AHRQ Patient Safety Network

The Collection > United States of America

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Safety Target

•Device-related Complications (186)

•Diagnostic Errors (209)

•Identification Errors (124)

•Discontinuities, Gaps, and Hand-Off Problems (486)

•Fatigue and Sleep Deprivation (118)

•Medication Safety (1224)

•Medical Complications (504)

•Nonsurgical Procedural Complications (100)

•Surgical Complications (436)

•Transfusion Complications (22)

•Psychological and Social Complications (160)

Origin/Sponsor
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United States of America

•United States Federal Government (341)

•State Governments and Agencies (40)

Resource Types

•Clinical Guideline (8)

•Journal Article (3008)

•Legislation/Regulation (63)

•Meeting/Conference (37)

•Newsletter/Journal (11)

•Newspaper/Magazine Article (503)

•Press Release/Announcement (34)

•Special or Theme Issue (61)

•Tools/Toolkit (63)

•Web Resource (120)

•Grant (11)

Error Types

•Epidemiology of Errors and Adverse Events (1064)

•Active Errors (571)

•Latent Errors (265)

•Near Miss (72)

Approach to Improving Safety

•Quality Improvement Strategies (999)

•Legal and Policy Approaches (469)

•Error Reporting and Analysis (1233)

•Communication Improvement (960)

•Human Factors Engineering (520)

•Teamwork (319)

•Specialization of Care (270)

•Logistical Approaches (340)

•Culture of Safety (559)

•Technologic Approaches (877)

•Education and Training (789)

Clinical Areas

•Allied Health Services (11)

Target Audience

•Health Care Providers (3081)

•Health Care Executives and Administrators (3361)

•Non-Health Care Professionals (1665)

•Patients (368)

Setting of Care

•Hospitals (2622)

•Psychiatric Facilities (17)

•Residential Facilities (93)

•Ambulatory Care (414)

•Outpatient Surgery (50)

•Patient Transport (25)

1 - 20 of 4274

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STUDY

Safety of using a computerized rounding and sign-out system to reduce resident duty hours.

Van Eaton EG, McDonough K, Lober WB, Johnson EA, Pellegrini CA, Horvath KD. Acad Med. 2010;85:1189-1195.

STUDY

An inpatient fall prevention initiative in a tertiary care hospital.

Weinberg J, Proske D, Szerszen A, et al. Jt Comm J Qual Patient Saf. 2011;37:317-325.

STUDY

The interrelationship of isolation precautions and adverse events in an acute care facility.

Spence MR, McQuaid M. Am J Infect Control. 2011;39:154-155.

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.

STUDY

Preventing potentially inappropriate medication use in hospitalized older patients with a computerized provider order entry warning system.

Mattison MLP, Afonso KA, Ngo LH, Mukamal KJ. Arch Intern Med. 2010;170:1331-1336.

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.

REVIEW

Bar code technology and medication administration error.

Young J, Slebodnik M, Sands L. J Patient Saf. 2010;6;115-120.

STUDY

PCA safety data review after clinical decision support and smart pump technology implementation.

Prewitt J, Schneider S, Horvath M, Hammond J, Jackson J, Ginsberg B. J Patient Saf. 2013;9:103-109.

STUDY

Effect of bar-code–assisted medication administration on medication administration errors and accuracy in multiple patient care areas.

Helmons PJ, Wargel LN, Daniels CE. Am J Health Syst Pharm. 2009;66:1202-1210.

STUDY

Thirty-day, all-cause readmissions for elderly patients who have an injury-related inpatient stay.

Spector WD, Mutter R, Owens P, Limcangco R. Med Care. 2012;50:863-869.

STUDY

Improving situation awareness to reduce unrecognized clinical deterioration and serious safety events.

Brady PW, Muething S, Kotagal U, et al. Pediatrics. 2013;131:e298-e308.

STUDY

Chronic kidney disease adversely influences patient safety.

Seliger SL, Zhan M, Hsu VD, Walker LD, Fink JC. J Am Soc Nephrol. 2008;19:2414-2419.

STUDY

Inpatient fall prevention: use of in-room Webcams.

Hardin SR, Dienemann J, Rudisill P, Mills KK. J Patient Saf. 2013;9:29-35.

STUDY

Problems after discharge and understanding of communication with their primary care physicians (PCPs) among hospitalized seniors: a mixed methods study.

Arora VM, Prochaska ML, Farnan JM, et al. J Hosp Med. 2010;5:385-391.

STUDY

Supratherapeutic dosing of acetaminophen among hospitalized patients.

Zhou L, Maviglia SM, Mahoney LM, et al. Arch Intern Med. 2012;172:1721-1728.

STUDY

Results of the Medications At Transitions and Clinical Handoffs (MATCH) study: an analysis of medication reconciliation errors and risk factors at hospital admission.

Gleason KM, McDaniel MR, Feinglass J, et al. J Gen Intern Med. 2010;25:441-447.

NEWSPAPER/MAGAZINE ARTICLE

Medication errors occurring with the use of bar-code administration technology.

PA-PSRS Patient Saf Advis. December 2008;5:122-126.

STUDY

Identifying causes of adverse events detected by an automated trigger tool through in-depth analysis.

Muething SE, Conway PH, Kloppenborg E, et al. Qual Saf Health Care. 2010;19:435-439.

STUDY

Determining a patient's comfort in inquiring about healthcare providers' hand-washing behavior.

Clare CA, Afzal O, Knapp K, Viola D. J Patient Saf. 2013;9:68-74.

STUDY

Lessons learned from implementation of a computerized application for pending tests at hospital discharge.

Dalal AK, Poon EG, Karson AS, Gandhi TK, Roy CL. J Hosp Med. 2011;6:16-21.

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