AHRQ Patient Safety Network

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The Collection

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Safety Target

•Device-related Complications (68)

•Diagnostic Errors (106)

•Identification Errors (50)

•Discontinuities, Gaps, and Hand-Off Problems (226)

•Fatigue and Sleep Deprivation (24)

•Medication Safety (769)

•Medical Complications (204)

•Nonsurgical Procedural Complications (36)

•Surgical Complications (245)

•Transfusion Complications (10)

•Psychological and Social Complications (52)

Origin/Sponsor

•Africa (4)

•Asia (55)

•Australia and New Zealand (89)

•Central and South America (6)

•Europe (389)

•North America (1295)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (1060)

•Active Errors (365)

•Latent Errors (76)

•Near Miss (53)

Approach to Improving Safety

•Quality Improvement Strategies (379)

•Legal and Policy Approaches (56)

•Error Reporting and Analysis (599)

•Communication Improvement (385)

•Human Factors Engineering (200)

•Teamwork (118)

•Specialization of Care (126)

•Logistical Approaches (118)

•Culture of Safety (144)

•Technologic Approaches (478)

•Education and Training (269)

Clinical Areas

•Allied Health Services (6)

•Complementary and Alternative Medicine (1)

Target Audience

•Health Care Providers (1419)

•Health Care Executives and Administrators (1596)

•Non-Health Care Professionals (695)

•Patients (13)

Setting of Care

•Hospitals (1264)

•Psychiatric Facilities (10)

•Residential Facilities (53)

•Ambulatory Care (267)

•Outpatient Surgery (13)

•Patient Transport (21)

1 - 20 of 1846

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STUDY

The influence that electronic prescribing has on medication errors and preventable adverse drug events: an interrupted time-series study.

van Doormaal JE, van den Bemt PMLA, Zaal RJ, et al. J Am Med Inform Assoc. 2009;16:816-825.

STUDY

Effect of a weight-based prescribing method within an electronic health record on prescribing errors.

Ginzburg R, Barr WB, Harris M, Munshi S. Am J Health Syst Pharm. 2009;66:2037-2041.

STUDY

Medication errors in paediatric outpatients.

Kaushal R, Goldmann DA, Keohane CA, et al. Qual Saf Health Care. 2010;19:e30.

STUDY

Time-dependent drug–drug interaction alerts in care provider order entry: software may inhibit medication error reductions.

van der Sijs H, Lammers L, van den Tweel A, et al. J Am Med Inform Assoc. 2009;16:864-868.

STUDY

Preventing potentially inappropriate medication use in hospitalized older patients with a computerized provider order entry warning system.

Mattison MLP, Afonso KA, Ngo LH, Mukamal KJ. Arch Intern Med. 2010;170:1331-1336.

STUDY

Electronic prescribing within an electronic health record reduces ambulatory prescribing errors.

Abramson EL, Barrón Y, Quaresimo J, Kaushal R. Jt Comm J Qual Patient Saf. 2011;37:470-478.

STUDY

Transitioning between electronic health records: effects on ambulatory prescribing safety.

Abramson EL, Malhotra S, Fischer K, et al. J Gen Intern Med. 2011;26:868-874.

STUDY

Electronic prescribing improves medication safety in community-based office practices.

Kaushal R, Kern LM, Barrón Y, Quaresimo J, Abramson EL. J Gen Intern Med. 2010;25:530-536.

STUDY

The impact of computerized provider order entry on medication errors in a multispecialty group practice.

Devine EB, Hansen RN, Wilson-Norton JL, et al. J Am Med Inform Assoc. 2010;17:78-84.

STUDY

Paediatric dosing errors before and after electronic prescribing.

Jani YH, Barber N, Wong ICK. Qual Saf Health Care. 2010;19:337-340.

STUDY

Impact of a computerized physician order entry system on compliance with prescription accuracy requirements.

Mir C, Gadri A, Zelger GL, Pichon R, Pannatier A. Pharm World Sci. 2009;31:596-602.

STUDY

Identifying and reducing medication errors in psychiatry: creating a culture of safety through the use of an adverse event reporting mechanism.

Jayaram G, Doyle D, Steinwachs D, Samuels J. J Psychiatr Pract. 2011;17:81–88.

STUDY

Computerized physician order entry of injectable antineoplastic drugs: an epidemiologic study of prescribing medication errors.

Nerich V, Limat S, Demarchi M, et al. Int J Med Inform. 2010;79:699-706.

STUDY

Pharmacists' interventions in prescribing errors at hospital discharge: an observational study in the context of an electronic prescribing system in a UK teaching hospital.

Abdel-Qader DH, Harper L, Cantrill JA, Tully MP. Drug Saf. 2010;33:1027-1044.

STUDY

Using an enhanced oral chemotherapy computerized provider order entry system to reduce prescribing errors and improve safety.

Collins CM, Elsaid KA. Int J Qual Health Care. 2011;23:36-43.

STUDY

Impact of implementing alerts about medication black-box warnings in electronic health records.

Yu DT, Seger DL, Lasser KE, et al. Pharmacoepidemiol Drug Saf. 2011;20:192-202.

STUDY

Errors and electronic prescribing: a controlled laboratory study to examine task complexity and interruption effects.

Magrabi F, Li SY, Day RO, Coiera E. J Am Med Inform Assoc. 2010;17:575-583.

STUDY

Errors associated with outpatient computerized prescribing systems.

Nanji KC, Rothschild JM, Salzberg C, et al. J Am Med Inform Assoc. 2011;18:767-773.

STUDY

Medication reconciliation during internal hospital transfer and impact of computerized prescriber order entry.

Lee JY, Leblanc K, Fernandes OA, et al. Ann Pharmacother. 2010;44:1887-1895.

STUDY

The impact of a closed-loop electronic prescribing and administration system on prescribing errors, administration errors and staff time: a before-and-after study.

Franklin BD, O'Grady K, Donyai P, Jacklin A, Barber N. Qual Saf Health Care. 2007;16:279-284.

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