AHRQ Patient Safety Network

The Collection > United States of America

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Safety Target

•Device-related Complications (151)

•Diagnostic Errors (158)

•Identification Errors (131)

•Discontinuities, Gaps, and Hand-Off Problems (376)

•Fatigue and Sleep Deprivation (82)

•Medication Safety (977)

•Medical Complications (372)

•Nonsurgical Procedural Complications (110)

•Surgical Complications (392)

•Transfusion Complications (14)

•Psychological and Social Complications (128)

Origin/Sponsor
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United States of America

•United States Federal Government (148)

•State Governments and Agencies (21)

Resource Types

•Clinical Guideline (7)

•Journal Article (2338)

•Legislation/Regulation (52)

•Meeting/Conference (28)

•Newsletter/Journal (12)

•Newspaper/Magazine Article (393)

•Press Release/Announcement (28)

•Special or Theme Issue (48)

•Tools/Toolkit (53)

•Web Resource (96)

•Grant (7)

Error Types

•Epidemiology of Errors and Adverse Events (684)

•Active Errors (617)

•Latent Errors (203)

•Near Miss (65)

Approach to Improving Safety

•Quality Improvement Strategies (799)

•Legal and Policy Approaches (329)

•Error Reporting and Analysis (903)

•Communication Improvement (837)

•Human Factors Engineering (458)

•Teamwork (286)

•Specialization of Care (218)

•Logistical Approaches (246)

•Culture of Safety (451)

•Technologic Approaches (580)

•Education and Training (678)

Clinical Areas

•Allied Health Services (10)

Target Audience

•Health Care Providers (2662)

•Health Care Executives and Administrators (2700)

•Non-Health Care Professionals (1241)

•Patients (311)

Setting of Care

•Hospitals (2002)

•Psychiatric Facilities (12)

•Residential Facilities (59)

•Ambulatory Care (321)

•Outpatient Surgery (43)

•Patient Transport (24)

1 - 20 of 3329

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COMMENTARY

Safety strategies in an academic radiation oncology department and recommendations for action.

Terezakis SA, Pronovost P, Harris K, Deweese T, Ford E. Jt Comm J Qual Patient Saf. 2011;37:291-299.

STUDY

Incidence and root cause analysis of wrong-site pain management procedures: a multicenter study.

Cohen SP, Hayek SM, Datta S, et al. Anesthesiology. 2010;112:711-718.

STUDY

Medication errors involving oral chemotherapy.

Weingart SN, Toro J, Spencer J, et al. Cancer. 2010;116:2455-2464.

COMMENTARY

Fatal consequences of a simple mistake: how can a patient be saved from inadvertent intrathecal vincristine?

Reddy GK, Brown B, Nanda A. Clin Neurol Neurosurg. 2011;113:68-71.

NEWSPAPER/MAGAZINE ARTICLE

Oops, sorry, wrong patient! A patient verification process is needed everywhere, not just at the bedside.

ISMP Medication Safety Alert! Acute Care Edition. March 10, 2011;16:1-4.

STUDY

Polypharmacy in hospitalized older adult cancer patients: experience from a prospective, observational study of an oncology-acute care for elders unit.

Flood KL, Carroll MB, Le CV, Brown CJ. Am J Geriatr Pharmacother. 2009;7:151-158.

COMMENTARY

Use of an anatomic marking form as an alternative to the Universal Protocol for Preventing Wrong Site, Wrong Procedure and Wrong Person Surgery.

Knight N, Aucar J. Am J Surg. 2010;200:803-807.

STUDY

Using an enhanced oral chemotherapy computerized provider order entry system to reduce prescribing errors and improve safety.

Collins CM, Elsaid KA. Int J Qual Health Care. 2011;23:36-43.

STUDY

Disclosure of hospital adverse events and its association with patients' ratings of the quality of care.

López L, Weissman JS, Schneider EC, Weingart SN, Cohen AP, Epstein AM. Arch Intern Med. 2009;169:1888-1894.

COMMENTARY classic

Case 34-2010: a 65-year-old woman with an incorrect operation on the left hand.

Ring DC, Herndon JH, Meyer GS. N Engl J Med. 2010;363:1950-1957.

STUDY

Incorrect surgical procedures within and outside of the operating room.

Neily J, Mills PD, Eldridge N, et al. Arch Surg. 2009;144:1028-1034.

COMMENTARY

Confusion about epinephrine dosing leading to iatrogenic overdose: a life-threatening problem with a potential solution.

Kanwar M, Irvin CB, Frank JJ, Weber K, Rosman H. Ann Emerg Med. 2010;55:341-344.

STUDY

Incorrect surgical procedures within and outside of the operating room: a follow-up report.

Neily J, Mills PD, Eldridge N, et al. Arch Surg. 2011;146 1235-1239.

COMMENTARY

Dealing honestly with an honest mistake.

Liang NL, Herring ME, Bush RL. J Vasc Surg. 2010;51:494-495.

STUDY

Inaccuracies in assignment of clinical stage for localized prostate cancer.

Reese AC, Sadetsky N, Carroll PR, Cooperberg MR. Cancer. 2011;117:283-289.

REVIEW

Quality in cancer diagnosis.

Raab SS, Grzybicki DM. CA Cancer J Clin. 2010;60:139-165.

COMMENTARY

Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery.

Lutgendorf MA, Schindler LL, Hill JB, Magann EF, O'Boyle JD. Mil Med. 2011;176:702-704.

STUDY

The impact of drug shortages on children with cancer—the example of mechlorethamine.

Metzger ML, Billett A, Link MP. N Engl J Med. 2012;367:2461-2463.

NEWSPAPER/MAGAZINE ARTICLE

DTaP–Tdap mix-ups now affecting hundreds of patients.

ISMP Medication Safety Alert! Acute Care Edition. July 1, 2010;15:1-2.

STUDY

Effect of bar-code technology on the safety of medication administration.

Poon EG, Keohane CA, Yoon CS, et al. N Engl J Med. 2010;362:1698-1707.

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