AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (159)

•Diagnostic Errors (172)

•Identification Errors (96)

•Discontinuities, Gaps, and Hand-Off Problems (672)

•Fatigue and Sleep Deprivation (90)

•Medication Safety (1370)

•Medical Complications (476)

•Nonsurgical Procedural Complications (68)

•Surgical Complications (327)

•Transfusion Complications (21)

•Psychological and Social Complications (161)

Origin/Sponsor

•Africa (5)

•Asia (84)

•Australia and New Zealand (155)

•Central and South America (10)

•Europe (636)

•North America (2762)

Resource Types

•Audiovisual (29)

•Award (10)

•Book/Report (191)

•Clinical Guideline (4)

•Journal Article (2930)

•Legislation/Regulation (34)

•Meeting/Conference (17)

•Newspaper/Magazine Article (361)

•Press Release/Announcement (15)

•Special or Theme Issue (44)

•Tools/Toolkit (39)

•Web Resource (52)

•Grant (6)

Error Types

•Epidemiology of Errors and Adverse Events (1368)

•Active Errors (584)

•Latent Errors (281)

•Near Miss (68)

Approach to Improving Safety

•Quality Improvement Strategies (835)

•Legal and Policy Approaches (293)

•Error Reporting and Analysis (1123)

•Communication Improvement (919)

•Human Factors Engineering (612)

•Teamwork (286)

•Specialization of Care (273)

•Logistical Approaches (316)

•Culture of Safety (488)

•Technologic Approaches (828)

•Education and Training (640)

Clinical Areas

•Allied Health Services (9)

Target Audience

•Health Care Providers (2306)

•Health Care Executives and Administrators (3085)

•Non-Health Care Professionals (1590)

•Patients (213)

Setting of Care

•Hospitals (2895)

•Psychiatric Facilities (15)

•Residential Facilities (58)

•Ambulatory Care (383)

•Outpatient Surgery (27)

•Patient Transport (24)

1 - 20 of 3732

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NEWSPAPER/MAGAZINE ARTICLE

Medication errors occurring with the use of bar-code administration technology.

PA-PSRS Patient Saf Advis. December 2008;5:122-126.

STUDY

Saving lives by studying deaths: using standardized mortality reviews to improve inpatient safety.

Lau H, Litman KC. Jt Comm J Qual Patient Saf. 2011;37:400-408.

STUDY

Supratherapeutic dosing of acetaminophen among hospitalized patients.

Zhou L, Maviglia SM, Mahoney LM, et al. Arch Intern Med. 2012;172:1721-1728.

STUDY

Paradoxical effects of a hospital-based, multi-intervention programme aimed at reducing medication round interruptions.

Tomietto M, Sartor A, Mazzocoli E, Palese A. J Nurs Manag. 2012;20:335-343.

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

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 safety initiative in reducing medication errors.

Nguyen EE, Connolly PM, Wong V. J Nurs Care Qual. 2010;25:224-230.

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

The costs of adverse drug events in community hospitals.

Hug BL, Keohane C, Seger DL, Yoon C, Bates DW. Jt Comm J Qual Patient Saf. 2012;38:120-126.

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.

NEWSPAPER/MAGAZINE ARTICLE

Patients taking their own medications while in the hospital.

PA-PSRS Patient Saf Advis. June 2012;9:50-57.

STUDY

Design and implementation of an application and associated services to support interdisciplinary medication reconciliation efforts at an integrated healthcare delivery network.

Poon EG, Blumenfeld B, Hamann C, et al. J Am Med Inform Assoc. 2006;13:581-592.

COMMENTARY

Time to sign off on signout.

Stein DM, Stetson PD. Acad Med. 2011;86:804-806.

REVIEW

Bar code technology and medication administration error.

Young J, Slebodnik M, Sands L. J Patient Saf. 2010;6;115-120.

STUDY

A theory-driven, longitudinal evaluation of the impact of team training on safety culture in 24 hospitals.

Jones KJ, Skinner AM, High R, Reiter-Palmon R. BMJ Qual Saf. 2013;22:394-404.

STUDY

If only...: failed, missed and absent error recovery opportunities in medication errors.

Habraken MMP, van der Schaaf TW. Qual Saf Health Care. 2010;19:37-41.

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

Evaluating the medication process in the context of CPOE use: the significance of working around the system.

Niazkhani Z, Pirnejad H, van der Sijs H, Aarts J. Int J Med Inform. 2011;80:490-506.

COMMENTARY

2009 National Patient Safety Goals.

Saufl NM. J Perianesth Nurs. 2009;24:114-118.

STUDY

Hospital discharge documentation and risk of rehospitalisation.

Hansen LO, Strater A, Smith L, et al. BMJ Qual Saf. 2011;20:773-778.

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