AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (18)

•Diagnostic Errors (19)

•Identification Errors (16)

•Discontinuities, Gaps, and Hand-Off Problems (52)

•Fatigue and Sleep Deprivation (7)

•Medication Safety (140)

•Medical Complications (39)

•Nonsurgical Procedural Complications (14)

•Surgical Complications (77)

•Transfusion Complications (6)

•Psychological and Social Complications (26)

Origin/Sponsor
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United Kingdom

Resource Types

•Audiovisual (2)

•Book/Report (47)

•Journal Article (458)

•Legislation/Regulation (5)

•Meeting/Conference (2)

•Newspaper/Magazine Article (19)

•Press Release/Announcement (1)

•Special or Theme Issue (16)

•Tools/Toolkit (5)

•Web Resource (15)

Error Types

•Epidemiology of Errors and Adverse Events (147)

•Active Errors (63)

•Latent Errors (26)

•Near Miss (8)

Approach to Improving Safety

•Quality Improvement Strategies (140)

•Legal and Policy Approaches (37)

•Error Reporting and Analysis (205)

•Communication Improvement (126)

•Human Factors Engineering (88)

•Teamwork (70)

•Specialization of Care (19)

•Logistical Approaches (18)

•Culture of Safety (93)

•Technologic Approaches (64)

•Education and Training (134)

Clinical Areas

•Allied Health Services (2)

•Complementary and Alternative Medicine (1)

Target Audience

•Health Care Providers (388)

•Health Care Executives and Administrators (477)

•Non-Health Care Professionals (263)

•Patients (25)

Setting of Care

•Hospitals (322)

•Psychiatric Facilities (4)

•Residential Facilities (5)

•Ambulatory Care (48)

•Outpatient Surgery (3)

•Patient Transport (7)

1 - 20 of 570

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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.

STUDY

Uncomfortable prescribing decisions in hospitals: the impact of teamwork.

Lewis PJ, Tully MP. J R Soc Med. 2009;102:481-488.

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.

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

Junior doctors' reflections on patient safety.

Ahmed M, Arora S, Carley S, Sevdalis N, Neale G. Postgrad Med J. 2012;88:125-129.

STUDY

Learning not to take it seriously: junior doctors' accounts of error.

Kroll L, Singleton A, Collier J, Rees Jones I. Med Educ. 2008;42:982-990.

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.

COMMENTARY

Practising safely in the foundation years.

Long S, Neale G, Vincent C. BMJ. 2009;338:1046.

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.

STUDY

Can an electronic prescribing system detect doctors who are more likely to make a serious prescribing error?

Coleman JJ, Hemming K, Nightingale PG, et al. J R Soc Med. 2011;104:208-218.

REVIEW

Impact of reduction in working hours for doctors in training on postgraduate medical education and patients' outcomes: systematic review.

Moonesinghe SR, Lowery J, Shahi N, Millen A, Beard JD. BMJ. 2011;342:d1580.

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

Educational interventions to improve handover in health care: a systematic review.

Gordon M, Findley R. Med Educ. 2011;45:1081-1089.

STUDY

Double checking medicines: defence against error or contributory factor?

Armitage G. J Eval Clin Pract. 2008;14:513-519.

STUDY

Medication errors with electronic prescribing (eP): two views of the same picture.

Savage I, Cornford T, Klecun E, Barber N, Clifford S, Franklin BD. BMC Health Serv Res. 2010;10:135.

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

Medication errors: how reliable are the severity ratings reported to the National Reporting and Learning System?

Williams SD, Ashcroft DM. Int J Qual Health Care. 2009;21:316-320.

REVIEW

Understanding factors that impact on health care professionals' risk perceptions and responses toward Clostridium difficile and methicillin-resistant Staphylococcus aureus: a structured literature review.

Burnett E, Kearney N, Johnston B, Corlett J, Macgillivray S. Am J Infect Control. 2013;41:394-400.

STUDY

Wristbands as aids to reduce misidentification: an ethnographically guided task analysis.

Smith AF, Casey K, Wilson J, Fischbacher-Smith D. Int J Qual Health Care. 2011;23:590-599.

STUDY

Implementing a 48 h EWTD-compliant rota for junior doctors in the UK does not compromise patients' safety: assessor-blind pilot comparison.

Cappuccio FP, Bakewell A, Taggart FM, et al; for the Warwick EWTD Working Group. QJM. 2009;102:271-82.

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