AHRQ Patient Safety Network

The Collection > United States of America

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Safety Target

•Device-related Complications (147)

•Diagnostic Errors (197)

•Identification Errors (116)

•Discontinuities, Gaps, and Hand-Off Problems (580)

•Fatigue and Sleep Deprivation (98)

•Medication Safety (1247)

•Medical Complications (415)

•Nonsurgical Procedural Complications (84)

•Surgical Complications (415)

•Transfusion Complications (20)

•Psychological and Social Complications (150)

Origin/Sponsor
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United States of America

•United States Federal Government (249)

•State Governments and Agencies (34)

Resource Types

•Clinical Guideline (9)

•Journal Article (2763)

•Legislation/Regulation (57)

•Meeting/Conference (33)

•Newsletter/Journal (12)

•Newspaper/Magazine Article (461)

•Press Release/Announcement (21)

•Special or Theme Issue (57)

•Tools/Toolkit (72)

•Web Resource (105)

•Grant (8)

Error Types

•Epidemiology of Errors and Adverse Events (1046)

•Active Errors (538)

•Latent Errors (227)

•Near Miss (74)

Approach to Improving Safety

•Quality Improvement Strategies (923)

•Legal and Policy Approaches (385)

•Error Reporting and Analysis (1207)

•Communication Improvement (1085)

•Human Factors Engineering (447)

•Teamwork (340)

•Specialization of Care (253)

•Logistical Approaches (311)

•Culture of Safety (721)

•Technologic Approaches (661)

•Education and Training (717)

Clinical Areas

•Allied Health Services (11)

Target Audience

•Health Care Providers (2986)

•Health Care Executives and Administrators (2898)

•Non-Health Care Professionals (1344)

•Patients (338)

Setting of Care

•Hospitals (2299)

•Psychiatric Facilities (15)

•Residential Facilities (103)

•Ambulatory Care (421)

•Outpatient Surgery (49)

•Patient Transport (25)

1 - 20 of 3917

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STUDY

Nursing home error and level of staff credentials.

Scott-Cawiezell J, Pepper GA, Madsen RW, Petroski G, Vogelsmeier A, Zellmer D. Clin Nurs Res. 2007;16:72-78.

REVIEW

Epidemiology of medication-related adverse events in nursing homes.

Handler SM, Wright RM, Ruby CM, Hanlon JT. Am J Geriatr Pharmacother. 2006;4:264-272.

STUDY

Medication reconciliation for reducing drug-discrepancy adverse events.

Boockvar KS, Carlson Lacorte H, Giambanco V, Fridman B, Siu A. Am J Geriatr Pharmacother. 2006;4:236-243.

STUDY

Assessing resident safety culture in nursing homes: using the nursing home survey on resident safety.

Castle NG, Wagner LM, Perera S, Ferguson JC, Handler SM. J Patient Saf. 2010;6:59-67.

STUDY

Patterns in nursing home medication errors: disproportionality analysis as a novel method to identify quality improvement opportunities.

Hansen RA, Cornell PY, Ryan PB, Williams CE, Pierson S, Greene SB. Pharmacoepidemiol Drug Saf. 2010;19:1087-1094.

STUDY

Achieving quality improvement in the nursing home: influence of nursing leadership on communication and teamwork.

Vogelsmeier A, Scott-Cawiezell J. J Nurs Care Qual. 2011;26:236-242.

STUDY

Medication error reporting in nursing homes: identifying targets for patient safety improvement.

Greene SB, Williams CE, Pierson S, Hansen RA, Carey TS. Qual Saf Health Care. 2010;19:218-222.

STUDY

Addressing delays in medication administration for patients transferred from the hospital to the nursing home: a pilot quality improvement project.

Ward KT, Bates-Jensen B, Eslami MS, et al. Am J Geriatr Pharmacother. 2008;6:205-211.

STUDY

Dementia and risk of adverse warfarin-related events in the nursing home setting.

Tjia J, Field TS, Mazor KM, et al. Am J Geriatr Pharmacother. 2012;10:323-330.

STUDY

Effect of computerized provider order entry with clinical decision support on adverse drug events in the long-term care setting.

Gurwitz JH, Field TS, Rochon P, et al. J Am Geriatr Soc. 2008;56:2225-2233.

STUDY

Effect of a pharmacist-led multicomponent intervention focusing on the medication monitoring phase to prevent potential adverse drug events in nursing homes.

Lapane KL, Hughes CM, Daiello LA, Cameron KA, Feinberg J. J Am Geriatr Soc. 2011;59:1238-1245.

REVIEW

Care transitions and home health care.

Boling PA. Clin Geriatr Med. 2009;25:135-148.

STUDY

Team safety and innovation by learning from errors in long-term care settings.

Buljac-Samardžić M, van Woerkom M, Paauwe J. Health Care Manag Rev. 2012;37:280-291.

REVIEW

Monitoring for medication errors in outpatient settings.

Balkrishnan R, Foss CE, Pawaskar M, Uhas AA, Feldman SR. J Dermatolog Treat. 2009;20:229-232.

STUDY

Iatrogenic events resulting in intensive care admission: frequency, cause, and disclosure to patients and institutions.

Lehmann LS, Puopolo AL, Shaykevich S, Brennan TA. Am J Med. 2005;118:409-413.

STUDY

Determinants of patient-reported medication errors: a comparison among seven countries.

Lu CY, Roughead E. Int J Clin Pract. 2011;65:733-740.

STUDY

Nursing home administrators' opinions of the resident safety culture in nursing homes.

Castle NG, Handler S, Engberg J, Sonon K. Health Care Manage Rev. 2007;32:66-76.

STUDY

Adverse drug events resulting from patient errors in older adults.

Field TS, Mazor KM, Briesacher B, Debellis KR, Gurwitz JH. J Am Geriatr Soc. 2007;55:271-276.

STUDY

Prescribing discrepancies likely to cause adverse drug events after patient transfer.

Boockvar KS, Liu S, Goldstein N, Nebeker J, Siu A, Fried T. Qual Saf Health Care. 2009;18:32-36.

STUDY

The safety of warfarin therapy in the nursing home setting.

Gurwitz JH, Field TS, Radford MJ, et al. Am J Med. 2007;120:539-544.

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