AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (71)

•Diagnostic Errors (8)

•Identification Errors (31)

•Discontinuities, Gaps, and Hand-Off Problems (129)

•Fatigue and Sleep Deprivation (25)

•Medication Safety (735)

•Medical Complications (100)

•Nonsurgical Procedural Complications (25)

•Surgical Complications (89)

•Transfusion Complications (1)

•Psychological and Social Complications (36)

Origin/Sponsor

•Asia (24)

•Australia and New Zealand (33)

•Central and South America (2)

•Europe (85)

•North America (1194)

Resource Types

•Audiovisual (13)

•Award (4)

•Book/Report (36)

•Clinical Guideline (5)

•Journal Article (1031)

•Legislation/Regulation (21)

•Meeting/Conference (8)

•Newsletter/Journal (4)

•Newspaper/Magazine Article (162)

•Press Release/Announcement (17)

•Special or Theme Issue (24)

•Tools/Toolkit (22)

•Web Resource (16)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (239)

•Active Errors (217)

•Latent Errors (94)

•Near Miss (35)

Approach to Improving Safety

•Quality Improvement Strategies (297)

•Legal and Policy Approaches (76)

•Error Reporting and Analysis (323)

•Communication Improvement (306)

•Human Factors Engineering (208)

•Teamwork (112)

•Specialization of Care (79)

•Logistical Approaches (147)

•Culture of Safety (167)

•Technologic Approaches (237)

•Education and Training (273)

Clinical Areas

•Allied Health Services (7)

Target Audience

•Health Care Providers (1195)

•Health Care Executives and Administrators (1078)

•Non-Health Care Professionals (359)

•Patients (82)

Setting of Care

•Hospitals (746)

•Psychiatric Facilities (8)

•Residential Facilities (37)

•Ambulatory Care (104)

•Outpatient Surgery (6)

•Patient Transport (5)

1 - 20 of 1365

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COMMENTARY

Medication errors: don't let them happen to you.

Anderson P, Townsend T. Amer Nurs Today. March 2010;5:23-27.

STUDY

Effects of technological interventions on the safety of a medication-use system.

Skibinski KA, White BA, Lin LI, Dong Y, Wu W. Am J Health Syst Pharm. 2007;64:90-96.

STUDY

Spreading a medication administration intervention organizationwide in six hospitals.

Kliger J, Singer S, Hoffman F, O'Neil E. Jt Comm J Qual Patient Saf. 2012;38:51-60.

COMMENTARY

A model of chemotherapy education for novice oncology nurses that supports a culture of safety.

Sheridan-Leos N. Clin J Oncol Nurs. 2007;11:545-551.

STUDY

Nursing care quality and adverse events in US hospitals.

Lucero RJ, Lake ET, Aiken LH. J Clin Nurs. 2010;19:2185-2195.

STUDY

Reducing preventable medication safety events by recognizing renal risk.

Fields W, Tedeschi C, Foltz J, et al. Clin Nurse Spec. 2008;22:73-78.

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.

COMMENTARY

Implementing a safe and reliable process for medication administration.

Richardson B, Bromirski B, Hayden A. Clin Nurse Spec. 2012;26:169-176.

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.

STUDY

Getting to the root of medication errors.

Cohen H, Shastay AD. Nursing. 2008;38:39-47.

REVIEW

Computerized provider order entry and prescribing and the evidence for safe practice: update for the clinical nurse specialist.

O'Malley P. Clin Nurse Spec. 2007;21:139-141.

COMMENTARY

A medication safety education program to reduce the risk of harm caused by medication errors.

Dennison RD. J Contin Educ Nurs. 2007;38:176-184.

STUDY

No interruptions please: impact of a no interruption zone on medication safety in intensive care units.

Anthony K, Wiencek C, Bauer C, Daly B, Anthony MK. Crit Care Nurse. 2010;30:21-29.

STUDY

Characteristics of medication errors made by students during the administration phase: a descriptive study.

Wolf ZR, Hicks R, Serembus JF. J Prof Nurs. 2006;22:39-51.

NEWSPAPER/MAGAZINE ARTICLE

Mental slips and lapses: no one is immune.

Nurse Advise-ERR. October 2005;3:1.

COMMENTARY

Improving the safety of medication administration using an interactive CD-ROM program.

Schneider PJ, Pedersen CA, Montanya KR, et al. Am J Health Syst Pharm. 2006;63:59-64.

COMMENTARY

Automated dispensing cabinets.

Gaunt MJ, Johnston J, Davis MM. Am J Nurs. 2007;107:27-28.

NEWSPAPER/MAGAZINE ARTICLE

Promethazine conundrum: IV can hurt more than IM injection!

ISMP Medication Safety Alert! Acute Care Edition. November 2, 2006;11:1-3.

STUDY

Use of dimensional analysis to reduce medication errors.

Greenfield S, Whelan B, Cohn E. J Nurs Educ. 2006;45:91-94.

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