AHRQ Patient Safety Network

The Collection > United States of America

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Safety Target

•Device-related Complications (99)

•Diagnostic Errors (108)

•Identification Errors (50)

•Discontinuities, Gaps, and Hand-Off Problems (208)

•Fatigue and Sleep Deprivation (40)

•Medication Safety (905)

•Medical Complications (273)

•Nonsurgical Procedural Complications (24)

•Surgical Complications (191)

•Transfusion Complications (11)

•Psychological and Social Complications (42)

Origin/Sponsor
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United States of America

•United States Federal Government (64)

•State Governments and Agencies (11)

Resource Types

•Audiovisual (21)

•Award (5)

•Book/Report (58)

•Clinical Guideline (4)

•Journal Article (1532)

•Legislation/Regulation (12)

•Meeting/Conference (2)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (191)

•Press Release/Announcement (9)

•Special or Theme Issue (10)

•Tools/Toolkit (20)

•Web Resource (16)

Error Types

•Epidemiology of Errors and Adverse Events (1000)

•Active Errors (284)

•Latent Errors (82)

•Near Miss (43)

Approach to Improving Safety

•Quality Improvement Strategies (391)

•Legal and Policy Approaches (122)

•Error Reporting and Analysis (789)

•Communication Improvement (355)

•Human Factors Engineering (227)

•Teamwork (90)

•Specialization of Care (183)

•Logistical Approaches (145)

•Culture of Safety (167)

•Technologic Approaches (391)

•Education and Training (250)

Clinical Areas

•Allied Health Services (5)

Target Audience

•Health Care Providers (1320)

•Health Care Executives and Administrators (1359)

•Non-Health Care Professionals (556)

•Patients (133)

Setting of Care

•Hospitals (1251)

•Psychiatric Facilities (4)

•Residential Facilities (43)

•Ambulatory Care (217)

•Outpatient Surgery (18)

•Patient Transport (14)

1 - 20 of 1883

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STUDY

Adverse drug event reporting in intensive care units: a survey of current practices.

Kane-Gill SL, Devlin JW. Ann Pharmacother. 2006;40:1267-73.

STUDY

Cost implications of actual and potential adverse events prevented by interventions of a critical care pharmacist.

Kopp BJ, Mrsan M, Erstad BL, Duby JJ. Am J Health Syst Pharm. 2007;64:2483-2487.

STUDY

Analysis of risk factors for adverse drug events in critically ill patients.

Kane-Gill SL, Kirisci L, Verrico MM, Rothschild JM. Crit Care Med. 2012;40:823-828.

STUDY

Pediatric safety incidents from an intensive care reporting system.

Skapik JL, Pronovost PJ, Miller MR, Thompson DA, Wu AW. J Patient Saf. 2009;5:95-101.

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

Patient safety event reporting in critical care: a study of three intensive care units.

Harris CB, Krauss MJ, Coopersmith CM, et al. Crit Care Med. 2007;35:1068-1076.

STUDY

Direct observation approach for detecting medication errors and adverse drug events in a pediatric intensive care unit.

Buckley MS, Erstad BL, Kopp BJ, Theodorou AA, Priestley G. Pediatr Crit Care Med. 2007;8:145-152.

STUDY

Perceptions of risk to patient safety in the pediatric ICU, a study of American pediatric intensivists.

Bauer P, Hoffmann RG, Bragg D, Scanlon MC. Safety Sci. 2013;53:160-167.

STUDY

Association of ICU or hospital admission with unintentional discontinuation of medications for chronic diseases.

Bell CM, Brener SS, Gunraj N, et al. JAMA. 2011;306:840-847.

STUDY

Toward learning from patient safety reporting systems.

Pronovost PJ, Thompson DA, Holzmueller CG, et al. J Crit Care. 2006;21:305-315.

STUDY

Risk of adverse drug events in neonates treated with opioids and the effect of a bar-code–assisted medication administration system.

Morriss FH, Jr, Abramowitz PW, Nelson SP, Milavetz G, Michael SL, Gordon SN. Am J Health Syst Pharm. 2011;68:57-62.

REVIEW

Medical errors affecting the pediatric intensive care patient: incidence, identification, and practical solutions.

Nichter MA. Pediatr Clin North Am. 2008;55:757-777.

STUDY

Prevalence of adverse events in pediatric intensive care units in the United States.

Agarwal S, Classen D, Larsen G, et al. Pediatr Crit Care Med. 2010;11:568-578.

STUDY

Effectiveness of a barcode medication administration system in reducing preventable adverse drug events in a neonatal intensive care unit: a prospective cohort study.

Morriss FH Jr, Abramowitz PW, Nelson SP, et al. J Pediatr. 2009;197:678-685.

STUDY

Medication errors associated with code situations in U.S. hospitals: direct and collateral damage.

Lipshutz AKM, Morlock LL, Shore AD, et al. Jt Comm J Qual Patient Saf. 2008;34:46-56.

STUDY

Costs of adverse events in intensive care units.

Kaushal R, Bates DW, Franz C, Soukup JR, Rothschild JM. Crit Care Med. 2007;35:2479-2483.

STUDY

A comparison of voluntarily reported medication errors in intensive care and general care units.

Kane-Gill SL, Kowiatek JG, Weber RJ. Qual Saf Health Care. 2010;19:55-59.

COMMENTARY

Unreported errors in the intensive care unit: a case study of the way we work.

Henneman EA. Crit Care Nurse. 2007;27:27-34.

STUDY

Evaluation of the role of the critical care pharmacist in identifying and avoiding or minimizing significant drug–drug interactions in medical intensive care patients.

Rivkin A, Yin H. J Crit Care. 2011;26:104.e1-104.e6.

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.

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