AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (59)

•Diagnostic Errors (51)

•Identification Errors (36)

•Discontinuities, Gaps, and Hand-Off Problems (198)

•Fatigue and Sleep Deprivation (51)

•Medication Safety (901)

•Medical Complications (135)

•Nonsurgical Procedural Complications (22)

•Surgical Complications (114)

•Transfusion Complications (5)

•Psychological and Social Complications (35)

Origin/Sponsor

•Africa (1)

•Asia (33)

•Australia and New Zealand (39)

•Central and South America (4)

•Europe (174)

•North America (1254)

Resource Types

•Audiovisual (18)

•Award (1)

•Book/Report (55)

•Clinical Guideline (7)

•Journal Article (1173)

•Legislation/Regulation (22)

•Meeting/Conference (5)

•Newsletter/Journal (2)

•Newspaper/Magazine Article (171)

•Press Release/Announcement (21)

•Special or Theme Issue (13)

•Tools/Toolkit (35)

•Web Resource (28)

•Grant (3)

Error Types

•Epidemiology of Errors and Adverse Events (374)

•Active Errors (247)

•Latent Errors (118)

•Near Miss (32)

Approach to Improving Safety

•Quality Improvement Strategies (377)

•Legal and Policy Approaches (73)

•Error Reporting and Analysis (403)

•Communication Improvement (383)

•Human Factors Engineering (188)

•Teamwork (100)

•Specialization of Care (146)

•Logistical Approaches (157)

•Culture of Safety (151)

•Technologic Approaches (339)

•Education and Training (275)

Clinical Areas

•Allied Health Services (4)

•Medicine (931)

•Nursing (302)

•Pharmacy (407)

Target Audience

•Health Care Providers (1395)

•Health Care Executives and Administrators (1065)

•Non-Health Care Professionals (364)

•Patients (80)

Setting of Care

•Hospitals (1171)

•Psychiatric Facilities (5)

•Residential Facilities (25)

•Ambulatory Care (165)

•Outpatient Surgery (9)

•Patient Transport (2)

1 - 20 of 1554

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NEWSPAPER/MAGAZINE ARTICLE

Dose of technology helps Shands at UF avoid drug errors.

Chun D. Gainsville Sun. August 21, 2006.

REVIEW

Adverse events associated with sedatives, analgesics, and other drugs that provide patient comfort in the intensive care unit.

Riker RR, Fraser GL. Pharmacotherapy. 2005;25:8S-18S.

STUDY

Unintended medication discrepancies at the time of hospital admission.

Cornish PL, Knowles SR, Marchesano R, et al. Arch Intern Med. 2005;165:424-429.

STUDY

Medication safety program reduces adverse drug events in a community hospital.

Cohen MM, Kimmel NL, Benage MK, et al. Qual Saf Health Care. 2005;14:169-174.

STUDY

Epidemiology, comparative methods of detection, and preventability of adverse drug events.

Al-Tajir GK, Kelly WN. Ann Pharmacother. 2005;39:1169-1174.

COMMENTARY

Novel Drug Misuse.

Angus DC, Milbrandt EB. AHRQ WebM&M [serial online]. July 2004.

COMMENTARY

Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge.

Rodehaver C. Jt Comm J Qual Patient Saf. 2005;31:406-413.

STUDY

Potentially inappropriate medications in a large cohort of patients in geriatric units: association with clinical and functional characteristics.

Fromm MF, Maas R, Tümena T, Gaßmann KG. Eur J Clin Pharmacol. 2013;69:975-984.

STUDY

Role of computerized physician order entry systems in facilitating medication errors.

Koppel R, Metlay JP, Cohen A, et al. JAMA. 2005;293:1197-1203.

NEWSPAPER/MAGAZINE ARTICLE

To protect against drug errors, ask questions.

Brody JE. New York Times. January 2, 2007:F7.

STUDY

Emergency department visits for outpatient adverse drug events: demonstration for a national surveillance system.

Budnitz DS, Pollock DA, Mendelsohn AB, Weidenbach KN, McDonald AK, Annest JL. Ann Emerg Med. 2005;45:197-206.

NEWSPAPER/MAGAZINE ARTICLE

The 'second victims' of medication errors begin to gain support.

Blum K. Pharm Pract News. November 2011.

STUDY

Effects of an automatic drug dispensing system on medication adverse event occurrences and cost containment at SAMSO.

Dib JG, Abdulmohsin SA, Farooki MU, et al. Hosp Pharm. 2006;41:1180-1184.

STUDY

Ambulatory care visits for treating adverse drug effects in the United States, 1995-2001.

Zhan C, Arispe I, Kelley E, et al. Jt Comm J Qual Patient Saf. 2005;31:372-278.

STUDY

Potential for drug interactions in hospitalized cancer patients.

Riechelmann RP, Moreira F, Smaletz O, Saad ED. Cancer Chemother Pharmacol. 2005;56:286-290.

STUDY

High rates of adverse drug events in a highly computerized hospital.

Nebeker JR, Hoffman JM, Weir CR, Bennett CL, Hurdle JF. Arch Intern Med. 2005;165:1111-1116.

STUDY

Risk factors for adverse drug events: a 10-year analysis.

Evans RS, Lloyd JF, Stoddard GJ, Nebeker JR, Samore MH. Ann Pharmacother. 2005;39:1161-1168.

STUDY

Implementation of medication error reporting through Med Safe Tool: the clinical pharmacists and the inpatient nursing staff collaborative approach.

Elnour AA, Ellahham NH, Al Qassas HI. J Patient Saf. 2007;3:177-183.

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.

COMMENTARY

Hidden Mystery.

Brunette DD. AHRQ WebM&M [serial online]. March 2005.

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