AHRQ Patient Safety Network

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•Device-related Complications (4)

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Organizational Policy/Guidelines

Error Types

•Epidemiology of Errors and Adverse Events (2)

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•Latent Errors (2)

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•Quality Improvement Strategies (31)

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•Medicine (30)

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Target Audience

•Health Care Providers (42)

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Setting of Care

•Hospitals (25)

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1 - 20 of 43

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ORGANIZATIONAL POLICY/GUIDELINES

American Society of Clinical Oncology/Oncology Nursing Society chemotherapy administration safety standards.

Jacobson JO, Polovich M, McNiff KK, et al; American Society of Clinical Oncology; Oncology Nursing Society. Oncol Nurs Forum. 2009;36:651-658.

ORGANIZATIONAL POLICY/GUIDELINES

Tubing misconnections—a persistent and potentially deadly occurrence.

Sentinel Event Alert. April 3, 2006;(36):1-3.

ORGANIZATIONAL POLICY/GUIDELINES classic

Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery.

The Joint Commission.

ORGANIZATIONAL POLICY/GUIDELINES

2008 Recommendations for Pre-Anesthesia Checkout Procedures.

ASA Committee on Equipment and Facilities. Park Ridge, IL: American Society of Anesthesiologists; 2008.

ORGANIZATIONAL POLICY/GUIDELINES

Safe use of opioids in hospitals.

Sentinel Event Alert. August 8, 2012;(49):1-5.

ORGANIZATIONAL POLICY/GUIDELINES

ACOG Committee Opinion #327: "Do not use" abbreviations.

ACOG Committee on Quality Improvement and Patient Safety. Obstet Gynecol. 2006;107:213-214.

ORGANIZATIONAL POLICY/GUIDELINES

Optimal preoperative assessment of the geriatric surgical patient: a best practices guideline from the American College of Surgeons National Surgical Quality Improvement Program and the American Geriatrics Society.

Chow WB, Rosenthal RA, Merkow RP, Ko CY, Esnaola NF. J Am Coll Surg. 2012;215:453-466.

ORGANIZATIONAL POLICY/GUIDELINES

Vincristine (and other vinca alkaloids) should only be given intravenously via a minibag.

Information Exchange System Alert. Geneva, Switzerland: World Health Organization; July 18, 2007.

ORGANIZATIONAL POLICY/GUIDELINES

Statement on the prevention of retained foreign bodies after surgery.

Bulletin of the American College of Surgeons; October 2005.

ORGANIZATIONAL POLICY/GUIDELINES

Health care worker fatigue and patient safety.

Sentinel Event Alert. December 14, 2011;(48):1-4.

ORGANIZATIONAL POLICY/GUIDELINES

ASHP guidelines on remote medication order processing.

Thompson B, Conrad G, Gum MO, et al; ASHP Expert Panel on Remote Medication Order Processing. Am J Health Syst Pharm. 2010;67:672-677.

ORGANIZATIONAL POLICY/GUIDELINES

ACOG Committee Opinion #366: disruptive behavior.

ACOG Committee on Patient Safety and Quality Improvement of American College of Obstetricians and Gynecologists. Obstet Gynecol. 2007;109:1261-1262.

ORGANIZATIONAL POLICY/GUIDELINES

Preventing, and managing the impact of, anesthesia awareness.

The Joint Commission. Sentinel Event Alert. October 6, 2004;(32):1-3.

ORGANIZATIONAL POLICY/GUIDELINES

Safety considerations for IMRT.

Moran JM, Dempsey M, Eisbruch A, et al. Pract Radiat Oncol. 2011;1(suppl 1):1-33.

ORGANIZATIONAL POLICY/GUIDELINES

Error-avoidance recommendations for tubing misconnections when using luer-tip connectors: a statement by the USP Safe Medication Use Expert Committee.

Simmons D, Phillips MS, Grissinger M, Becker SC. Jt Comm J Qual Patient Saf. 2008;34:293-296.

ORGANIZATIONAL POLICY/GUIDELINES

ACR guidance document on MR safe practices: 2013.

Kanal E, Barkovich AJ, Bell C, et al; Expert Panel on MR Safety. J Magn Reson Imaging. 2013;37:501-530.

ORGANIZATIONAL POLICY/GUIDELINES

ACOG Committee Opinion #546: tracking and reminder systems.

ACOG Committee on Patient Safety and Quality Improvement. Obstet Gynecol. 2012;120:1535-1537.

ORGANIZATIONAL POLICY/GUIDELINES

AORN Guidance Statement: Safe Medication Practices in Perioperative Settings Across the Life Span.

AORN J. 2006;84:276-278, 280-283.

ORGANIZATIONAL POLICY/GUIDELINES

ACOG Committee Opinion #464: patient safety in the surgical environment.

ACOG Committee on Patient Safety and Quality Improvement. Obstet Gynecol. 2010;116:786-790.

ORGANIZATIONAL POLICY/GUIDELINES

Using medication reconciliation to prevent errors.

Sentinel Event Alert. January 25, 2006;(35):1-4.

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