AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (1)

•Diagnostic Errors (12)

•Identification Errors (2)

•Discontinuities, Gaps, and Hand-Off Problems (28)

•Fatigue and Sleep Deprivation (1)

•Medication Safety (58)

•Medical Complications (59)

•Nonsurgical Procedural Complications (5)

•Surgical Complications (12)

•Transfusion Complications (1)

•Psychological and Social Complications (3)

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•Asia (3)

•Australia and New Zealand (22)

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Resource Types

•Book/Report (2)

•Clinical Guideline (1)

•Journal Article (167)

•Legislation/Regulation (2)

•Newspaper/Magazine Article (13)

•Special or Theme Issue (3)

•Tools/Toolkit (2)

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Error Types

•Epidemiology of Errors and Adverse Events (49)

•Active Errors (25)

•Latent Errors (7)

•Near Miss (1)

Approach to Improving Safety
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Specialization of Care

•Specialized Teams (104)

•Intensivists and Other ICU Strategies (4)

•Hospitalists (6)

•Volume-Based Referral (2)

•Clinical Pharmacist Involvement (47)

Clinical Areas

•Medicine (178)

•Nursing (24)

•Pharmacy (35)

Target Audience

•Health Care Providers (170)

•Health Care Executives and Administrators (179)

•Non-Health Care Professionals (42)

•Patients (6)

Setting of Care

•Hospitals (173)

•Psychiatric Facilities (1)

•Residential Facilities (2)

•Ambulatory Care (9)

•Patient Transport (2)

1 - 20 of 193

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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

Formal medicine reconciliation within the emergency department reduces the medication error rates for emergency admissions.

Mills PR, McGuffie AC. Emerg Med J. 2010;27:911-915.

STUDY

Unplanned transfers to a medical intensive care unit: causes and relationship to preventable errors in care.

Bapoje SR, Gaudiani JL, Narayanan V, Albert RK. J Hosp Med. 2011;6:68-72.

STUDY

Using Medical Emergency Teams to detect preventable adverse events.

Iyengar A, Baxter A, Forster AJ. Crit Care. 2009;13:R126.

STUDY

The effects of emergency department staff rounding on patient safety and satisfaction.

Meade CM, Kennedy J, Kaplan J. J Emerg Med. 2010;38:666-674.

COMMENTARY

Lethal Vertigo.

Furman JM. AHRQ WebM&M [serial online]. June 2004.

NEWSPAPER/MAGAZINE ARTICLE

Medication errors in the emergency department: need for pharmacy involvement?

PA-PSRS Patient Saf Advis. March 2011;8:1-7.

STUDY

Exploring emergency physician–hospitalist handoff interactions: development of the Handoff Communication Assessment.

Apker J, Mallak LA, Applegate EB 3rd, et al. Ann Emerg Med. 2010;55:161-170.

NEWSPAPER/MAGAZINE ARTICLE

ED revamp: team approach to care reduces errors, boosts patient and clinician satisfaction.

ED Manag. 2011;23:78-80.

REVIEW

Missed injuries in trauma patients: a literature review.

Pfeifer R, Pape HC. Patient Saf Surg. 2008;2:20.

STUDY

Pharmacist- versus physician-acquired medication history: a prospective study at the emergency department.

De Winter S, Spriet I, Indevuyst C, et al. Qual Saf Health Care. 2010;19:371-375.

STUDY

Bringing patients' own medications into an emergency department by ambulance: effect on prescribing accuracy when these patients are admitted to hospital.

Chan EW, Taylor SE, Marriott JL, Barger B. Med J Aust. 2009;191:374-377.

STUDY

A prospective controlled trial of the effect of a multi-faceted intervention on early recognition and intervention in deteriorating hospital patients.

Mitchell IA, McKay H, Van Leuvan C, et al. Resuscitation. 2010;81:658-666.

STUDY

Medication errors recovered by emergency department pharmacists.

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

NEWSPAPER/MAGAZINE ARTICLE

Non-English speakers find ERs hard to reach.

Hua V. San Francisco Chronicle. February 17, 2006:B6.

STUDY

Understanding how rapid response systems may improve safety for the acutely ill patient: learning from the frontline.

Mackintosh N, Rainey H, Sandall J. BMJ Qual Saf. 2012;22:135-144.

COMMENTARY

All in the History

Fee C. AHRQ WebM&M [serial online]. February/March 2009.

REVIEW

Outreach and Early Warning Systems (EWS) for the prevention of Intensive Care admission and death of critically ill adult patients on general hospital wards.

McGaughey J, Alderdice F, Fowler R, Kapila A, Mayhew A, Moutray M. Cochrane Database Syst Rev. 2007;(3):CD005529.

STUDY

Rapid response teams and continuous quality improvement.

Dailey MS, Durkin S, Gulczynski B, Kearney M, Loeb B, Pouliot J. Patient Saf Qual Healthc. Nov/Dec 2009;6:28-31.

BOOK/REPORT

An In Depth Investigation into Causes of Prescribing Errors by Foundation Trainees in Relation to Their Medical Education—EQUIP Study.

Dornan T, Ashcroft D, Heathfield H, et al. London: General Medical Council; 2009.

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