U.S. Department of Health and Human Services
Agency for Healthcare Research and Quality: Advancing Excellence in Health Care
Sign up for a Free Account
Harrison MB, Keeping-Burke L, Godfrey CM, et al. Int J Evid Based Healthc. 2013;11:148-160.
Harrison MB ; Keeping-Burke L ; Godfrey CM; et al. Safety in home care: a mapping review of the international literature. Int J Evid Based Healthc. 2013; 11: 148-160
This review found that there is little descriptive research to determine the prevalence of adverse events in home care and limited interventional research to evaluate risk reduction strategies.
Vaccination errors in general practice: creation of a preventive checklist based on a multimodal analysis of declared errors.
Charles R, Vallée J, Tissot C, Lucht F, Botelho-Nevers E. Fam Pract. 2016;33:432-438.
Missed opportunities for diagnosis: lessons learned from diagnostic errors in primary care.
Goyder CR, Jones CHD, Heneghan CJ, Thompson MJ. Br J Gen Pract. 2015;65:e838-e844.
Developing a primary care patient measure of safety (PC PMOS): a modified Delphi process and face validity testing.
Hernan AL, Giles SJ, O'Hara JK, Fuller J, Johnson JK, Dunbar JA. BMJ Qual Saf. 2016:25:273-280.
Measuring experiences and outcomes of patient safety in primary care: a systematic review of available instruments.
Ricci-Cabello I, Gonçalves DC, Rojas-García A, Valderas JM. Fam Pract. 2015;32:106-119.
Information technology interventions to improve medication safety in primary care: a systematic review.
Lainer M, Mann E, Sönnichsen A. Int J Qual Health Care. 2013;25:590-598.
Network of Patient Safety Databases.
Agency for Healthcare Research and Quality.
The Financial and Human Cost of Medical Error... and How Massachusetts Can Lead the Way on Patient Safety.
Boston, MA: Betsy Lehman Center for Patient Safety; June 2019.
Healthcare Safety Investigation Branch.
Farnborough, Hampshire, UK.
ISMP Survey on the Implementation 2018-2019 Targeted Medication Safety Best Practices for Hospitals.
Institute for Safe Medication Practices.
A decade of preventing harm.
Woeltje KF, Olenski LK, Donatelli M, et al. Jt Comm J Qual Patient Saf. 2019;45:480-486.
Lives Lost, Lives Saved: An Updated Comparative Analysis of Avoidable Deaths at Hospitals Graded by The Leapfrog Group.
Austin M, Derk J. Baltimore, MD: Armstrong Institute for Patient Safety and Quality, and Johns Hopkins Medicine; May 2019.
Responding to health information technology reported safety events: insights from patient safety event reports.
Adams KT, Kim TC, Fong A, Howe JL, Kellogg KM, Ratwani RM. J Patient Saf Risk Manag. 2019;24:118–124.
Vital signs: pregnancy-related deaths, United States, 2011–2015, and strategies for prevention, 13 states, 2013–2017.
Petersen EE, Davis NL, Goodman D, et al. MMWR Morb Mortal Wkly Rep. 2019;68:423-429.
The impacts of medication shortages on patient outcomes: a scoping review.
Phuong JM, Penm J, Chaar B, Oldfield LD, Moles R. PLoS One. 2019;14:e0215837.
Nebraska Coalition for Patient Safety 2018 Annual Report.
Omaha, NE: Nebraska Coalition for Patient Safety; 2019.
CHPSO 2018 Annual Report.
CHPSO: Sacramento, CA; 2019.
Exploring vulnerability to patient safety events along the age continuum.
Field C, Finley E, Deutsch ES. PA-PSRS Pa Patient Saf Advis. 2019;16(1).
Ranking hospitals based on preventable hospital death rates: a systematic review with implications for both direct measurement and indirect measurement through standardized mortality rates.
Manaseki-Holland S, Lilford RJ, Te AP, et al. Milbank Q. 2019;97:228-284.
Medication safety in emergency medical services: approaching an evidence-based method of verification to reduce errors.
Misasi P, Keebler JR. Ther Adv Drug Saf. 2019;10:1–14.
Adverse Events, Near Misses, and Errors
Measurement of Patient Safety
Developing a reporting culture: learning from close calls and hazardous conditions.
Sentinel Event Alert. December 10, 2018;(60):1-8.
Diagnostic decision-making in the emergency department.
Medford-Davis LN, Singh H, Mahajan P. Pediatr Clin North Am. 2018;65:1097-1105.
Does Nursing Home Compare reflect patient safety in nursing homes?
Brauner D, Werner RM, Shippee TP, Cursio J, Sharma H, Konetzka RT. Health Aff (Millwood). 2018;37:1770-1778.
Toward safer health care: a review strategy of FDA medical device adverse event database to identify and categorize health information technology related events.
Kang H, Wang J, Yao B, Zhou S, Gong Y. JAMIA Open. 2019;2:179–186.
PSNET: Patient Safety Network
PSNet is produced for the Agency for Healthcare Research and Quality by a team of editors at the University of California, San Francisco with guidance from a prominent Technical Expert/Advisory Panel. The AHRQ PSNet site was designed and implemented by Silverchair.
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
Telephone: (301) 427-1364