AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (9)

•Diagnostic Errors (15)

•Identification Errors (5)

•Discontinuities, Gaps, and Hand-Off Problems (25)

•Fatigue and Sleep Deprivation (7)

•Medication Safety (72)

•Medical Complications (24)

•Nonsurgical Procedural Complications (3)

•Surgical Complications (29)

•Transfusion Complications (1)

•Psychological and Social Complications (3)

Origin/Sponsor
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Canada

Resource Types

•Audiovisual (1)

•Book/Report (4)

•Journal Article (194)

•Legislation/Regulation (1)

•Meeting/Conference (2)

•Newspaper/Magazine Article (2)

•Special or Theme Issue (5)

•Web Resource (2)

Error Types

•Epidemiology of Errors and Adverse Events (59)

•Active Errors (42)

•Latent Errors (8)

•Near Miss (4)

Approach to Improving Safety

•Quality Improvement Strategies (46)

•Legal and Policy Approaches (6)

•Error Reporting and Analysis (67)

•Communication Improvement (43)

•Human Factors Engineering (30)

•Teamwork (16)

•Specialization of Care (15)

•Logistical Approaches (13)

•Culture of Safety (25)

•Technologic Approaches (39)

•Education and Training (41)

Clinical Areas

•Allied Health Services (1)

•Medicine (149)

•Nursing (19)

•Pharmacy (16)

Target Audience

•Health Care Providers (152)

•Health Care Executives and Administrators (172)

•Non-Health Care Professionals (82)

•Patients (2)

Setting of Care

•Hospitals (131)

•Psychiatric Facilities (1)

•Residential Facilities (3)

•Ambulatory Care (16)

•Outpatient Surgery (1)

•Patient Transport (1)

1 - 20 of 211

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COMMENTARY

Safe medication prescribing and monitoring in the outpatient setting.

Shojania KG. CMAJ. 2006;174:1257-1258.

STUDY

Medication errors in the management of anaphylaxis in a pediatric emergency department.

Benkelfat R, Gouin S, Larose G, Bailey B. J Emerg Med. 2013 Mar 8; [Epub ahead of print].

STUDY

In-house, overnight physician staffing: a cross-sectional survey of Canadian adult and pediatric intensive care units.

Parshuram CS, Kirpalani H, Mehta S, Granton J, Cook D, for the Canadian Critical Care Trials Group. Crit Care Med. 2006;34:1674-78.

STUDY

The development and evaluation of an integrated electronic prescribing and drug management system for primary care.

Tamblyn R, Huang A, Kawasumi Y, et al. J Am Med Inform Assoc. 2006;13:148-159.

STUDY

Clinical application of a computerized system for physician order entry with clinical decision support to prevent adverse drug events in long-term care.

Rochon PA, Field TS, Bates DW, et al. CMAJ. 2006;174:52-54.

STUDY

Prospective observational study on the incidence of medication errors during simulated resuscitation in a paediatric emergency department.

Kozer E, Seto W, Verjee Z, et al. BMJ. 2004;329:1321.

STUDY

Discontinuity of chronic medications in patients discharged from the intensive care unit.

Bell CM, Rahimi-Darabad P, Orner AI. J Gen Intern Med. 2006;21:937-941.

STUDY

Electronic prescribing in an ambulatory care setting: a cluster randomized trial.

Dainty KN, Adhikari NK, Kiss A, Quan S, Zwarenstein M. J Eval Clin Pract. 2012;18:761-767.

STUDY

Identification of root causes for emergency diagnostic imaging delays at three Canadian hospitals.

Worster A, Fernandes CM, Malcolmson C, Eva K, Simpson D. J Emerg Nurs. 2006;32:276-280.

COMMENTARY

Patient safety and diagnostic error: tips for your next shift.

Sinclair D, Croskerry P. Can Fam Physician. 2010;56:28-30.

BOOK/REPORT

Inspiring Ideas and Celebrating Successes: A Guidebook to Leading Patient Safety Practices in Ontario Hospitals.

OHA Patient Safety Support Service. Toronto, Ontario, Canada: Ontario Hospital Association; 2006.

NEWSPAPER/MAGAZINE ARTICLE

Electronic prescribing vulnerabilities: height and weight mix-up leads to dosing error.

ISMP Medication Safety Alert! Acute Care Edition. August 26, 2010;15:1-3.

STUDY

Prospective evaluation of consultant surgeon sleep deprivation and outcomes in more than 4000 consecutive cardiac surgical procedures.

Chu MWA, Stitt LW, Fox SA, et al. Arch Surg. 2011;146:1080-1085.

REVIEW

The role of practice guidelines and evidence-based medicine in perioperative patient safety.

Crosby E. Can J Anaesth. 2013;60:143-151.

COMMENTARY

An implementation strategy for a multicenter pediatric rapid response system in Ontario.

Lobos A, Costello J, Gilleland J, Gaiteiro R, Kotsakis A; The Ontario Pediatric Critical Care Response Team Collaborative. Jt Comm J Qual Patient Saf. 2010;36:271-280.

STUDY

Reduction in hospital mortality over time in a hospital without a pediatric medical emergency team: limitations of before-and-after study designs.

Joffe AR, Anton NR, Burkholder SC. Arch Pediatr Adolesc Med. 2011;165:419-423.

SPECIAL OR THEME ISSUE

Patient Safety Papers.

Baker GR, ed. Healthc Q. 2005;8:1-156.

STUDY

Error or "act of God"? A study of patients' and operating room team members' perceptions of error definition, reporting, and disclosure.

Espin S, Levinson W, Regehr G, Baker GR, Lingard L. Surgery. 2006;139:6-14.

STUDY

Minimizing errors of omission: Behavioural rEenforcement of Heparin to Avert Venous Emboli: The BEHAVE Study.

McMullin J, Cook D, Griffith L, et al. Crit Care Med. 2006;34:694-699.

STUDY

Identification by families of pediatric adverse events and near misses overlooked by health care providers.

Daniels JP, Hunc K, Cochrane D, et al. CMAJ. 2012;184:29-34.

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