AHRQ Patient Safety Network

The Collection > United States of America

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Safety Target

•Device-related Complications (77)

•Diagnostic Errors (109)

•Identification Errors (52)

•Discontinuities, Gaps, and Hand-Off Problems (205)

•Fatigue and Sleep Deprivation (34)

•Medication Safety (922)

•Medical Complications (209)

•Nonsurgical Procedural Complications (21)

•Surgical Complications (190)

•Transfusion Complications (12)

•Psychological and Social Complications (45)

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United States of America

•United States Federal Government (56)

•State Governments and Agencies (11)

Resource Types

•Audiovisual (19)

•Award (4)

•Book/Report (61)

•Clinical Guideline (4)

•Journal Article (1425)

•Legislation/Regulation (15)

•Meeting/Conference (5)

•Newsletter/Journal (2)

•Newspaper/Magazine Article (186)

•Press Release/Announcement (6)

•Special or Theme Issue (12)

•Tools/Toolkit (22)

•Web Resource (19)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (1014)

•Active Errors (287)

•Latent Errors (88)

•Near Miss (44)

Approach to Improving Safety

•Quality Improvement Strategies (367)

•Legal and Policy Approaches (125)

•Error Reporting and Analysis (792)

•Communication Improvement (348)

•Human Factors Engineering (195)

•Teamwork (58)

•Specialization of Care (119)

•Logistical Approaches (132)

•Culture of Safety (146)

•Technologic Approaches (380)

•Education and Training (232)

Clinical Areas

•Allied Health Services (5)

Target Audience

•Health Care Providers (1249)

•Health Care Executives and Administrators (1274)

•Non-Health Care Professionals (530)

•Patients (128)

Setting of Care

•Hospitals (1097)

•Psychiatric Facilities (10)

•Residential Facilities (99)

•Ambulatory Care (252)

•Outpatient Surgery (24)

•Patient Transport (15)

1 - 20 of 1781

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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

Medication errors during patient transitions into nursing homes: characteristics and association with patient harm.

Desai R, Williams CE, Greene SB, Pierson S, Hansen RA. Am J Geriatr Pharmacother. 2011;9:413-422.

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

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

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

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

How useful are voluntary medication error reports? The case of warfarin-related medication errors.

Zhan C, Smith SR, Keyes MA, Hicks RW, Cousins DD, Clancy CM. Jt Comm J Qual Patient Saf. 2008;34:36-45.

STUDY

Types, prevalence, and potential clinical significance of medication administration errors in assisted living.

Young HM, Gray SL, McCormick WC, et al. J Am Geriatr Soc. 2008 56:1199-1205.

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

Predictors of medication errors among elderly hospital patients.

Picone DM, Titler MG, Dochterman J, et al. Am J Med Qual. 2008;23:115-127.

STUDY

Use of HIT for adverse event reporting in nursing homes: barriers and facilitators.

Wagner LM, Castle NG, Handler SM. Geriatr Nurs. 2013;34:112-115.

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

Randomized trial of a warfarin communication protocol for nursing homes: an SBAR-based approach.

Field TS, Tjia J, Mazor KM, et al. Am J Med. 2011;124:179.e1-179.e7.

STUDY

Preventing medication errors in long-term care: results and evaluation of a large scale web-based error reporting system.

Pierson S, Hansen R, Greene S, Williams C, Akers R, Jonsson M, Carey T. Qual Saf Health Care. 2007;16:297-302.

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.

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

Provider and pharmacist responses to warfarin drug–drug interaction alerts: a study of healthcare downstream of CPOE alerts.

Miller AM, Boro MS, Korman NE, Davoren JB. J Am Med Inform Assoc. 2011;18(suppl 1):i45-i50.

STUDY

An exploration of safety climate in nursing homes.

Singer S, Kitch BT, Rao SR, et al. J Patient Saf. 2012;8:104-124.

STUDY

Patient risk factors for medical injury: a case–control study.

Marbella AM, Laud PW, Brasel KJ, Layde PM. BMJ Qual Saf. 2011;20:187-193.

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