Environmental Scan of Patient Safety Education and Training Programs

Appendix E. Frequency Analyses for Content Area and Clinical Area

Content Area

Taxonomy IDContent AreaFrequency
403Device-related Complications6
404 -- Indwelling Tubes and Catheters0
405 -- Infusion Pumps1
406 -- Prostheses and Implants0
451 -- Restraints6
407Diagnostic Errors18
408 -- Clinical Misdiagnosis0
410 -- Diagnostic Test Interpretation Error2
409 -- Radiograph Interpretation Error1
412Discontinuities, Gaps, and Hand-Off Problems4
452 -- Missed or Critical Lab Results0
413Fatigue and Sleep Deprivation13
411Identification Errors18
443 -- Wrong Patient7
444 -- Wrong-Site Surgery12
426Medical Complications26
429 -- Delirium2
427 -- Nosocomial Infections3
450 -- Patient Falls11
428 -- Pressure Ulcers5
430 -- Venous Thrombosis and Thromboembolism0
414Medication Safety126
416 -- Medication Errors/Preventable Adverse Drug Events96
420 ---- Administration Errors14
419 ---- Dispensing Errors11
448 ---- Monitoring Errors and Failures23
417 ---- Ordering/Prescribing Errors6
418 ---- Transcription Errors5
415 -- Side Effects/Adverse Drug Reactions17
421 -- Specific to High-Risk Drugs18
422 ---- Anticoagulants3
424 ---- Chemotherapeutic Agents0
423 ---- Insulin0
425 ---- Look-Alike, Sound-Alike Drugs9
449 ---- Opiates/Narcotics0
431Nonsurgical Procedural Complications15
432 -- Bedside Procedures1
433 -- Cardiology2
434 -- Gastroenterology0
435 -- Interventional Radiology0
436 -- Pulmonary Complications0
445Psychological and Social Complications21
446 -- Privacy Violations2
437Surgical Complications25
439 -- Intraoperative Complications12
440 ---- Retained Surgical Instruments and Sponges0
447 ---- Wrong-Site Surgery12
441 -- Postoperative Surgical Complications9
453 ---- Surgical Site Infections9
438 -- Preoperative Complications0
442Transfusion Complications4
630Communication Improvement179
631 -- Communication between Providers30
632 ---- Read Back Protocols3
633 ---- Structured Hand-offs10
680 ---- SBAR7
681 ---- Medication Reconciliation2
634 -- Provider-Patient Communication57
636 ---- Health Literacy Improvement31
635 ---- Informed Consent11
656Culture of Safety151
657 -- Learning Organization36
682 -- Red Rules1
686 -- Institutional Patient Safety Plan53
689 -- Just Culture18
668Education and Training0
671 -- Continuing Education0
672 ---- Conferences and Workshops0
673 ---- Educational Outreach/Academic Detailing0
674 -- Online Education0
677 -- Patient Education0
670 -- Residents and Fellows0
675 -- Simulators0
669 -- Students0
676 -- Teamwork Training0
619Error Reporting and Analysis206
625 -- Error Analysis185
627 ---- Failure Mode Effects Analysis34
628 ---- Morbidity and Mortality Conferences0
629 ---- Narrative/Storytelling27
626 ---- Root Cause Analysis73
688 ---- Patient Safety Indicators3
620 -- Error Reporting91
621 ---- Governmental Reporting1
622 ---- Institutional Reporting2
690 ---- Never Events12
623 ---- Nongovernmental Reporting0
685 ---- Patient Complaints2
624 ---- Patient Disclosure3
637Human Factors Engineering109
641 -- Checklists22
638 -- Forcing Functions0
640 -- Medical Alarm Design0
639 -- Medical Device Design0
611Legal and Policy Approaches57
612 -- Credentialing, Licensure, and Discipline5
613 -- Incentives11
614 ---- Financial3
615 ---- Public Reporting8
617 -- Malpractice Litigation3
616 -- Regulation33
618 -- Role of the Media3
651Logistical Approaches56
655 -- Duty Hour Limitation4
652 -- Laboratory Result Tracking Improvement2
653 -- Nurse Staffing Ratios0
654 -- Scheduling Changes3
603Quality Improvement Strategies186
604 -- Audit and Feedback1
605 -- Benchmarking12
606 -- Continuous Quality Improvement87
607 -- Critical Pathways5
610 -- Patient Self-Management3
608 -- Practice Guidelines14
609 -- Reminders0
683 -- Six Sigma12
645Specialization of Care10
650 -- Clinical Pharmacist Involvement3
648 -- Hospitalists0
647 -- Intensivists and Other ICU Strategies1
646 -- Specialized Teams2
684 ---- Unit-Based Safety Team0
687 ---- Rapid-Response Teams2
649 -- Volume-Based Referral0
643Teamwork112
644 -- Teamwork Training71
658Technologic Approaches73
659 -- Automatic drug dispensers4
660 -- Bar Coding and Radiofrequency ID Tagging8
678 -- Clinical Information Systems25
663 ---- Computerized Decision Support2
662 ---- Computerized Provider Order Entry (CPOE)3
679 ---- Electronic Health Records13
664 -- Computer-Assisted Therapy2
666 ---- Computer- or Robotic-Assisted Surgery0
665 ---- Computer-Assisted Radiotherapy0
661 -- Computerized Adverse Event Detection6
667 -- Telemedicine0
691Driving Change56
692Risk Analysis114
693Triage Questions2
694Specific Patient Care Issues52
 

Clinical Area

Taxonomy IDClinical AreaFrequency
303Allied Health Services8
304 -- Nutrition/Dietetics0
305 -- Physical and Occupational Therapy0
306Complementary and Alternative Medicine0
307Dentistry1
308Medicine323
309 -- Anesthesiology0
310 -- Critical Care3
311 -- Dermatology0
312 -- Emergency Medicine16
313 -- Family Medicine5
314 -- Gynecology0
315 -- Hospital Medicine31
316 -- Internal Medicine24
317 ---- Allergy & Immunology1
318 ---- Cardiology2
319 ---- Emergency Medicine16
320 ---- Endocrinology0
321 ---- Gastroenterology0
322 ---- General Internal Medicine0
323 ---- Geriatrics0
324 ---- Hematology2
372 ---- Infectious Diseases3
325 ---- Medical Oncology0
326 ---- Nephrology0
327 ---- Pulmonology0
328 ---- Rheumatology0
330 -- Mental Health Care (Psychiatry & Clinical Psychology)3
331 -- Neurology1
332 -- Obstetrics0
333 -- Ophthalmology0
334 -- Pathology & Laboratory Medicine1
335 -- Pediatrics22
341 ---- General Pediatrics8
344 ---- Neonatology and Intensive Care0
336 ---- Pediatric Allergy & Immunology1
337 ---- Pediatric Cardiology0
338 ---- Pediatric Emergency Medicine2
339 ---- Pediatric Endocrinology0
340 ---- Pediatric Gastroenterology0
342 ---- Pediatric Hematology2
343 ---- Pediatric Medical Oncology0
345 ---- Pediatric Nephrology0
346 ---- Pediatric Pulmonology0
347 ---- Pediatric Rheumatology0
348 -- Physical Medicine and Rehabilitation0
314 -- Primary Care13
349 -- Public Health28
350 -- Radiology3
351 -- Surgery37
352 ---- Cardiothoracic Surgery0
353 ---- General Surgery1
354 ---- Neurosurgery0
356 ---- Orthopedic Surgery1
355 ---- Otolaryngology0
357 ---- Pediatric Surgery1
358 ---- Plastic Surgery0
359 ---- Surgical Oncology0
360 ---- Urology0
371 ---- Vascular Surgery0
361Nursing45
364 -- Anesthesia Nursing2
363 -- Critical Care Nursing2
366 -- Emergency Nursing2
367 -- Home Nursing1
362 -- Medical/Surgical/Psychiatric Nursing0
365 -- Obstetrical Nursing0
368Pharmacy34
370 -- Community Pharmacy0
369 -- Hospital Pharmacy1

Return to Contents

Page last reviewed June 2013
Internet Citation: Environmental Scan of Patient Safety Education and Training Programs: Appendix E. Frequency Analyses for Content Area and Clinical Area. June 2013. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program-ape.html