AHRQ Patient Safety Network

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Safety Target

•Diagnostic Errors (2)

•Identification Errors (5)

•Discontinuities, Gaps, and Hand-Off Problems (1)

•Medication Safety (5)

•Nonsurgical Procedural Complications (1)

•Transfusion Complications (6)

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United Kingdom

Resource Types

•Book/Report (1)

•Journal Article (12)

•Legislation/Regulation (1)

•Newspaper/Magazine Article (1)

•Web Resource (1)

Error Types

•Epidemiology of Errors and Adverse Events (8)

•Active Errors (2)

Approach to Improving Safety

•Quality Improvement Strategies (1)

•Error Reporting and Analysis (4)

•Communication Improvement (1)

•Human Factors Engineering (4)

•Specialization of Care (2)

•Technologic Approaches (9)

•Education and Training (3)

Clinical Areas

•Medicine (13)

•Nursing (2)

•Pharmacy (2)

Target Audience

•Health Care Providers (13)

•Health Care Executives and Administrators (10)

•Non-Health Care Professionals (7)

•Patients (2)

Setting of Care

•Hospitals (8)

•Residential Facilities (1)

1 - 16 of 16

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STUDY

Barcode technology: its role in increasing the safety of blood transfusion.

Turner CL, Casbard AC, Murphy MF. Transfusion. 2003;43:1200-1209.

MULTI-USE WEBSITE

National Comparative Audit of Blood Transfusion.

National Blood Service Hospitals.

STUDY

The impact of a closed-loop electronic prescribing and administration system on prescribing errors, administration errors and staff time: a before-and-after study.

Franklin BD, O'Grady K, Donyai P, Jacklin A, Barber N. Qual Saf Health Care. 2007;16:279-284.

ORGANIZATIONAL POLICY/GUIDELINES

Standardising wristbands improves patient safety.

Safe Practice Notice 24. London, England: National Patient Safety Agency; July 3, 2007.

STUDY

Medication administration errors for older people in long-term residential care.

Szczepura A, Wild D, Nelson S. BMC Geriatr. 2011;11:82.

STUDY

Challenges and opportunities to prevent transfusion errors: a Qualitative Evaluation for Safer Transfusion (QUEST).

Heddle NM, Fung M, Hervig T, et al; BEST Collaborative. Transfusion. 2012;52:1687-1695.

COMMENTARY

Information technology-based approaches to reducing repeat drug exposure in patients with known drug allergies.

Cresswell KM, Sheikh A. J Allergy Clin Immunol. 2008;121:1112-1117.e7.

STUDY

Tracking with virtual slides: a tool to study diagnostic error in histopathology.

Treanor D, Lim CH, Magee D, Bulpitt A, Quirke P. Histopathology. 2009;55:37-45.

STUDY

Efficacy of an incident-reporting system in cellular pathology: a practical experience.

Rakha EA, Clark D, Chohan BS, et al. J Clin Pathol. 2012;65:643-648.

STUDY

A prospective hazard and improvement analytic approach to predicting the effectiveness of medication error interventions.

Karnon J, McIntosh A, Dean J, et al. Safety Sci. 2007;45:523-539.

COMMENTARY

Reducing adverse events in blood transfusion.

Stainsby D, Russell J, Cohen H, Lilleyman J. Br J Haematol. 2005;131:8-12.

STUDY

Possible net harms of breast cancer screening: updated modelling of Forrest report.

Raftery J, Chorozoglou M. BMJ. 2011;343:d7627.

NEWSPAPER/MAGAZINE ARTICLE

Wrist tag 'offers drug warning.'

BBC News. August 9, 2005.

STUDY

Adverse outcomes of blood transfusion in children: analysis of UK reports to the serious hazards of transfusion scheme 1996-2005.

Stainsby D, Jones H, Wells AW, Gibson B, Cohen H; for SHOT Steering Group. Br J Haematol. 2008;141:73-79.

BOOK/REPORT

Coding for Success: Simple Technology for Safer Patient Care.

Healthcare Quality Directorate, Department of Health. London, England: Crown Publishing; February 16, 2007.

STUDY

Changes in practice and organisation surrounding blood transfusion in NHS trusts in England 1995-2005.

Taylor CJC, Murphy MF, Lowe D, Pearson M. Qual Saf Health Care. 2008;17:239-243.