AHRQ Patient Safety Network

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The Collection

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Safety Target

•Device-related Complications (81)

•Diagnostic Errors (114)

•Identification Errors (53)

•Discontinuities, Gaps, and Hand-Off Problems (288)

•Fatigue and Sleep Deprivation (33)

•Medication Safety (886)

•Medical Complications (256)

•Nonsurgical Procedural Complications (44)

•Surgical Complications (267)

•Transfusion Complications (12)

•Psychological and Social Complications (82)

Origin/Sponsor

•Africa (5)

•Asia (70)

•Australia and New Zealand (101)

•Central and South America (8)

•Europe (549)

•North America (1540)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (1150)

•Active Errors (378)

•Latent Errors (97)

•Near Miss (60)

Approach to Improving Safety

•Quality Improvement Strategies (457)

•Legal and Policy Approaches (87)

•Error Reporting and Analysis (729)

•Communication Improvement (480)

•Human Factors Engineering (229)

•Teamwork (163)

•Specialization of Care (164)

•Logistical Approaches (158)

•Culture of Safety (225)

•Technologic Approaches (497)

•Education and Training (353)

Clinical Areas

•Allied Health Services (7)

•Complementary and Alternative Medicine (1)

Target Audience

•Health Care Providers (1590)

•Health Care Executives and Administrators (1915)

•Non-Health Care Professionals (871)

•Patients (19)

Setting of Care

•Hospitals (1659)

•Psychiatric Facilities (11)

•Residential Facilities (47)

•Ambulatory Care (293)

•Outpatient Surgery (17)

•Patient Transport (23)

1 - 20 of 2274

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STUDY

Does the implementation of an electronic prescribing system create unintended medication errors? A study of the sociotechnical context through the analysis of reported medication incidents.

Redwood S, Rajakumar A, Hodson J, Coleman JJ. BMC Med Inform Decis Mak. 2011;11:29.

STUDY

Effect of bar-code technology on the safety of medication administration.

Poon EG, Keohane CA, Yoon CS, et al. N Engl J Med. 2010;362:1698-1707.

STUDY

Developing a programme for medication reconciliation at the time of admission into hospital.

Manzorro AG, Zoni AC, Rieiro CR, et al. Int J Clin Pharm. 2011;33:603-609.

STUDY

Effect of admission medication reconciliation on adverse drug events from admission medication changes.

Boockvar KS, Blum S, Kugler A, et al. Arch Intern Med. 2011;171:860-861.

STUDY

Electronic health records and adverse drug events after patient transfer.

Boockvar KS, Livote EE, Goldstein N, Nebeker JR, Siu A, Fried T. Qual Saf Health Care. 2010;19:e16.

STUDY

Can an electronic prescribing system detect doctors who are more likely to make a serious prescribing error?

Coleman JJ, Hemming K, Nightingale PG, et al. J R Soc Med. 2011;104:208-218.

STUDY

Results of the Medications At Transitions and Clinical Handoffs (MATCH) study: an analysis of medication reconciliation errors and risk factors at hospital admission.

Gleason KM, McDaniel MR, Feinglass J, et al. J Gen Intern Med. 2010;25:441-447.

STUDY

Electronic health record-based surveillance of diagnostic errors in primary care.

Singh H, Giardina TD, Forjuoh SN, et al. BMJ Qual Saf. 2012;22:93-100.

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

Medication reconciliation: barriers and facilitators from the perspectives of resident physicians and pharmacists.

Boockvar KS, Santos SL, Kushniruk A, Johnson C, Nebeker JR. J Hosp Med. 2011;6:329-337.

STUDY

Medication details documented on hospital discharge: cross-sectional observational study of factors associated with medication non-reconciliation.

Grimes TC, Duggan CA, Delaney TP, et al. Br J Clin Pharmacol. 2011;71:449-457.

STUDY

Does user-centred design affect the efficiency, usability and safety of CPOE order sets?

Chan J, Shojania KG, Easty AC, Etchells EE. J Am Med Inform Assoc. 2011;18:276-281.

STUDY

Assessing the accuracy of drug profiles in an electronic medical record system of a Washington State hospital.

Platte B, Akinci F, Güç Y. Am J Manag Care. 2010;16:e245-e250.

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

Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study.

Walker PC, Bernstein SJ, Tucker Jones JN, et al. Arch Intern Med. 2009;169:2003-2010.

STUDY

Medication errors: how reliable are the severity ratings reported to the National Reporting and Learning System?

Williams SD, Ashcroft DM. Int J Qual Health Care. 2009;21:316-320.

STUDY

Identifying causes of adverse events detected by an automated trigger tool through in-depth analysis.

Muething SE, Conway PH, Kloppenborg E, et al. Qual Saf Health Care. 2010;19:435-439.

STUDY

Bedouch P, Allenet B, Grass A, et al. J Clin Pharm Ther. 2009;34:187-195.

STUDY

Characteristics of medication errors and adverse drug events in hospitals participating in the California Pediatric Patient Safety Initiative.

Takata GS, Taketomo CK, Waite S; for the California Pediatric Patient Safety Initiative. Am J Health Syst Pharm. 2008;65:2036-2044.

STUDY

Omitted and unjustified medications in the discharge summary.

Perren A, Previsdomini M, Cerutti B, Soldini D, Donghi D, Marone C. Qual Saf Health Care. 2009;18:205-208.

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