AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (19)

•Diagnostic Errors (22)

•Identification Errors (16)

•Discontinuities, Gaps, and Hand-Off Problems (55)

•Fatigue and Sleep Deprivation (8)

•Medication Safety (137)

•Medical Complications (36)

•Nonsurgical Procedural Complications (14)

•Surgical Complications (73)

•Transfusion Complications (6)

•Psychological and Social Complications (23)

Origin/Sponsor
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United Kingdom

Resource Types

•Audiovisual (3)

•Book/Report (56)

•Journal Article (437)

•Legislation/Regulation (5)

•Meeting/Conference (2)

•Newspaper/Magazine Article (21)

•Press Release/Announcement (1)

•Special or Theme Issue (14)

•Tools/Toolkit (5)

•Web Resource (13)

Error Types

•Epidemiology of Errors and Adverse Events (146)

•Active Errors (74)

•Latent Errors (32)

•Near Miss (10)

Approach to Improving Safety

•Quality Improvement Strategies (134)

•Legal and Policy Approaches (42)

•Error Reporting and Analysis (208)

•Communication Improvement (123)

•Human Factors Engineering (83)

•Teamwork (58)

•Specialization of Care (19)

•Logistical Approaches (18)

•Culture of Safety (93)

•Technologic Approaches (63)

•Education and Training (114)

Clinical Areas

•Allied Health Services (2)

•Complementary and Alternative Medicine (1)

Target Audience

•Health Care Providers (381)

•Health Care Executives and Administrators (469)

•Non-Health Care Professionals (239)

•Patients (30)

Setting of Care

•Hospitals (327)

•Psychiatric Facilities (4)

•Residential Facilities (5)

•Ambulatory Care (45)

•Outpatient Surgery (3)

•Patient Transport (7)

1 - 20 of 557

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STUDY

Eight CT lessons that we learned the hard way: an analysis of current patterns of radiological error and discrepancy with particular emphasis on CT.

McCreadie G, Oliver TB. Clin Radiol. 2009;64:491-499; discussion 500-501.

STUDY

High risk prescribing in primary care patients particularly vulnerable to adverse drug events: cross sectional population database analysis in Scottish general practice.

Guthrie B, McCowan C, Davey P, Simpson CR, Dreischulte T, Barnett K. BMJ. 2011;342:d3514.

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.

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.

STUDY

Pharmacists' interventions in prescribing errors at hospital discharge: an observational study in the context of an electronic prescribing system in a UK teaching hospital.

Abdel-Qader DH, Harper L, Cantrill JA, Tully MP. Drug Saf. 2010;33:1027-1044.

STUDY

Review of patient safety incidents submitted from critical care units in England & Wales to the UK National Patient Safety Agency.

Thomas AN, Panchagnula U, Taylor RJ. Anaesthesia. 2009;64:1178-1185.

NEWSPAPER/MAGAZINE ARTICLE

Medication errors common for hospital diabetes.

Nursing Times. April 1, 2011.

MULTI-USE WEBSITE

Organisation Patient Safety Incident Reports.

National Patient Safety Agency.

STUDY

Medicines reconciliation using a shared electronic health care record.

Moore P, Armitage G, Wright J, Dobrzanski S, Ansari N, Hammond I, Scally A. J Patient Saf. 2011;7:147-153.

STUDY

The quality, safety and content of telephone and face-to-face consultations: a comparative study.

McKinstry B, Hammersley V, Burton C, et al. Qual Saf Health Care. 2010;19:298-303.

STUDY

Paediatric dosing errors before and after electronic prescribing.

Jani YH, Barber N, Wong ICK. Qual Saf Health Care. 2010;19:337-340.

STUDY

The incidence and nature of prescribing and medication administration errors in paediatric inpatients.

Ghaleb MA, Barber N, Franklin BD, Wong ICK. Arch Dis Child. 2010;95:113-118.

STUDY

An observational study of the frequency, severity, and etiology of failures in postoperative care after major elective general surgery.

Symons NR, Almoudaris AM, Nagpal K, Vincent CA, Moorthy K. Ann Surg. 2013;257:1-5.

REVIEW

Double checking the administration of medicines: what is the evidence? A systematic review.

Alsulami Z, Conroy S, Choonara I. Arch Dis Child. 2012;97:833-837.

MULTI-USE WEBSITE

National Comparative Audit of Blood Transfusion.

National Blood Service Hospitals.

STUDY

What do hospital staff in the UK think are the causes of penicillin medication errors?

Wilcock M, Harding G, Moore L, Nicholls I, Powell N, Stratton J. Int J Clin Pharm. 2013;35:72-78.

STUDY

Misdiagnosis: analysis based on case record review with proposals aimed to improve diagnostic processes.

Neale G, Hogan H, Sevdalis N. Clin Med. 2011;11:317-321.

STUDY

A prevalence study of errors in opioid prescribing in a large teaching hospital.

Davies ED, Schneider F, Childs S, et al. Int J Clin Pract. 2011;65:923-929.

REVIEW

Clinical errors and medical negligence.

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

STUDY

Does the implementation of an electronic prescribing system create unintended medication errors? A study of the sociotechnical context through the analysis of reported medication incidents.

Redwood S, Rajakumar A, Hodson J, Coleman JJ. BMC Med Inform Decis Mak. 2011;11:29.

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