AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (117)

•Diagnostic Errors (73)

•Identification Errors (62)

•Discontinuities, Gaps, and Hand-Off Problems (335)

•Fatigue and Sleep Deprivation (90)

•Medication Safety (867)

•Medical Complications (366)

•Nonsurgical Procedural Complications (45)

•Surgical Complications (185)

•Transfusion Complications (15)

•Psychological and Social Complications (108)

Origin/Sponsor

•Africa (2)

•Asia (21)

•Australia and New Zealand (38)

•Europe (136)

•North America (2751)

Resource Types

•Clinical Guideline (4)

•Journal Article (1938)

•Legislation/Regulation (41)

•Meeting/Conference (23)

•Newsletter/Journal (5)

•Newspaper/Magazine Article (479)

•Press Release/Announcement (12)

•Special or Theme Issue (49)

•Tools/Toolkit (48)

•Web Resource (72)

•Grant (5)

Error Types

•Epidemiology of Errors and Adverse Events (539)

•Active Errors (307)

•Latent Errors (188)

•Near Miss (36)

Approach to Improving Safety

•Quality Improvement Strategies (776)

•Legal and Policy Approaches (436)

•Error Reporting and Analysis (821)

•Communication Improvement (630)

•Human Factors Engineering (306)

•Teamwork (201)

•Specialization of Care (245)

•Logistical Approaches (247)

•Culture of Safety (509)

•Technologic Approaches (663)

•Education and Training (529)

Clinical Areas

•Allied Health Services (6)

•Medicine (1790)

•Nursing (226)

•Pharmacy (355)

Target Audience

•Health Care Providers (1826)

•Health Care Executives and Administrators (2495)

•Non-Health Care Professionals (1224)

•Patients (314)

Setting of Care

•Hospitals (2307)

•Psychiatric Facilities (11)

•Residential Facilities (46)

•Ambulatory Care (198)

•Outpatient Surgery (26)

•Patient Transport (9)

1 - 20 of 2980

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STUDY

The effect of health information technology on quality in U.S. hospitals.

McCullough JS, Casey M, Moscovice I, Prasad S. Health Aff (Millwood). 2010;29:647-654.

STUDY

Factors contributing to an increase in duplicate medication order errors after CPOE implementation.

Wetterneck TB, Walker JM, Blosky MA, et al. J Am Med Inform Assoc. 2011;18:774-782.

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.

STUDY

Impact of vendor computerized physician order entry in community hospitals.

Leung AA, Keohane C, Amato M, et al. J Gen Intern Med. 2012;27:801-807.

STUDY

Intravenous infusion safety technology: return on investment.

Danello SH, Maddox RR, Schaack GJ. Hosp Pharm. 2009;44:680-687, 696.

AWARD RECIPIENT

22 California hospitals earn top status for outstanding patient safety & health care quality.

San Francisco, CA: The Leapfrog Group; May 2, 2006.

STUDY

Medication administration quality and health information technology: a national study of US hospitals.

Appari A, Carian EK, Johnson ME, Anthony DL. J Am Med Inform Assoc. 2012;19:360-367.

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.

STUDY

Impact of electronic prescribing in a hospital setting: a process-focused evaluation.

Cunningham TR, Geller ES, Clarke SW. Int J Med Inform. 2008;77:546-554.

STUDY

U.S. adoption of computerized physician order entry systems.

Cutler DM, Feldman NE, Horwitz JR. Health Aff (Millwood). 2005;24:1654-1663.

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.

NEWSPAPER/MAGAZINE ARTICLE

Information technology may not be 'it' for patient safety.

Greene J. Trustee. February 2006;59:6-10.

NEWSPAPER/MAGAZINE ARTICLE

The key to CPOE.

Ross C, Banchy P. Health Manage Tech. November 2007;28:22-24.

STUDY

Does the Leapfrog program help identify high-quality hospitals?

Jha AK, Orav EJ, Ridgway AB, Zheng J, Epstein AM. Jt Comm J Qual Patient Saf. 2008;34:318-325.

STUDY

Impact of a pharmacotherapy alerting system on medication errors.

Natali BJ, Varkey AC, Garey KW, Liebl M. Am J Health Syst Pharm. 2013;70:48-52.

STUDY

Relationship between medication event rates and the Leapfrog computerized physician order entry evaluation tool.

Leung AA, Keohane C, Lipsitz S, et al. J Am Med Inform Assoc. 2013 Apr 18; [Epub ahead of print].

STUDY

The extent and importance of unintended consequences related to computerized provider order entry.

Ash JS, Sittig DF, Poon EG, Guappone K, Campbell E, Dykstra RH. J Am Med Inform Assoc. 2007;14:415-423.

ORGANIZATIONAL POLICY/GUIDELINES

Preventing errors relating to commonly used anticoagulants.

Sentinel Event Alert. September 24, 2008;(41):1-4.

AWARD RECIPIENT

Improving patient safety using interactive, evidence-based decision support tools.

Quinn MM, Mannion J. Jt Comm J Qual Patient Saf. 2005;31:678-683.

NEWSPAPER/MAGAZINE ARTICLE

For all the right reasons.

Hagland M. Healthc Informatics. 2009;26:40-44.

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