AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (5)

•Diagnostic Errors (11)

•Identification Errors (5)

•Discontinuities, Gaps, and Hand-Off Problems (21)

•Fatigue and Sleep Deprivation (5)

•Medication Safety (81)

•Medical Complications (12)

•Nonsurgical Procedural Complications (2)

•Surgical Complications (9)

•Psychological and Social Complications (9)

Origin/Sponsor

•Asia (3)

•Australia and New Zealand (13)

•Central and South America (1)

•Europe (47)

•North America (121)

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Review

Error Types

•Epidemiology of Errors and Adverse Events (66)

•Active Errors (25)

•Latent Errors (13)

•Near Miss (2)

Approach to Improving Safety

•Quality Improvement Strategies (37)

•Legal and Policy Approaches (10)

•Error Reporting and Analysis (46)

•Communication Improvement (37)

•Human Factors Engineering (18)

•Teamwork (12)

•Specialization of Care (11)

•Logistical Approaches (11)

•Culture of Safety (13)

•Technologic Approaches (73)

•Education and Training (29)

Clinical Areas

•Allied Health Services (1)

•Medicine (130)

•Nursing (7)

•Pharmacy (25)

Target Audience

•Health Care Providers (132)

•Health Care Executives and Administrators (157)

•Non-Health Care Professionals (98)

Setting of Care

•Hospitals (83)

•Psychiatric Facilities (1)

•Residential Facilities (4)

•Ambulatory Care (24)

•Outpatient Surgery (1)

•Patient Transport (2)

1 - 20 of 185

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REVIEW

Year in review: medication mishaps in the elderly.

Peron EP, Marcum ZA, Boyce R, Hanlon JT, Handler SM. Am J Geriatr Pharmacother. 2011;9:1-10.

REVIEW

What evidence supports the use of computerized alerts and prompts to improve clinicians' prescribing behavior?

Schedlbauer A, Prasad V, Mulvaney C, et al. J Am Med Inform Assoc. 2009;16:531-538.

REVIEW

The efficacy of computer-enabled discharge communication interventions: a systematic review.

Motamedi SM, Posadas-Calleja J, Straus S, et al. BMJ Qual Saf. 2011;20:403-415.

REVIEW

Effects of computerized physician order entry and clinical decision support systems on medication safety: a systematic review.

Kaushal R, Shojania KG, Bates DW. Arch Intern Med. 2003;163:1409-1416.

REVIEW

Effects of computerized clinical decision support systems on practitioner performance and patient outcomes: a systematic review.

Garg AX, Adhikari NK, McDonald H, et al. JAMA. 2005;293:1223-1238.

REVIEW

Systematic review of medication errors in pediatric patients.

Ghaleb MA, Barber N, Franklin BD, Yeung VW, Khaki ZF, Wong IC. Ann Pharmacother. 2006;40:1766-1776.

REVIEW

Computerized physician order entry in the critical care environment: a review of current literature.

Maslove DM, Rizk N, Lowe HJ. J Intensive Care Med. 2011;26:165-171.

REVIEW

Minimising medication errors in children.

Wong ICK, Wong LYL, Cranswick NE. Arch Dis Child. 2009;94:161-164.

REVIEW

Monitoring for medication errors in outpatient settings.

Balkrishnan R, Foss CE, Pawaskar M, Uhas AA, Feldman SR. J Dermatolog Treat. 2009;20:229-232.

REVIEW

Reduction in medication errors in hospitals due to adoption of computerized provider order entry systems.

Radley DC, Wasserman MR, Olsho LE, Shoemaker SJ, Spranca MD, Bradshaw B. J Am Med Inform Assoc. 2013;20:470-476.

REVIEW

The effect of electronic prescribing on medication errors and adverse drug events: a systematic review.

Ammenwerth E, Schnell-Inderst P, Machan C, Siebert U. J Am Med Inform Assoc. 2008;15:585-600.

REVIEW

National efforts to improve health information system safety in Canada, the United States of America and England.

Kushniruk AW, Bates DW, Bainbridge M, Househ MS, Borycki EM. Int J Med Inform. 2013;82:e149-e160.

REVIEW

Effect of point-of-care computer reminders on physician behaviour: a systematic review.

Shojania KG, Jennings A, Mayhew A, Ramsay C, Eccles M, Grimshaw J. CMAJ. 2010;182:E216-E25.

REVIEW

Evaluation and certification of computerized physician order entry systems.

Classen D, Avery AJ, Bates DW. J Am Med Inform Assoc. 2007;14:48-55.

REVIEW

The effect of computerized physician order entry with clinical decision support on the rates of adverse drug events: a systematic review.

Wolfstadt JI, Gurwitz JH, Field TS, et al. J Gen Intern Med. 2008;23:451-458.

REVIEW

Frequency, type and clinical importance of medication history errors at admission to hospital: a systematic review.

Tam VC, Knowles SR, Cornish PL, Fine N, Marchesano R, Etchells EE. CMAJ. 2005;173:510-515.

REVIEW

Prevalence of adverse drug events in ambulatory care: a systematic review.

Taché SV, Sönnichsen A, Ashcroft DM. Ann Pharmacother. 2011;45:977-989.

REVIEW

The impact of eHealth on the quality and safety of health care: a systematic overview.

Black AD, Car J, Pagliari C, et al. PLoS Med. 2011;8:e1000387.

REVIEW

Medication errors in mental healthcare: a systematic review.

Maidment ID, Lelliott P, Paton C. Qual Saf Health Care. 2006;15:409-413.

REVIEW

Positioning continuing education: boundaries and intersections between the domains continuing education, knowledge translation, patient safety and quality improvement.

Kitto S, Bell M, Peller J, et al. Adv Health Sci Educ Theory Pract. 2013;18:141-156.

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