AHRQ Patient Safety Network

The Collection > United States of America

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Safety Target

•Device-related Complications (84)

•Diagnostic Errors (150)

•Identification Errors (77)

•Discontinuities, Gaps, and Hand-Off Problems (249)

•Fatigue and Sleep Deprivation (40)

•Medication Safety (594)

•Medical Complications (232)

•Nonsurgical Procedural Complications (63)

•Surgical Complications (247)

•Transfusion Complications (10)

•Psychological and Social Complications (82)

Origin/Sponsor
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United States of America

•United States Federal Government (79)

•State Governments and Agencies (2)

Resource Types

•Clinical Guideline (5)

•Journal Article (1427)

•Legislation/Regulation (34)

•Meeting/Conference (19)

•Newsletter/Journal (10)

•Newspaper/Magazine Article (256)

•Press Release/Announcement (15)

•Special or Theme Issue (39)

•Tools/Toolkit (35)

•Web Resource (72)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (412)

•Active Errors (509)

•Latent Errors (147)

•Near Miss (44)

Approach to Improving Safety

•Quality Improvement Strategies (514)

•Legal and Policy Approaches (231)

•Error Reporting and Analysis (534)

•Communication Improvement (596)

•Human Factors Engineering (281)

•Teamwork (169)

•Specialization of Care (139)

•Logistical Approaches (132)

•Culture of Safety (268)

•Technologic Approaches (343)

•Education and Training (419)

Clinical Areas

•Allied Health Services (7)

Target Audience

•Health Care Providers (2056)

•Health Care Executives and Administrators (1533)

•Non-Health Care Professionals (773)

•Patients (221)

Setting of Care

•Hospitals (1214)

•Psychiatric Facilities (12)

•Residential Facilities (43)

•Ambulatory Care (248)

•Outpatient Surgery (26)

•Patient Transport (17)

1 - 20 of 2120

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NEWSPAPER/MAGAZINE ARTICLE

RHIOs aim to transform quality of care and patient safety.

van der Grinten P. Patient Safety & Quality Healthcare. May/June 2006;3:46-48.

COMMENTARY

Weighing in on medication safety.

Paparella S. J Emerg Nurs. 2009;35:553-555.

STUDY

Predictors of misunderstanding pediatric liquid medication instructions.

Bailey SC, Pandit AU, Yin S, et al. Fam Med. 2009;41:715-721.

NEWSPAPER/MAGAZINE ARTICLE

Administering a saline flush "site unseen" can lead to a wrong route error.

ISMP Medication Safety Alert! Acute Care Edition. May 16, 2013;18:1-3.

ORGANIZATIONAL POLICY/GUIDELINES

Preventing vincristine administration errors.

The Joint Commission. Sentinel Event Alert. July 14, 2005;(34):1-3.

COMMENTARY

Poor Prognosis.

Lamont EB. AHRQ WebM&M [serial online]. September 2004.

NEWSPAPER/MAGAZINE ARTICLE

Nurse error spotlights drug's danger.

Greene L. St. Petersburg Times. June 15, 2006:A1.

STUDY

Hospital admission medication reconciliation in medically complex children: an observational study.

Stone BL, Boehme S, Mundorff MB, Maloney CG, Srivastava R. Arch Dis Child. 2010;95:250-255.

COMMENTARY

Infusing fun into quality and safety initiatives.

Foulk KC, Tocydlowski P, Snow TM, et al. Nursing. 2012;42:14-16.

REVIEW

Accountability for medical error: moving beyond blame to advocacy.

Bell SK, Delbanco T, Anderson-Shaw L, McDonald TB, Gallagher TH. Chest. 2011;140:519-526.

COMMENTARY

Premature or Overdue?

Thomas J, Hannah M. AHRQ WebM&M [serial online]. April 2003.

STUDY

Medical diagnoses commonly associated with pediatric malpractice lawsuits in the United States.

McAbee GN, Donn SM, Mendelson RA, McDonnell WM, Gonzalez JL, Ake JK. Pediatrics. 2008;122:e1282-1286.

STUDY

High-priority drug–drug interactions for use in electronic health records.

Phansalkar S, Desai AA, Bell D, et al. J Am Med Inform Assoc. 2012;19:735-743.

COMMENTARY

Counting matters: lessons from the root cause analysis of a retained surgical item.

Agrawal A. Jt Comm J Qual Patient Saf. 2012;38:566-574.

NEWSPAPER/MAGAZINE ARTICLE

Drawn curtains, muted alarms, and diverted attention lead to tragedy in the postanesthesia care unit.

ISMP Medication Safety Alert! Acute Care Edition. March 21, 2013;18:1-3.

NEWSPAPER/MAGAZINE ARTICLE

Ingestion or aspiration of foreign objects or toxic substances is not just a safety concern with children.

ISMP Medication Safety Alert! Acute Care Edition. November 3, 2011;16:1-2.

STUDY

Peer review comments augment diagnostic error characterization and departmental quality assurance: 1-year experience from a children's hospital.

Iyer RS, Swanson JO, Otto RK, Weinberger E. AJR Am J Roentgenol. 2013;200:132-137.

STUDY

Using a risk assessment approach to determine which factors influence whether partially bilingual physicians rely on their non-English language skills or call an interpreter.

Maul L, Regenstein M, Andres E, Wright R, Wynia MK. Jt Comm J Qual Patient Saf. 2012;38:328-336.

COMMENTARY

Human cognition and the dynamics of failure to rescue: the Lewis Blackman case.

Acquaviva K, Haskell H, Johnson J. J Prof Nurs. 2013;29:95-101.

NEWSPAPER/MAGAZINE ARTICLE

Paralyzed by mistakes: preventing errors with neuromuscular blocking agents.

ISMP Medication Safety Alert! Acute Care Edition. September 22, 2005;10:1-3.

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