AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (116)

•Diagnostic Errors (118)

•Identification Errors (61)

•Discontinuities, Gaps, and Hand-Off Problems (194)

•Fatigue and Sleep Deprivation (56)

•Medication Safety (784)

•Medical Complications (253)

•Nonsurgical Procedural Complications (42)

•Surgical Complications (236)

•Transfusion Complications (13)

•Psychological and Social Complications (40)

Origin/Sponsor

•Africa (4)

•Asia (53)

•Australia and New Zealand (90)

•Central and South America (9)

•Europe (488)

•North America (1222)

Resource Types

•Audiovisual (7)

•Award (5)

•Book/Report (34)

•Clinical Guideline (3)

•Journal Article (1698)

•Legislation/Regulation (9)

•Meeting/Conference (2)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (92)

•Press Release/Announcement (14)

•Special or Theme Issue (12)

•Tools/Toolkit (6)

•Web Resource (11)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (1040)

•Active Errors (365)

•Latent Errors (105)

•Near Miss (48)

Approach to Improving Safety

•Quality Improvement Strategies (425)

•Legal and Policy Approaches (88)

•Error Reporting and Analysis (639)

•Communication Improvement (333)

•Human Factors Engineering (267)

•Teamwork (135)

•Specialization of Care (183)

•Logistical Approaches (137)

•Culture of Safety (166)

•Technologic Approaches (447)

•Education and Training (250)

Clinical Areas

•Allied Health Services (1)

Target Audience

•Health Care Providers (1295)

•Health Care Executives and Administrators (1735)

•Non-Health Care Professionals (639)

•Patients (38)

Setting of Care

•Hospitals (1344)

•Psychiatric Facilities (4)

•Residential Facilities (29)

•Ambulatory Care (154)

•Outpatient Surgery (16)

•Patient Transport (17)

1 - 20 of 1898

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REVIEW

The effect of computerized physician order entry on medication prescription errors and clinical outcome in pediatric and intensive care: a systematic review.

van Rosse F, Maat B, Rademaker CMA, van Vught AJ, Egberts ACG, Bollen CW. Pediatrics. 2009;123:1184-1190.

STUDY

Patient-specific electronic decision support reduces prescription of excessive doses.

Seidling HM, Schmitt SPW, Bruckner T, et al. Qual Saf Health Care. 2010;19:e15.

STUDY

Overview of adverse events related to invasive procedures in the intensive care unit.

Pottier V, Daubin C, Lerolle N, et al. Am J Infect Control. 2012;40:241-246.

STUDY

Educational strategy to reduce medication errors in a neonatal intensive care unit.

Campino A, Lopez-Herrera MC, Lopez-de-Heredia I, Valls-i-Soler A. Acta Paediatr. 2009;98:782-785.

STUDY

Computerized physician order entry of injectable antineoplastic drugs: an epidemiologic study of prescribing medication errors.

Nerich V, Limat S, Demarchi M, et al. Int J Med Inform. 2010;79:699-706.

STUDY

Adverse events are common on the intensive care unit: results from a structured record review.

Nilsson L, Pihl A, Tågsjö M, Ericsson E. Acta Anaesthesiol Scand. 2012;56:959-965.

STUDY

Risk and pharmacoeconomic analyses of the injectable medication process in the paediatric and neonatal intensive care units.

De Giorgi I, Fonzo-Christe C, Cingria L, et al. Int J Qual Health Care. 2010;22:170-178.

STUDY

Patient safety in intensive care: results from the multinational Sentinel Events Evaluation (SEE) study.

Valentin A, Capuzzo M, Guidet B, et al. Intensive Care Med. 2006;32:1591-1598.

STUDY

ICU admittance by a rapid response team versus conventional admittance, characteristics, and outcome.

Jäderling G, Bell M, Martling CR, Ekbom A, Bottai M, Konrad D. Crit Care Med. 2013;41:725-731.

STUDY

Medication-error reporting and pharmacy resident experience during implementation of computerized prescriber order entry.

Weant KA, Cook AM, Armitstead JA. Am J Health Syst Pharm. 2007;64:526-530.

STUDY

A trigger tool to identify adverse events in the intensive care unit.

Resar RK, Rozich JD, Simmonds T, Haraden CR. Jt Comm J Qual Patient Saf. 2006;32:585-590.

STUDY

Adverse drug events in a paediatric intensive care unit: a prospective cohort.

Silva DCB, Araujo OR, Arduini RG, Alonso CFR, Shibata ARO, Troster EJ. BMJ Open. 2013;3:ee001868.

STUDY

An observational study of changes to long-term medication after admission to an intensive care unit.

Campbell AJ, Bloomfield R, Noble DW. Anaesthesia. 2006;61:1087-1092.

STUDY

High incidence of medication documentation errors in a Swiss university hospital due to the handwritten prescription process.

Hartel MJ, Staub LP, Röder C, Eggli S. BMC Health Serv Res. 2011;11:199.

STUDY

Oral outpatient chemotherapy medication errors in children with acute lymphoblastic leukemia.

Taylor JA, Winter L, Geyer LJ, Hawkins DS. Cancer. 2006;107:1400-1406.

STUDY

Medication errors during medical emergencies in a large, tertiary care, academic medical center.

Gokhman R, Seybert AL, Phrampus P, Darby J, Kane-Gill SL. Resuscitation. 2012;83:482-487.

STUDY

Impact of morbidity and mortality conferences on analysis of mortality and critical events in intensive care practice.

Ksouri H, Balanant PY, Tadié JM, et al. Am J Crit Care. 2010;19:135-145.

STUDY

A comparison of voluntarily reported medication errors in intensive care and general care units.

Kane-Gill SL, Kowiatek JG, Weber RJ. Qual Saf Health Care. 2010;19:55-59.

STUDY

Adverse drug event reporting in intensive care units: a survey of current practices.

Kane-Gill SL, Devlin JW. Ann Pharmacother. 2006;40:1267-73.

PRESS RELEASE/ANNOUNCEMENT

Serious medication errors from intravenous administration of nimodipine oral capsules.

MedWatch Safety Alert, FDA Drug Safety Communication. Silver Spring, MD: US Food and Drug Administration; August 2, 2010.

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