AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (172)

•Diagnostic Errors (190)

•Identification Errors (120)

•Discontinuities, Gaps, and Hand-Off Problems (527)

•Fatigue and Sleep Deprivation (143)

•Medication Safety (1717)

•Medical Complications (458)

•Nonsurgical Procedural Complications (78)

•Surgical Complications (395)

•Transfusion Complications (23)

•Psychological and Social Complications (176)

Origin/Sponsor

•Africa (3)

•Asia (56)

•Australia and New Zealand (99)

•Central and South America (3)

•Europe (373)

•North America (4226)

Resource Types

•Clinical Guideline (9)

•Journal Article (3419)

•Legislation/Regulation (60)

•Meeting/Conference (38)

•Newsletter/Journal (12)

•Newspaper/Magazine Article (645)

•Press Release/Announcement (33)

•Special or Theme Issue (78)

•Tools/Toolkit (73)

•Web Resource (105)

•Grant (7)

Error Types

•Epidemiology of Errors and Adverse Events (979)

•Active Errors (616)

•Latent Errors (296)

•Near Miss (80)

Approach to Improving Safety

•Quality Improvement Strategies (1139)

•Legal and Policy Approaches (580)

•Error Reporting and Analysis (1349)

•Communication Improvement (1051)

•Human Factors Engineering (551)

•Teamwork (321)

•Specialization of Care (317)

•Logistical Approaches (411)

•Culture of Safety (675)

•Technologic Approaches (1076)

•Education and Training (885)

Clinical Areas

•Allied Health Services (17)

Target Audience

•Health Care Providers (3435)

•Health Care Executives and Administrators (3697)

•Non-Health Care Professionals (1864)

•Patients (429)

Setting of Care

•Hospitals (3116)

•Psychiatric Facilities (17)

•Residential Facilities (89)

•Ambulatory Care (393)

•Outpatient Surgery (39)

•Patient Transport (16)

1 - 20 of 4857

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COMMENTARY

Preventing medication errors in hospitals through a systems approach and technological innovation: a prescription for 2010.

Crane J, Crane FG. Hosp Top. Fall 2006;84:3-8.

NEWSPAPER/MAGAZINE ARTICLE

Scanner beep only means the barcode has been scanned.

ISMP Medication Safety Alert! Acute Care Edition. June 30, 2011;16:1-2.

NEWSPAPER/MAGAZINE ARTICLE

Barcode technology flaws put some patients at risk.

US News & World Report. July 3, 2008.

NEWSPAPER/MAGAZINE ARTICLE

Manic for medication safety: bar codes and drug information databases are helping to reduce medication errors.

Rogoski RR. Health Manage Technol. February 2007;28:14, 16-18.

NEWSPAPER/MAGAZINE ARTICLE

An extra dose of safety.

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

TOOLKIT

Looking Collectively at Risk.

Pathways for Medication Safety Tool #2. Chicago, IL: American Hospital Association; 2003.

STUDY

Effectiveness of a pharmacist–nurse intervention on resolving medication discrepancies for patients transitioning from hospital to home health care.

Setter SM, Corbett CF, Neumiller JJ, Gates BJ, Sclar DA, Sonnett TE. Am J Health Syst Pharm. 2009;66:2027-2031.

COMMENTARY

Best-practice protocols: Preventing adverse drug events.

Weir VL. Nurs Manage. 2005;36:24-30.

STUDY

Bar-code technology for medication administration: medication errors and nurse satisfaction.

Fowler SB, Sohler P, Zarillo DF. MedSurg Nursing. 2009;18:103-110.

NEWSPAPER/MAGAZINE ARTICLE

Practitioners agree on medication reconciliation value, but frustration and difficulties abound.

ISMP Medication Safety Alert! Acute Care Edition. July 13, 2006;11:1-2.

FACT SHEET/FAQS

Medication safety issue brief. Bar code implementation strategies.

American Hospital Association, American Society of Health-System Pharmacists, Hospitals and Health Networks. Hosp Health Netw. July 2005;79:65-66.

STUDY

Using a bar-coded medication administration system to prevent medication errors in a community hospital network.

Sakowski J, Leonard T, Colburn S, et al. Am J Health Syst Pharm. 2005;62:2619-2625.

STUDY

Improving patient safety by identifying side effects from introducing bar coding in medication administration.

Patterson ES, Cook RI, Render ML. J Am Med Inform Assoc. 2002;9:540-553.

STUDY

The impact of safety organizing, trusted leadership, and care pathways on reported medication errors in hospital nursing units.

Vogus TJ, Sutcliffe KM. Med Care. 2007;45:997-1002.

COMMENTARY

Improving heparin safety: a multidisciplinary invited conference.

Peterson C, Ham CW, Vanderveen T. Hosp Pharm. 2008;43:491-497.

STUDY

Intravenous infusion safety technology: return on investment.

Danello SH, Maddox RR, Schaack GJ. Hosp Pharm. 2009;44:680-687, 696.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2007;42:675-679.

STUDY

Nurse interruptions pre- and post-implementation of a point-of-care medication administration system.

Stamp KD, Willis DG. J Nurs Care Qual. 2010;25:231-239.

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.

NEWSPAPER/MAGAZINE ARTICLE

The enterprise take on patient safety.

Rogoski RR. Health Manage Technol. August 2005;26:12,14,16,18.

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