AHRQ Patient Safety Network

The Collection > Error Analysis

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Safety Target

•Device-related Complications (31)

•Diagnostic Errors (89)

•Identification Errors (21)

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

•Fatigue and Sleep Deprivation (11)

•Medication Safety (288)

•Medical Complications (61)

•Nonsurgical Procedural Complications (17)

•Surgical Complications (102)

•Transfusion Complications (6)

•Psychological and Social Complications (26)

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•Asia (18)

•Australia and New Zealand (38)

•Central and South America (3)

Resource Types

•Journal Article (747)

•Legislation/Regulation (3)

•Meeting/Conference (1)

•Newsletter/Journal (2)

•Newspaper/Magazine Article (51)

•Press Release/Announcement (4)

•Special or Theme Issue (10)

•Tools/Toolkit (10)

•Web Resource (6)

Error Types

•Epidemiology of Errors and Adverse Events (387)

•Active Errors (118)

•Latent Errors (66)

•Near Miss (21)

Approach to Improving Safety
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Error Analysis

•Root Cause Analysis (90)

•Failure Mode Effects Analysis (48)

•Morbidity and Mortality Conferences (19)

•Narrative/Storytelling (10)

Clinical Areas

•Allied Health Services (5)

Target Audience

•Health Care Providers (534)

•Health Care Executives and Administrators (697)

•Non-Health Care Professionals (257)

•Patients (40)

Setting of Care

•Hospitals (485)

•Psychiatric Facilities (4)

•Residential Facilities (14)

•Ambulatory Care (81)

•Outpatient Surgery (6)

•Patient Transport (10)

1 - 20 of 876

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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

Patient safety in intensive care: results from the multinational Sentinel Events Evaluation (SEE) study.

Valentin A, Capuzzo M, Guidet B, et al. Intensive Care Med. 2006;32:1591-1598.

STUDY

Cost implications of actual and potential adverse events prevented by interventions of a critical care pharmacist.

Kopp BJ, Mrsan M, Erstad BL, Duby JJ. Am J Health Syst Pharm. 2007;64:2483-2487.

REVIEW

Epidemiology of medication-related adverse events in nursing homes.

Handler SM, Wright RM, Ruby CM, Hanlon JT. Am J Geriatr Pharmacother. 2006;4:264-272.

STUDY

Analysis of risk factors for adverse drug events in critically ill patients.

Kane-Gill SL, Kirisci L, Verrico MM, Rothschild JM. Crit Care Med. 2012;40:823-828.

STUDY

Adverse drug events in a paediatric intensive care unit: a prospective cohort.

Silva DCB, Araujo OR, Arduini RG, Alonso CFR, Shibata ARO, Troster EJ. BMJ Open. 2013;3:ee001868.

STUDY

Costs of intravenous adverse drug events in academic and nonacademic intensive care units.

Nuckols TK, Paddock SM, Bower AG, et al. Med Care. 2008;46:17-24.

STUDY

Pediatric safety incidents from an intensive care reporting system.

Skapik JL, Pronovost PJ, Miller MR, Thompson DA, Wu AW. J Patient Saf. 2009;5:95-101.

STUDY

Ambulatory care adverse events and preventable adverse events leading to a hospital admission.

Woods DM, Thomas EJ, Holl JL, Weiss KB, Brennan TA. Qual Saf Health Care. 2007;16:127-131.

STUDY

Overview of adverse events related to invasive procedures in the intensive care unit.

Pottier V, Daubin C, Lerolle N, et al. Am J Infect Control. 2012;40:241-246.

STUDY

Costs of adverse events in intensive care units.

Kaushal R, Bates DW, Franz C, Soukup JR, Rothschild JM. Crit Care Med. 2007;35:2479-2483.

STUDY

ARV medication errors: experience of a community-based HIV specialty clinic and review of the literature.

Cocohoba J, Dong BJ. Hosp Pharm. 2007;42:720-728.

COMMENTARY

Using incident reporting to improve patient safety: a conceptual model.

Pronovost PJ, Holzmueller CG, Young J, et al. J Patient Saf. 2007;3:27-33.

STUDY

Classification of adverse events occurring in a surgical intensive care unit.

Frankel H, Sperry J, Kaplan L, Foley A, Rabinovici R. Am J Surg. 2007;194:328-332.

STUDY

Patient safety event reporting in critical care: a study of three intensive care units.

Harris CB, Krauss MJ, Coopersmith CM, et al. Crit Care Med. 2007;35:1068-1076.

STUDY

Intralipid medication errors in the neonatal intensive care unit.

Chuo J, Lambert G, Hicks RW. Jt Comm J Qual Patient Saf. 2007;33:104-111.

STUDY

Supratherapeutic dosing of acetaminophen among hospitalized patients.

Zhou L, Maviglia SM, Mahoney LM, et al. Arch Intern Med. 2012;172:1721-1728.

STUDY

Perceptions of risk to patient safety in the pediatric ICU, a study of American pediatric intensivists.

Bauer P, Hoffmann RG, Bragg D, Scanlon MC. Safety Sci. 2013;53:160-167.

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

Impact of a computerized clinical decision support system on reducing inappropriate antimicrobial use: a randomized controlled trial.

McGregor JC, Weekes E, Forrest GN, et al. J Am Med Inform Assoc. 2006;13:378-384.

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