AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (175)

•Diagnostic Errors (128)

•Identification Errors (118)

•Discontinuities, Gaps, and Hand-Off Problems (510)

•Fatigue and Sleep Deprivation (109)

•Medication Safety (1560)

•Medical Complications (453)

•Nonsurgical Procedural Complications (91)

•Surgical Complications (378)

•Transfusion Complications (21)

•Psychological and Social Complications (127)

Origin/Sponsor

•Africa (1)

•Asia (50)

•Australia and New Zealand (84)

•Central and South America (10)

•Europe (292)

•North America (3622)

Resource Types

•Audiovisual (46)

•Award (26)

•Book/Report (181)

•Clinical Guideline (9)

•Journal Article (3012)

•Legislation/Regulation (57)

•Meeting/Conference (26)

•Newsletter/Journal (9)

•Newspaper/Magazine Article (532)

•Press Release/Announcement (19)

•Special or Theme Issue (46)

•Tools/Toolkit (70)

•Web Resource (70)

•Grant (5)

Error Types

•Epidemiology of Errors and Adverse Events (915)

•Active Errors (568)

•Latent Errors (270)

•Near Miss (76)

Approach to Improving Safety

•Quality Improvement Strategies (996)

•Legal and Policy Approaches (358)

•Error Reporting and Analysis (1091)

•Communication Improvement (1003)

•Human Factors Engineering (533)

•Teamwork (313)

•Specialization of Care (328)

•Logistical Approaches (362)

•Culture of Safety (543)

•Technologic Approaches (779)

•Education and Training (789)

Clinical Areas

•Allied Health Services (9)

Target Audience

•Health Care Providers (2868)

•Health Care Executives and Administrators (3331)

•Non-Health Care Professionals (1390)

•Patients (310)

Setting of Care

•Hospitals (2964)

•Psychiatric Facilities (15)

•Residential Facilities (71)

•Ambulatory Care (363)

•Outpatient Surgery (33)

•Patient Transport (20)

1 - 20 of 4108

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STUDY

Strategic work-arounds to accommodate new technology: the case of smart pumps in hospital care.

McAlearney AS, Vrontos J Jr, Schneider PJ, Curran CR, Czerwinski BS, Pedersen CA. J Patient Saf. 2007;3:75-81.

STUDY

ASHP national survey of pharmacy practice in hospital settings: monitoring and patient education—2009.

Pedersen CA, Schneider PJ, Scheckelhoff DJ. Am J Health Syst Pharm. 2010;67:542-558.

NEWSPAPER/MAGAZINE ARTICLE

Design for reliability: barcoded medication administration.

Hayden AC, Lanoue ET, Still CJ. Patient Saf Qual Healthc. July/August 2011;8:12-20.

STUDY

Challenges in posthospital care: nurses as coaches for medication management.

Costa LL, Poe SS, Lee MC. J Nurs Care Qual. 2011;26:243-251.

STUDY

Adverse drug events in hospitalized cardiac patients.

Fanikos J, Cina JL, Baroletti S, Fiumara K, Matta L, Goldhaber SZ. Am J Cardiol. 2007;100:1465-1469.

NEWSPAPER/MAGAZINE ARTICLE

Guidelines for timely medication administration: response to the CMS "30-minute rule."

ISMP Medication Safety Alert! Acute Care Edition. January 13, 2011;16:1-4.

COMMENTARY

Implementing AORN recommended practices for medication safety.

Hicks RW, Wanzer LJ, Denholm B. AORN J. 2012;96:605-622.

STUDY

Patient safety, quality care, and service utilization with PLATO (Physician Leadership for Accurate and Timely Orders): a pilot study.

Brunt BA, Gifford IL. J Nurses Staff Dev. 2009;25:E11-E18.

COMMENTARY

CPOE: strategies for success.

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

STUDY

Work-arounds and artifacts during transition to a computer physician order entry: what they are and what they mean.

Schoville RR. J Nurs Care Qual. 2009;24:316-324.

COMMENTARY

Smart pumps: implications for nurse leaders.

Kirkbride G, Vermace B. Nurs Adm Q. 2011;35:110-118.

STUDY

Nurses relate the contributing factors involved in medication errors.

Tang FI, Sheu SJ, Yu S, Wei IL, Chen CH. J Clin Nurs. 2007;16:447-457.

COMMENTARY

Implementing a safe and reliable process for medication administration.

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

NEWSPAPER/MAGAZINE ARTICLE

An extra dose of safety.

Health Manage Techol. April 2007;28:30-32, 34.

STUDY

Implementing a fatigue countermeasures program for nurses: a focus group analysis.

Scott LD, Hofmeister N, Rogness N, Rogers AE. J Nurs Adm. 2010;40:233-240.

COMMENTARY

Medication reconciliation in the acute care setting: opportunity and challenge for nursing.

Sullivan C, Gleason KM, Rooney D, Groszek JM, Barnard C. J Nurs Care Qual. 2005;20:95-98.

COMMENTARY

Current status of the monitoring of medication practice.

Cousins D. Am J Health Syst Pharm. 2009;66:S49-S56.

COMMENTARY

A performance improvement plan to increase nurse adherence to use of medication safety software.

Gavriloff C. J Pediatr Nurs. 2012;27:375-382.

NEWSPAPER/MAGAZINE ARTICLE

Answers to improved medication reconciliation lie with pharmacists.

Barbella M. Drug Topics (Digital Edition). November 19, 2007.

COMMENTARY

Cascade iatrogenesis: factors leading to the development of adverse events in hospitalized older adults.

Thornlow DK, Anderson R, Oddone E. Int J Nurs Stud. 2009;46:1528-1535.

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