AHRQ Patient Safety Network

The Collection > Error Analysis

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Safety Target

•Device-related Complications (18)

•Diagnostic Errors (71)

•Identification Errors (20)

•Discontinuities, Gaps, and Hand-Off Problems (65)

•Fatigue and Sleep Deprivation (10)

•Medication Safety (251)

•Medical Complications (61)

•Nonsurgical Procedural Complications (17)

•Surgical Complications (82)

•Transfusion Complications (3)

•Psychological and Social Complications (25)

Origin/Sponsor

•Africa (1)

•Asia (19)

•Australia and New Zealand (31)

•Central and South America (3)

Resource Types

•Journal Article (619)

•Legislation/Regulation (3)

•Meeting/Conference (1)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (44)

•Press Release/Announcement (3)

•Special or Theme Issue (5)

•Tools/Toolkit (7)

•Web Resource (10)

Error Types

•Epidemiology of Errors and Adverse Events (379)

•Active Errors (117)

•Latent Errors (67)

•Near Miss (25)

Approach to Improving Safety
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Error Analysis

•Root Cause Analysis (54)

•Failure Mode Effects Analysis (26)

•Morbidity and Mortality Conferences (16)

•Narrative/Storytelling (7)

Clinical Areas

•Allied Health Services (3)

Target Audience

•Health Care Providers (488)

•Health Care Executives and Administrators (574)

•Non-Health Care Professionals (229)

•Patients (39)

Setting of Care

•Hospitals (483)

•Psychiatric Facilities (4)

•Residential Facilities (13)

•Ambulatory Care (76)

•Outpatient Surgery (6)

•Patient Transport (6)

1 - 20 of 739

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STUDY

Insufficient communication about medication use at the interface between hospital and primary care.

Glintborg B, Andersen SE, Dalhoff K. Qual Saf Health Care. 2007;16:34-39.

STUDY

Factors associated with medication errors in the pediatric emergency department.

Vilà-de-Muga M, Colom-Ferrer L, Gonzàlez-Herrero M, Luaces-Cubells C. Pediatr Emerg Care. 2011;27:290-294.

STUDY

Active surveillance using electronic triggers to detect adverse events in hospitalized patients.

Szekendi MK, Sullivan C, Bobb A, et al. Qual Saf Health Care. 2006;15:184-190.

BOOK/REPORT

Patient Safety in Canada: An Update.

Ottawa, ON, Canada: Canadian Institute for Health Information; August 14, 2007.

STUDY

Medication-error reporting and pharmacy resident experience during implementation of computerized prescriber order entry.

Weant KA, Cook AM, Armitstead JA. Am J Health Syst Pharm. 2007;64:526-530.

SPECIAL OR THEME ISSUE

The safety and quality of health care: where are we now?

Med J Aust. 2006;184:S37-S72.

STUDY

Paid malpractice claims for adverse events in inpatient and outpatient settings.

Bishop TF, Ryan AK, Casalino LP. JAMA. 2011;305:2427-2431.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2006;41:405-406.

STUDY

The relationship between organizational leadership for safety and learning from patient safety events.

Ginsburg LR, Chuang YT, Berta WB, et al. Health Serv Res. 2010;45:607-632.

STUDY

Discontinuation of antihyperglycemic therapy after acute myocardial infarction: medical necessity or medical error?

Lovig KO, Horwitz L, Lipska K, Kosiborod M, Krumholz HM, Inzucchi SE. Jt Comm J Qual Patient Saf. 2012;38:403-407.

STUDY

Medication reconciliation for reducing drug-discrepancy adverse events.

Boockvar KS, Carlson Lacorte H, Giambanco V, Fridman B, Siu A. Am J Geriatr Pharmacother. 2006;4:236-243.

REVIEW

Clinical errors and medical negligence.

Oyebode F. Med Princ Pract. 2013 Jan 18; [Epub ahead of print].

COMMENTARY

Failure to Report

Spath PL. AHRQ WebM&M [serial online]. March 2007.

STUDY

Prevalence of error-prone abbreviations used in medication prescribing for hospitalised patients: multi-hospital evaluation.

Dooley MJ, Wiseman M, Gu G. Intern Med J. 2012;42:e19-e22.

BOOK/REPORT

Medication Needs During Transitions May Not Be Managed for All Servicemembers.

Washington, DC: United States Government Accountability Office; November 2, 2012. Publication GAO-13-26.

STUDY

Design of a retrospective patient record study on the occurrence of adverse events among patients in Dutch hospitals.

Zegers M, de Bruijne MC, Wagner C, Groenewegen PP, Waaijman R, van der Wal G. BMC Health Serv Res. 2007;7:27.

NEWSPAPER/MAGAZINE ARTICLE

Events associated with the prescribing, dispensing, and administering of medication loading doses.

Carson SL, Gaunt MJ. PA-PSRS Patient Saf Advis. 2012;9:82-88.

STUDY

French national survey of inpatient adverse events prospectively assessed with ward staff.

Michel P, Quenon JL, Djihoud A, Tricaud-Vialle S, de Sarasqueta AM. Qual Saf Health Care. 2007;16:369-377.

NEWSPAPER/MAGAZINE ARTICLE

Supplementary Advisory: Results of the PA-PSRS Workgroup on Pharmacy Computer System Safety.

PA-PSRS Patient Saf Advis. May 2007;4(suppl 2):1-8.

STUDY

Reconcilable differences: correcting medication errors at hospital admission and discharge.

Vira T, Colquhoun M, Etchells E. Qual Saf Health Care. 2006;15:122-126.

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