U.S. Department of Health & Human Services
PATIENT SAFETY PRIMERS
Voluntary Patient Safety Event Reporting (Incident Reporting)
See Primer on
Read Full Glossary Entry
Device-related Complications (5)
Diagnostic Errors (6)
Identification Errors (3)
Discontinuities, Gaps, and Hand-Off Problems (6)
Fatigue and Sleep Deprivation (2)
Medication Safety (51)
Medical Complications (12)
Nonsurgical Procedural Complications (3)
Surgical Complications (5)
Transfusion Complications (2)
Psychological and Social Complications (8)
Australia and New Zealand (6)
North America (106)
Journal Article (131)
Newspaper/Magazine Article (14)
Special or Theme Issue (2)
Web Resource (1)
Epidemiology of Errors and Adverse Events (61)
Active Errors (24)
Latent Errors (9)
Near Miss (16)
Approach to Improving Safety
Allied Health Services (1)
Health Care Providers (85)
Health Care Executives and Administrators (142)
Non-Health Care Professionals (59)
Setting of Care
Psychiatric Facilities (1)
Residential Facilities (3)
Ambulatory Care (7)
Outpatient Surgery (1)
Patient Transport (2)
1 - 20
Don't Show Excerpt
Sort by relevance
Sort by significance
Sort by title
Sort by date
Sort by author
Medication-error reporting and pharmacy resident experience during implementation of computerized prescriber order entry.
Weant KA, Cook AM, Armitstead JA. Am J Health Syst Pharm. 2007;64:526-530.
Antiretroviral medication prescribing errors are common with hospitalization of HIV-infected patients.
Commers T, Swindells S, Sayles H, Gross AE, Devetten M, Sandkovsky U. J Antimicrob Chemother. 2014;69:262-267.
Adverse drug event detection in pediatric oncology and hematology patients: using medication triggers to identify patient harm in a specialized pediatric patient population.
Call RJ, Burlison JD, Robertson JJ, et al. J Pediatr. 2014 Apr 24; [Epub ahead of print].
Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retrospective patient case note review.
Sari AB, Sheldon TA, Cracknell A, Turnbull A. BMJ. 2007;334;79.
Identification errors involving clinical laboratories: a College of American Pathologists Q-Probes study of patient and specimen identification errors at 120 institutions.
Valenstein PN, Raab SS, Walsh MK. Arch Pathol Lab Med. 2006;130:1106-1113.
The incidence and cost of unexpected hospital use after scheduled outpatient endoscopy.
Leffler DA, Kheraj R, Garud S, et al. Arch Intern Med. 2010;170:1752-1757.
Learning from mistakes in New Zealand hospitals: what else do we need besides "no-fault"?
Soleimani F. N Z Med J. 2006;119:U2099.
Our long journey towards a safety-minded just culture. Part I: Where we've been.
ISMP Medication Safety Alert! Acute Care Edition. September 7, 2006;11:1-3.
Evaluation of an anonymous system to report medical errors in pediatric inpatients.
Taylor JA, Brownstein D, Klein EJ, Strandjord TP. J Hosp Med. 2007;2:226-33.
Physician perception of hospital safety and barriers to incident reporting.
Schectman JM, Plews-Ogan ML. Jt Comm J Qual Patient Saf. 2006;32:337-343.
Key Issues in Developing a Successful Hospital Safety Program
Whittington J. AHRQ WebM&M [serial online]. July 2006.
The need for organizational change in patient safety initiatives.
Anderson JG, Ramanujam R, Hensel D, Anderson MM, Sirio CA. Int J Med Inform. 2006;75:809-817.
Rates and types of events reported to established incident reporting systems in two US hospitals.
Nuckols TK, Bell DS, Liu H, Paddock SM, Hilborne LH. Qual Saf Health Care. 2007;16:164-168.
Lessons learned: use of event reporting by nurses to improve patient safety and quality.
Hession-Laband E, Mantell P. J Pediatr Nurs. 2011;26:149-155.
Getting doctors to report medical errors: project DISCLOSE.
King ES, Moyer DV, Couturie MJ, Gaughan JP, Shulkin DJ. Jt Comm J Qual Patient Saf. 2006;32:382-392.
Effective strategies to increase reporting of medication errors in hospitals.
Force MV, Deering L, Hubbe J, et al. J Nurs Adm. 2006;36:34-41.
Evaluation of the contributions of an electronic web-based reporting system: enabling action.
Levtzion-Korach O, Alcalai H, Orav EJ, et al. J Patient Saf. 2009;5:9-15.
Health care provider use of private sector internal error-reporting systems.
Roumm AR, Sciamanna CN, Nash DB. Am J Med Qual. 2005;20:304-312.
The interrelationship of isolation precautions and adverse events in an acute care facility.
Spence MR, McQuaid M. Am J Infect Control. 2011;39:154-155.
Retrospective analysis of medication incidents reported using an on-line reporting system.
Ashcroft DM, Cooke J. Pharm World Sci. 2006;28:359-65.
Terms & Conditions
Produced for the
Agency for Healthcare Research and Quality
team of editors
University of California, San Francisco
with guidance from a prominent
. The AHRQ PSNet site was designed and implemented by Silverchair.