AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (153)

•Diagnostic Errors (179)

•Identification Errors (117)

•Discontinuities, Gaps, and Hand-Off Problems (400)

•Fatigue and Sleep Deprivation (107)

•Medication Safety (1048)

•Medical Complications (356)

•Nonsurgical Procedural Complications (83)

•Surgical Complications (412)

•Transfusion Complications (14)

•Psychological and Social Complications (110)

Origin/Sponsor
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United States of America

•United States Federal Government (161)

•State Governments and Agencies (29)

Resource Types

•Audiovisual (34)

•Book/Report (122)

•Clinical Guideline (7)

•Journal Article (2569)

•Legislation/Regulation (43)

•Meeting/Conference (16)

•Newsletter/Journal (6)

•Newspaper/Magazine Article (363)

•Press Release/Announcement (22)

•Special or Theme Issue (37)

•Tools/Toolkit (37)

•Web Resource (67)

Error Types

•Epidemiology of Errors and Adverse Events (1008)

•Active Errors (634)

•Latent Errors (187)

•Near Miss (75)

Approach to Improving Safety

•Quality Improvement Strategies (751)

•Legal and Policy Approaches (252)

•Error Reporting and Analysis (936)

•Communication Improvement (774)

•Human Factors Engineering (426)

•Teamwork (291)

•Specialization of Care (219)

•Logistical Approaches (316)

•Culture of Safety (395)

•Technologic Approaches (556)

•Education and Training (872)

Clinical Areas

•Allied Health Services (9)

•Dentistry (3)

•Medicine (2246)

•Nursing (507)

•Pharmacy (403)

Target Audience

•Health Care Providers (2384)

•Health Care Executives and Administrators (2653)

•Non-Health Care Professionals (1217)

•Patients (228)

Setting of Care

•Hospitals (2086)

•Psychiatric Facilities (9)

•Residential Facilities (60)

•Ambulatory Care (275)

•Outpatient Surgery (38)

•Patient Transport (28)

1 - 20 of 3340

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STUDY

Comparing errors in ED computer-assisted vs conventional pediatric drug dosing and administration.

Yamamoto L, Kanemori J. Am J Emerg Med. 2010;28:588-592.

COMMENTARY

Identified safety risks with splitting and crushing oral medications.

Paparella S. J Emerg Nurs. 2010;36:156-158.

STUDY

Are temporary staff associated with more severe emergency department medication errors?

Pham JC, Andrawis M, Shore AD, Fahey M, Morlock L, Pronovost PJ. J Healthc Qual. 2011;33:9-18.

STUDY

Emergency nursing and medical error—a survey of two states.

Hohenhaus SM. J Emerg Nurs. 2008;34:20-25.

STUDY

National study on the frequency, types, causes, and consequences of voluntarily reported emergency department medication errors.

Pham JC, Story JL, Hicks RW, et al. J Emerg Med. 2011;40:485-492.

STUDY

Computerized decision support for medication dosing in renal insufficiency: a randomized, controlled trial.

Terrell KM, Perkins AJ, Hui SL, Callahan CM, Dexter PR, Miller DK. Ann Emerg Med. 2010;56:623-629.

COMMENTARY

Rapid response systems: from implementation to evidence base.

Sarani B, Scott S. Jt Comm J Qual Patient Saf. 2010;36:514-517.

COMMENTARY

Do not put medication safety "on hold" with boarded patients.

Paparella S. J Emerg Nurs. 2010;36:347-349.

COMMENTARY

Bedside shift report improves patient safety and nurse accountability.

Baker SJ. J Emerg Nurs. 2010;36:355-358.

STUDY

Nurses' perceptions of simulation-based interprofessional training program for rapid response and code blue events.

Wehbe-Janek H, Lenzmeier CR, Ogden PE, et al. J Nurs Care Qual. 2012;27:43-50.

STUDY

How RNs rescue patients: a qualitative study of RNs' perceived involvement in rapid response teams.

Leach LS, Mayo A, O'Rourke M. Qual Saf Health Care. 2010;19:e13.

STUDY

Empowering frontline nurses: a structured intervention enables nurses to improve medication administration accuracy.

Kliger J, Blegen MA, Gootee D, O'Neil E. Jt Comm J Qual Patient Saf. 2009;35:604-612.

STUDY

Medication safety initiative in reducing medication errors.

Nguyen EE, Connolly PM, Wong V. J Nurs Care Qual. 2010;25:224-230.

STUDY

Medication administration errors in assisted living: scope, characteristics, and the importance of staff training.

Zimmerman S, Love K, Sloane PD, Cohen LW, Reed D, Carder PC; Center for Excellence in Assisted Living-University of North Carolina Collaborative. J Am Geriatr Soc. 2011;59:1060-1068.

COMMENTARY

Enhancing patient safety in the pediatric emergency department: teams, communication, and lessons from crew resource management.

Pruitt CM, Liebelt EL. Pediatr Emerg Care. 2010;26:942-948.

COMMENTARY

Implementation of a rapid response team: a success story.

Scott SS, Elliott S. Crit Care Nurse. 2009;29:66-75.

STUDY

Improving patient safety using the sterile cockpit principle during medication administration: a collaborative, unit-based project.

Fore AM, Sculli GL, Albee D, Neily J. J Nurs Manag. 2013;21:106-111.

STUDY

Nurses' clinical reasoning: processes and practices of medication safety.

Dickson GL, Flynn L. Qual Health Res. 2012;22:3-16.

STUDY

Accuracy of radiographic readings in the emergency department.

Petinaux B, Bhat R, Boniface K, Aristizabal J. Am J Emerg Med. 2011;29:18-25.

STUDY

Nurses' perceptions of how rapid response teams affect the nurse, team, and system.

Williams DJ, Newman A, Jones C, Woodard B. J Nurs Care Qual. 2011;26:265-272.

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