AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (18)

•Diagnostic Errors (20)

•Identification Errors (16)

•Discontinuities, Gaps, and Hand-Off Problems (56)

•Fatigue and Sleep Deprivation (8)

•Medication Safety (149)

•Medical Complications (36)

•Nonsurgical Procedural Complications (15)

•Surgical Complications (75)

•Transfusion Complications (7)

•Psychological and Social Complications (24)

Origin/Sponsor
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United Kingdom

Resource Types

•Audiovisual (2)

•Book/Report (52)

•Clinical Guideline (1)

•Journal Article (450)

•Legislation/Regulation (5)

•Meeting/Conference (2)

•Newspaper/Magazine Article (22)

•Press Release/Announcement (1)

•Special or Theme Issue (14)

•Tools/Toolkit (5)

•Web Resource (13)

Error Types

•Epidemiology of Errors and Adverse Events (147)

•Active Errors (65)

•Latent Errors (28)

•Near Miss (9)

Approach to Improving Safety

•Quality Improvement Strategies (138)

•Legal and Policy Approaches (43)

•Error Reporting and Analysis (211)

•Communication Improvement (126)

•Human Factors Engineering (86)

•Teamwork (63)

•Specialization of Care (21)

•Logistical Approaches (18)

•Culture of Safety (93)

•Technologic Approaches (67)

•Education and Training (119)

Clinical Areas

•Allied Health Services (1)

•Complementary and Alternative Medicine (1)

Target Audience

•Health Care Providers (388)

•Health Care Executives and Administrators (473)

•Non-Health Care Professionals (245)

•Patients (31)

Setting of Care

•Hospitals (332)

•Psychiatric Facilities (6)

•Residential Facilities (5)

•Ambulatory Care (43)

•Outpatient Surgery (3)

•Patient Transport (7)

1 - 20 of 567

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STUDY

Pharmacists' interventions in prescribing errors at hospital discharge: an observational study in the context of an electronic prescribing system in a UK teaching hospital.

Abdel-Qader DH, Harper L, Cantrill JA, Tully MP. Drug Saf. 2010;33:1027-1044.

STUDY

Methodological variability in detecting prescribing errors and consequences for the evaluation of interventions.

Franklin BD, Birch S, Savage I, et al. Pharmacoepidemiol Drug Saf. 2009;18:992-999.

STUDY

Medication errors with electronic prescribing (eP): two views of the same picture.

Savage I, Cornford T, Klecun E, Barber N, Clifford S, Franklin BD. BMC Health Serv Res. 2010;10:135.

STUDY

Medicines reconciliation using a shared electronic health care record.

Moore P, Armitage G, Wright J, Dobrzanski S, Ansari N, Hammond I, Scally A. J Patient Saf. 2011;7:147-153.

STUDY

Paediatric dosing errors before and after electronic prescribing.

Jani YH, Barber N, Wong ICK. Qual Saf Health Care. 2010;19:337-340.

STUDY

The incidence and nature of prescribing and medication administration errors in paediatric inpatients.

Ghaleb MA, Barber N, Franklin BD, Wong ICK. Arch Dis Child. 2010;95:113-118.

NEWSPAPER/MAGAZINE ARTICLE

Wrist tag 'offers drug warning.'

BBC News. August 9, 2005.

STUDY

Can an electronic prescribing system detect doctors who are more likely to make a serious prescribing error?

Coleman JJ, Hemming K, Nightingale PG, et al. J R Soc Med. 2011;104:208-218.

STUDY

Does the implementation of an electronic prescribing system create unintended medication errors? A study of the sociotechnical context through the analysis of reported medication incidents.

Redwood S, Rajakumar A, Hodson J, Coleman JJ. BMC Med Inform Decis Mak. 2011;11:29.

REVIEW

Prescribing errors in hospital practice.

Tully MP. Br J Clin Pharmacol. 2012;74:668-675.

BOOK/REPORT

An In Depth Investigation into Causes of Prescribing Errors by Foundation Trainees in Relation to Their Medical Education—EQUIP Study.

Dornan T, Ashcroft D, Heathfield H, et al. London: General Medical Council; 2009.

ORGANIZATIONAL POLICY/GUIDELINES

Standardising wristbands improves patient safety.

Safe Practice Notice 24. London, England: National Patient Safety Agency; July 3, 2007.

STUDY

Thomas AN, Panchagnula U. Anaesthesia. 2008;63:726-733.

STUDY

Medication errors: a prospective cohort study of hand-written and computerised physician order entry in the intensive care unit.

Shulman R, Singer M, Goldstone J, Bellingan G. Crit Care. 2005;9:R516-R521.

STUDY

Formal medicine reconciliation within the emergency department reduces the medication error rates for emergency admissions.

Mills PR, McGuffie AC. Emerg Med J. 2010;27:911-915.

STUDY

A prevalence study of errors in opioid prescribing in a large teaching hospital.

Davies ED, Schneider F, Childs S, et al. Int J Clin Pract. 2011;65:923-929.

REVIEW

Double checking the administration of medicines: what is the evidence? A systematic review.

Alsulami Z, Conroy S, Choonara I. Arch Dis Child. 2012;97:833-837.

STUDY

Challenges and opportunities to prevent transfusion errors: a Qualitative Evaluation for Safer Transfusion (QUEST).

Heddle NM, Fung M, Hervig T, et al; BEST Collaborative. Transfusion. 2012;52:1687-1695.

STUDY

High risk prescribing in primary care patients particularly vulnerable to adverse drug events: cross sectional population database analysis in Scottish general practice.

Guthrie B, McCowan C, Davey P, Simpson CR, Dreischulte T, Barnett K. BMJ. 2011;342:d3514.

STUDY

An observational study of medication administration errors in old-age psychiatric inpatients.

Haw C, Stubbs J, Dickens G. Int J Qual Health Care. 2007;19:210-216.

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