AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (44)

•Diagnostic Errors (48)

•Identification Errors (23)

•Discontinuities, Gaps, and Hand-Off Problems (124)

•Fatigue and Sleep Deprivation (32)

•Medication Safety (282)

•Medical Complications (78)

•Nonsurgical Procedural Complications (18)

•Surgical Complications (77)

•Transfusion Complications (5)

•Psychological and Social Complications (38)

Origin/Sponsor

•Asia (1)

•Australia and New Zealand (14)

•Central and South America (1)

•Europe (38)

•North America (903)

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Commentary

Error Types

•Epidemiology of Errors and Adverse Events (47)

•Active Errors (176)

•Latent Errors (99)

•Near Miss (17)

Approach to Improving Safety

•Quality Improvement Strategies (275)

•Legal and Policy Approaches (161)

•Error Reporting and Analysis (255)

•Communication Improvement (254)

•Human Factors Engineering (147)

•Teamwork (92)

•Specialization of Care (75)

•Logistical Approaches (83)

•Culture of Safety (188)

•Technologic Approaches (224)

•Education and Training (229)

Clinical Areas

•Allied Health Services (5)

Target Audience

•Health Care Providers (791)

•Health Care Executives and Administrators (841)

•Non-Health Care Professionals (410)

•Patients (28)

Setting of Care

•Hospitals (611)

•Psychiatric Facilities (1)

•Residential Facilities (10)

•Ambulatory Care (66)

•Outpatient Surgery (5)

1 - 20 of 1056

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COMMENTARY

Preventing medication errors in hospitals through a systems approach and technological innovation: a prescription for 2010.

Crane J, Crane FG. Hosp Top. Fall 2006;84:3-8.

COMMENTARY

Best-practice protocols: Preventing adverse drug events.

Weir VL. Nurs Manage. 2005;36:24-30.

COMMENTARY

Improving heparin safety: a multidisciplinary invited conference.

Peterson C, Ham CW, Vanderveen T. Hosp Pharm. 2008;43:491-497.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2007;42:675-679.

COMMENTARY

A nurse-driven system for improving patient quality outcomes.

Johnson K, Hallsey D, Meredith RL, Warden E. J Nurs Care Qual. 2006;21:168-175.

COMMENTARY

Medication reconciliation physician order form.

Lacy JL, Wilkinson ST. Hosp Pharm. 2006;41:1117-1120.

COMMENTARY

Increasing the use of 'smart' pump drug libraries by nurses: a continuous quality improvement project.

Harding AD. Am J Nurs. 2012;112:26-35.

COMMENTARY

In Conversation with…Eric G. Poon, MD, MPH

AHRQ WebM&M [serial online]. September 2008.

COMMENTARY

Nursing student medication errors: a case study using root cause analysis.

Dolansky MA, Druschel K, Helba M, Courtney K. J Prof Nurs. 2013;29:102-108.

COMMENTARY

Improving the safety of medication administration using an interactive CD-ROM program.

Schneider PJ, Pedersen CA, Montanya KR, et al. Am J Health Syst Pharm. 2006;63:59-64.

COMMENTARY

Citrate Mix-Up

Weber RJ. AHRQ WebM&M [serial online]. May 2006.

COMMENTARY

Development of the Leapfrog methodology for evaluating hospital implemented inpatient computerized physician order entry systems.

Kilbridge PM, Welebob EM, Classen DC. Qual Saf Health Care. 2006;15:81-84.

COMMENTARY

CPOE: strategies for success.

Manor PJ. Nurs Manage. 2010;41:18-20.

COMMENTARY

Prescribing errors resulting in adverse drug events: how can they be prevented?

Thurmann PA. Expert Opin Drug Saf. 2006;5:489-493.

COMMENTARY

The Role of Bar Coding and Smart Pumps in Safety

Jeffrey M. Rothschild, MD, MPH; Carol Keohane, RN, BSN AHRQ WebM&M [serial online]. September 2008.

COMMENTARY

A medication safety education program to reduce the risk of harm caused by medication errors.

Dennison RD. J Contin Educ Nurs. 2007;38:176-184.

COMMENTARY

Preventing vincristine administration errors: does evidence support minibag infusions?

Schulmeister L. Clin J Oncol Nurs. 2006;10:271-273.

COMMENTARY

Improving safety throughout the medication use process in a neonatal intensive care unit.

Asdigha MN. Hosp Pharm. 2006;41:1067-1075.

COMMENTARY

Implementing a safe and reliable process for medication administration.

Richardson B, Bromirski B, Hayden A. Clin Nurse Spec. 2012;26:169-176.

COMMENTARY

IV medication safety software implementation in a multihospital health system.

Cassano AT. Hosp Pharm. 2006;41:151-156.

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