AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (28)

•Diagnostic Errors (37)

•Identification Errors (27)

•Discontinuities, Gaps, and Hand-Off Problems (80)

•Fatigue and Sleep Deprivation (8)

•Medication Safety (516)

•Medical Complications (67)

•Nonsurgical Procedural Complications (8)

•Surgical Complications (52)

•Transfusion Complications (5)

•Psychological and Social Complications (28)

Origin/Sponsor

•Asia (14)

•Australia and New Zealand (33)

•Central and South America (1)

Resource Types

•Journal Article (865)

•Legislation/Regulation (13)

•Meeting/Conference (14)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (105)

•Press Release/Announcement (10)

•Special or Theme Issue (32)

•Tools/Toolkit (9)

•Web Resource (19)

•Grant (6)

Error Types

•Epidemiology of Errors and Adverse Events (233)

•Active Errors (164)

•Latent Errors (84)

•Near Miss (19)

Approach to Improving Safety

•Quality Improvement Strategies (265)

•Legal and Policy Approaches (116)

•Error Reporting and Analysis (294)

•Communication Improvement (179)

•Human Factors Engineering (150)

•Teamwork (77)

•Specialization of Care (66)

•Logistical Approaches (43)

•Culture of Safety (143)

•Technologic Approaches (632)

•Education and Training (175)

Clinical Areas

•Allied Health Services (8)

•Medicine (747)

•Nursing (49)

•Pharmacy (201)

Target Audience

•Health Care Providers (687)

•Health Care Executives and Administrators (1023)

•Non-Health Care Professionals (867)

•Patients (58)

Setting of Care

•Hospitals (599)

•Psychiatric Facilities (5)

•Residential Facilities (18)

•Ambulatory Care (112)

•Outpatient Surgery (7)

•Patient Transport (3)

1 - 20 of 1172

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REVIEW

What evidence supports the use of computerized alerts and prompts to improve clinicians' prescribing behavior?

Schedlbauer A, Prasad V, Mulvaney C, et al. J Am Med Inform Assoc. 2009;16:531-538.

STUDY

Evaluation of laboratory monitoring alerts within a computerized physician order entry system for medication orders.

Palen TE, Raebel M, Lyons E, Magid DM. Am J Manag Care. 2006;12:389-395.

STUDY

Methodological variability in detecting prescribing errors and consequences for the evaluation of interventions.

Franklin BD, Birch S, Savage I, et al. Pharmacoepidemiol Drug Saf. 2009;18:992-999.

STUDY

Drug–drug interactions that should be non-interruptive in order to reduce alert fatigue in electronic health records.

Phansalkar S, van der Sijs H, Tucker AD, et al. J Am Med Inform Assoc. 2013;20:489-493.

STUDY

Computerized clinical decision support during medication ordering for long-term care residents with renal insufficiency.

Field TS, Rochon P, Lee M, Gavendo L, Baril JL, Gurwitz JH. J Am Med Inform Assoc. 2009;16:480-485.

STUDY

The effect of automated alerts on provider ordering behavior in an outpatient setting.

Steele AW, Eisert S, Witter J, et al. PLoS Medicine. 2005;2:e255.

STUDY

A trial of automated decision support alerts for contraindicated medications using computerized physician order entry.

Galanter WL, Didomenico RJ, Polikaitis A. J Am Med Inform Assoc. 2005;12:269-274.

STUDY

Designing decision support for insulin ordering in a computerized provider order entry system.

Wright L, Feldott CC, Hargrove FR. Hosp Pharm. 2007;42:158–161.

STUDY

Mixed results in the safety performance of computerized physician order entry.

Metzger J, Welebob E, Bates DW, Lipsitz S, Classen DC. Health Aff (Millwood). 2010;29:655-663.

REVIEW

The effectiveness of integrated health information technologies across the phases of medication management: a systematic review of randomized controlled trials.

McKibbon KA, Lokker C, Handler SM, et al. J Am Med Inform Assoc. 2012;19:22-30.

SPECIAL OR THEME ISSUE

Focus on Computerized Provider Order Entry.

J Am Med Inform Assoc. 2007;14:25-75.

NEWSPAPER/MAGAZINE ARTICLE

Software for symptoms.

Borzo J. Wall Street Journal. May 23, 2005:R10.

REVIEW

Does computerized provider order entry reduce prescribing errors for hospital inpatients? A systematic review.

Reckmann MH, Westbrook JI, Koh Y, Lo C, Day RO. J Am Med Inform Assoc. 2009;16:613-623.

NEWSPAPER/MAGAZINE ARTICLE

CPOE: it don't come easy.

Anderson HJ. Health Data Manag. January 1, 2009;17:18.

REVIEW

Prescribing errors in hospital practice.

Tully MP. Br J Clin Pharmacol. 2012;74:668-675.

STUDY

A cognitive task analysis of information management strategies in a computerized provider order entry environment.

Weir CR, Hicken BL, Nebeker J, et al. J Am Med Inform Assoc. 2007;14:65-75.

STUDY

The use of a CPOE log for the analysis of physicians' behavior when responding to drug-duplication reminders.

Long A-J, Chang P, Li Y-C, Chiu W-T. Int J Med Inform. 2008;77:499-506.

STUDY

Stakeholder challenges in purchasing medical devices for patient safety.

Hinrichs S, Dickerson T, Clarkson J. J Patient Saf. 2013;9:36-43.

STUDY

Chemotherapy dose limits set by users of a computer order entry system.

DuBeshter B, Griggs J, Angel C, Loughner J. Hosp Pharm. 2006;41:136-142.

REVIEW

Electronic prescribing and other forms of technology to reduce inappropriate medication use and polypharmacy in older people: a review of current evidence.

Clyne B, Bradley MC, Hughes C, Fahey T, Lapane KL. Clin Geriatr Med. 2012;28:301-322.

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