AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (44)

•Diagnostic Errors (19)

•Identification Errors (30)

•Discontinuities, Gaps, and Hand-Off Problems (42)

•Fatigue and Sleep Deprivation (5)

•Medication Safety (235)

•Medical Complications (44)

•Nonsurgical Procedural Complications (11)

•Surgical Complications (73)

•Transfusion Complications (2)

•Psychological and Social Complications (15)

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•Europe (10)

•North America (463)

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Newspaper/Magazine Article

Error Types

•Epidemiology of Errors and Adverse Events (27)

•Active Errors (162)

•Latent Errors (50)

•Near Miss (9)

Approach to Improving Safety

•Quality Improvement Strategies (135)

•Legal and Policy Approaches (84)

•Error Reporting and Analysis (115)

•Communication Improvement (165)

•Human Factors Engineering (129)

•Teamwork (37)

•Specialization of Care (34)

•Logistical Approaches (45)

•Culture of Safety (84)

•Technologic Approaches (112)

•Education and Training (90)

Clinical Areas

•Allied Health Services (2)

•Medicine (278)

•Nursing (35)

•Pharmacy (142)

Target Audience

•Health Care Providers (278)

•Health Care Executives and Administrators (281)

•Non-Health Care Professionals (125)

•Patients (161)

Setting of Care

•Hospitals (306)

•Psychiatric Facilities (1)

•Residential Facilities (1)

•Ambulatory Care (32)

•Outpatient Surgery (7)

•Patient Transport (5)

1 - 20 of 475

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NEWSPAPER/MAGAZINE ARTICLE

Medication errors: a year in review.

Institute for Safe Medication Practices. Pharmacy Practice News. October 2011:7-14.

NEWSPAPER/MAGAZINE ARTICLE

Baby's death spotlights safety risks linked to computerized systems.

Graham J, Dizikes C. Chicago Tribune. June 27, 2011.

NEWSPAPER/MAGAZINE ARTICLE

Another tragic parenteral nutrition compounding error.

ISMP Medication Safety Alert! Acute Care Edition. April 21, 2011;16:1-3.

NEWSPAPER/MAGAZINE ARTICLE

Dose of technology helps Shands at UF avoid drug errors.

Chun D. Gainsville Sun. August 21, 2006.

NEWSPAPER/MAGAZINE ARTICLE

Guidelines for timely medication administration: response to the CMS "30-minute rule."

ISMP Medication Safety Alert! Acute Care Edition. January 13, 2011;16:1-4.

NEWSPAPER/MAGAZINE ARTICLE

Fatal 1,000-fold overdoses can occur, particularly in neonates, by transposing mcg and mg.

ISMP Medication Safety Alert! Acute Care Edition. September 6, 2007;12:1-4.

NEWSPAPER/MAGAZINE ARTICLE

Failed check system for chemotherapy leads to pharmacist's "no contest" plea for involuntary manslaughter.

ISMP Medication Safety Alert! Acute Care Edition. April 23, 2009;14:1-2.

NEWSPAPER/MAGAZINE ARTICLE

Potassium may no longer be stocked on patient care units, but serious threats still exist!

ISMP Medication Safety Alert! Acute Care Edition. October 4, 2007;12:1-2.

NEWSPAPER/MAGAZINE ARTICLE

Action needed to prevent dangerous heparin-insulin confusion.

ISMP Medication Safety Alert! Acute Care Edition. May 3, 2007;12:1-2.

NEWSPAPER/MAGAZINE ARTICLE

Misprogramming PCA concentration leads to dosing errors.

ISMP Medication Safety Alert! Acute Care Edition. August 28, 2008;13:1-3.

NEWSPAPER/MAGAZINE ARTICLE

Collaboration focused on priority issues promotes safety.

ISMP Medication Safety Alert! Acute Care Edition. October 10, 2008;13:1-3.

NEWSPAPER/MAGAZINE ARTICLE

ISMP updates its list of drug name pairs with Tall man letters.

ISMP Medication Safety Alert! Acute Care Edition. November 18, 2010;15:1-3.

NEWSPAPER/MAGAZINE ARTICLE

Durasal–Durezol mix-up illustrates how dangerous product problems persist long after recognition.

ISMP Medication Safety Alert! Acute Care Edition. September 22, 2011;16:1-3.

NEWSPAPER/MAGAZINE ARTICLE

An extra dose of safety.

Health Manage Techol. April 2007;28:30-32, 34.

NEWSPAPER/MAGAZINE ARTICLE

Former pharmacist indicted for manslaughter after med error.

Paul R. Drug Topics. September 17, 2007;151:10.

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

How hospital design saves lives.

Blum A. Business Week. August 15, 2006.

NEWSPAPER/MAGAZINE ARTICLE

Anticoagulant safety practices call for pharmacist supervision.

Scott A. Drug Topics (Health-System Edition). November 10, 2008.

NEWSPAPER/MAGAZINE ARTICLE

Proper positioning of pharmacy label on Hospira PCA vials will avoid interference with scanning.

ISMP Medication Safety Alert! Acute Care Edition. August 14, 2008;13:1-3.

NEWSPAPER/MAGAZINE ARTICLE

Parents sue over babies' heparin overdoses: infants were given too much heparin at Methodist Hospital.

Higgins W. Indianapolis Star. September 13, 2008;News section:A1

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