AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (41)

•Diagnostic Errors (16)

•Identification Errors (21)

•Discontinuities, Gaps, and Hand-Off Problems (51)

•Fatigue and Sleep Deprivation (4)

•Medication Safety (561)

•Medical Complications (71)

•Nonsurgical Procedural Complications (8)

•Surgical Complications (50)

•Transfusion Complications (3)

•Psychological and Social Complications (10)

Origin/Sponsor

•Asia (12)

•Australia and New Zealand (25)

•Central and South America (2)

Resource Types

•Journal Article (353)

•Legislation/Regulation (17)

•Meeting/Conference (4)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (170)

•Press Release/Announcement (39)

•Special or Theme Issue (6)

•Tools/Toolkit (39)

•Web Resource (38)

Error Types

•Epidemiology of Errors and Adverse Events (177)

•Active Errors (126)

•Latent Errors (73)

•Near Miss (7)

Approach to Improving Safety

•Quality Improvement Strategies (148)

•Legal and Policy Approaches (133)

•Error Reporting and Analysis (303)

•Communication Improvement (202)

•Human Factors Engineering (217)

•Teamwork (15)

•Specialization of Care (36)

•Logistical Approaches (29)

•Culture of Safety (39)

•Technologic Approaches (129)

•Education and Training (200)

Clinical Areas

•Allied Health Services (1)

•Medicine (412)

•Nursing (58)

•Pharmacy (347)

Target Audience

•Health Care Providers (475)

•Health Care Executives and Administrators (389)

•Non-Health Care Professionals (208)

•Patients (298)

Setting of Care

•Hospitals (299)

•Psychiatric Facilities (3)

•Residential Facilities (23)

•Ambulatory Care (119)

•Outpatient Surgery (5)

•Patient Transport (3)

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NEWSPAPER/MAGAZINE ARTICLE

Reducing patient harm from opiates.

ISMP Medication Safety Alert! Acute Care Edition. February 22, 2007;12:1-3.

PRESS RELEASE/ANNOUNCEMENT

Safety warnings regarding use of fentanyl transdermal (skin) patches.

FDA Public Health Advisory. Silver Spring, MD: US Food and Drug Administration; December 21, 2007.

FACT SHEET/FAQS

FDA 101: How to Use the Consumer Complaint System and MedWatch.

FDA Consumer Health Information. Silver Spring, MD: US Food and Drug Administration; February 27, 2009.

MEETING/CONFERENCE PROCEEDINGS

Public Meeting on Improving Patient Safety by Enhancing the Container Labeling for Parenteral Infusion Drug Products.

US Food and Drug Administration, Center for Drug Evaluation and Research. January 11, 2007.

NEWSPAPER/MAGAZINE ARTICLE

Catching deadly drug mistakes.

Landro L. Wall Street Journal. January 18, 2010;D5.

PRESS RELEASE/ANNOUNCEMENT

Edetate Disodium (marketed as Endrate and generic products).

FDA Public Health Advisory [US Food and Drug Administration Web site]. January 16, 2008.

PRESS RELEASE/ANNOUNCEMENT

Maalox Total Relief and Maalox Liquid Products: Medication Use Errors.

MedWatch Safety Alert. Rockville, MD: US Food and Drug Administration; February 17, 2010.

FACT SHEET/FAQS

An 8-Step Check List for Medicine Safety.

Vienna, VA: The Partnership for Safe Medicines; 2005.

PRESS RELEASE/ANNOUNCEMENT

Important change to heparin container labels to clearly state the total drug strength.

MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; December 6, 2012.

MEETING/CONFERENCE PROCEEDINGS

An Introduction to the Improved FDA Prescription Drug Labeling.

US Food and Drug Administration Center for Drug Evaluation and Research, Institute for Safe Medication Practices. November 7, 2006.

REVIEW

Adverse drug events in the elderly.

Cresswell KM, Fernando B, McKinstry B, Sheikh A. Br Med Bull. 2007;83:259-274.

COMMENTARY

Prevent medication errors: a New Year's resolution: teaching patients about their medications.

Polzien G. Home Healthc Nurse. 2007;25:59-62.

NEWSPAPER/MAGAZINE ARTICLE

Your attention please... designing effective warnings.

ISMP Medication Safety Alert! Acute Care Edition. August 24, 2006;11:1-3.

COMMENTARY

Iatrogenic disease management: moderating medication errors and risks in a pharmacy benefit management environment.

Nair V, Salmon JW, Kaul AF. Dis Manage. 2007;10:337-346.

NEWSPAPER/MAGAZINE ARTICLE

Mistakes, some deadly, haunt county jails.

Carter M. Seattle Times. March 9, 2007:A1.

FACT SHEET/FAQS

Ten Tips to Prevent an Accidental Overdose.

Silver Spring, MD: US Food and Drug Administration; May 2011.

NEWSPAPER/MAGAZINE ARTICLE

Hospital trustees shift their focus to medical safety.

Rowland C. Boston Globe. March 5, 2007:A1.

PRESS RELEASE/ANNOUNCEMENT

Hydrocodone bitartrate and acetaminophen tablets, phenobarbital tablets by Qualitest: recall—incorrect package labeling.

MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; February 7, 2011.

STUDY

Diagramming patients' views of root causes of adverse drug events in ambulatory care: an online tool for planning education and research.

Brown M, Frost R, Ko Y, Woosley R. Patient Educ Couns. 2006;62:302-315.

PRESS RELEASE/ANNOUNCEMENT

Important information for the safe use of Tussionex Pennkinetic Extended-Release Suspension.

FDA Public Health Advisory [US Food and Drug Administration Web site]. March 11, 2008.

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