.

STUDY

Medication errors during medical emergencies in a large, tertiary care, academic medical center.

Gokhman R, Seybert AL, Phrampus P, Darby J, Kane-Gill SL. Resuscitation. 2012;83:482-487.

STUDY

Pediatric antidepressant medication errors in a national error reporting database.

Rinke ML, Bundy DG, Shore AD, Colantuoni E, Morlock LL, Miller MR. J Dev Behav Pediatr. 2010;31:129-136.

NEWSPAPER/MAGAZINE ARTICLE

Neuromuscular blocking agents: reducing associated wrong-drug errors.

PA-PSRS Patient Saf Advis. December 2009;6:109-114.

STUDY

Adverse drug event reporting in intensive care units: a survey of current practices.

Kane-Gill SL, Devlin JW. Ann Pharmacother. 2006;40:1267-73.

REVIEW

Developing a patient safety surveillance system to identify adverse events in the intensive care unit.

Stockwell DC, Kane-Gill SL. Crit Care Med. 2010;38(suppl 6):S117-S125.

SPECIAL OR THEME ISSUE

Patient safety and quality in the pediatric intensive care unit.

Pediatr Crit Care Med. 2007;8(suppl):S1-S43.

NEWSPAPER/MAGAZINE ARTICLE

No more blame & shame: developing event-reporting systems may go a long way to reducing patient care errors in EMS.

Rajasekaran K, Fairbanks RJ, Shah MN. EMS Magazine. September 2008.

COMMENTARY

Patient safety in the context of neonatal intensive care: research and educational opportunities.

Raju TN, Suresh G, Higgins RD. Pediatr Res. 2011;70:109-115.

STUDY

Increasing medication error reporting rates while reducing harm through simultaneous cultural and system-level interventions in an intensive care unit.

Abstoss KM, Shaw BE, Owens TA, Juno JL, Commiskey EL, Niedner MF. BMJ Qual Saf. 2011;914-922.

STUDY

Direct observation approach for detecting medication errors and adverse drug events in a pediatric intensive care unit.

Buckley MS, Erstad BL, Kopp BJ, Theodorou AA, Priestley G. Pediatr Crit Care Med. 2007;8:145-152.

STUDY

Quality of traditional surveillance for public reporting of nosocomial bloodstream infection rates.

Lin MY, Hota B, Khan YM, et al; CDC Prevention Epicenter Program. JAMA. 2010;304:2035-2041.

STUDY

Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated bloodstream infections.

Sawyer M, Weeks K, Goeschel CA, et al. Crit Care Med. 2010;38(suppl 8):S292-S298.

STUDY

Moral distress, compassion fatigue, and perceptions about medication errors in certified critical care nurses.

Maiden J, Georges JM, Connelly CD. Dimens Crit Care Nurs. 2011;30:339-345.

STUDY

Medication errors among acutely ill and injured children treated in rural emergency departments.

Marcin JP, Dharmar M, Cho M, et al. Ann Emerg Med. 2007;50:361-367.e1-2.

NEWSPAPER/MAGAZINE ARTICLE

Action needed to prevent dangerous heparin-insulin confusion.

ISMP Medication Safety Alert! Acute Care Edition. May 3, 2007;12:1-2.

STUDY

Deconstructing intraoperative communication failures.

Hu YY, Arriaga AF, Peyre SE, Corso KA, Roth EM, Greenberg CC. J Surg Res. 2012;177:37-42.

REVIEW

Interventions to reduce medication errors in adult intensive care: a systematic review.

Manias E, Williams A, Liew D. Br J Clin Pharmacol. 2012;74:411-423.

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