AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (41)

•Diagnostic Errors (24)

•Identification Errors (19)

•Discontinuities, Gaps, and Hand-Off Problems (52)

•Fatigue and Sleep Deprivation (8)

•Medication Safety (181)

•Medical Complications (63)

•Nonsurgical Procedural Complications (7)

•Surgical Complications (43)

•Transfusion Complications (4)

•Psychological and Social Complications (14)

Origin/Sponsor

•Asia (1)

•Europe (5)

•North America (477)

Resource Types
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Newspaper/Magazine Article

Error Types

•Epidemiology of Errors and Adverse Events (32)

•Active Errors (98)

•Latent Errors (48)

•Near Miss (6)

Approach to Improving Safety

•Quality Improvement Strategies (138)

•Legal and Policy Approaches (114)

•Error Reporting and Analysis (123)

•Communication Improvement (128)

•Human Factors Engineering (106)

•Teamwork (26)

•Specialization of Care (36)

•Logistical Approaches (41)

•Culture of Safety (63)

•Technologic Approaches (137)

•Education and Training (61)

Clinical Areas

•Allied Health Services (1)

•Medicine (299)

•Nursing (27)

•Pharmacy (95)

Target Audience

•Health Care Providers (233)

•Health Care Executives and Administrators (299)

•Non-Health Care Professionals (164)

•Patients (179)

Setting of Care

•Hospitals (407)

•Psychiatric Facilities (3)

•Residential Facilities (9)

•Ambulatory Care (32)

•Outpatient Surgery (8)

•Patient Transport (3)

1 - 20 of 485

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NEWSPAPER/MAGAZINE ARTICLE

"Plug and Play" hospitals: medical devices that exchange data could make hospitals safer.

Grifantini K. Technol Rev. July 9, 2008.

NEWSPAPER/MAGAZINE ARTICLE

Alarm fatigue hazards: the sirens are calling.

Welch J. Patient Saf Qual Healthc. May/June 2012;9:26-29,32-33.

NEWSPAPER/MAGAZINE ARTICLE

Medication errors occurring with the use of bar-code administration technology.

PA-PSRS Patient Saf Advis. December 2008;5:122-126.

NEWSPAPER/MAGAZINE ARTICLE

As industry automates, adverse events continue to haunt caregivers.

Wetzel TG. Health Data Manage. 2011 Feb;19:86, 88, 90 passim.

NEWSPAPER/MAGAZINE ARTICLE

Scanner beep only means the barcode has been scanned.

ISMP Medication Safety Alert! Acute Care Edition. June 30, 2011;16:1-2.

NEWSPAPER/MAGAZINE ARTICLE

Patient alarms often unheard, unheeded.

Kowalczyk L. Boston Globe. February 13–14, 2011.

NEWSPAPER/MAGAZINE ARTICLE

Shakespeare was on target—don't be a borrower or lender.

ISMP Medication Safety Alert! Acute Care Edition. November 19, 2009;14:1-3.

NEWSPAPER/MAGAZINE ARTICLE

Under-mined.

Greene J. Hosp Health Netw. December 2006.

NEWSPAPER/MAGAZINE ARTICLE

CPOE: it don't come easy.

Anderson HJ. Health Data Manag. January 1, 2009;17:18.

NEWSPAPER/MAGAZINE ARTICLE

Results of ISMP survey on high-alert medications: differences between nursing, pharmacy, and risk/quality/safety perspectives.

ISMP Medication Safety Alert! Acute Care Edition. February 9, 2012;17:1-4.

NEWSPAPER/MAGAZINE ARTICLE

Piecing together medication administration.

Anderson HJ. Health Data Manage. May 1, 2009;17:22.

NEWSPAPER/MAGAZINE ARTICLE

For all the right reasons.

Hagland M. Healthc Informatics. 2009;26:40-44.

NEWSPAPER/MAGAZINE ARTICLE

Effective use of medication-related decision support in CPOE.

Metzger JB, Welebob E, Turisco F, Classen DC. Patient Saf Qual Healthc. Sept/Oct 2008;5:16-24.

NEWSPAPER/MAGAZINE ARTICLE

Safety in numbers? Try connectivity.

Dyell D. Patient Saf Qual Healthc. January/February 2012;9:34-37.

NEWSPAPER/MAGAZINE ARTICLE

Daily check-in for safety: from best practice to common practice.

Stockmeier C, Clapper C. Patient Saf Qual Healthc. September/October 2011;8:30-31,34-36.

NEWSPAPER/MAGAZINE ARTICLE

Patients taking their own medications while in the hospital.

PA-PSRS Patient Saf Advis. June 2012;9:50-57.

NEWSPAPER/MAGAZINE ARTICLE

Smart pump custom concentrations without hard "low concentration" alerts.

ISMP Medication Safety Alert! Acute Care Edition. February 23, 2012;17:1,3-4.

NEWSPAPER/MAGAZINE ARTICLE

Oops, sorry, wrong patient! A patient verification process is needed everywhere, not just at the bedside.

ISMP Medication Safety Alert! Acute Care Edition. March 10, 2011;16:1-4.

NEWSPAPER/MAGAZINE ARTICLE

'Alarm fatigue’ a factor in 2nd death.

Kowalczyk L. Boston Globe. September 21, 2011.

NEWSPAPER/MAGAZINE ARTICLE

Follow ISMP guidelines to safeguard the design and use of automated dispensing cabinets (ADCs).

ISMP Medication Safety Alert! Acute Care Edition. February 12, 2009;14:1-4.

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