AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (182)

•Diagnostic Errors (192)

•Identification Errors (47)

•Discontinuities, Gaps, and Hand-Off Problems (214)

•Fatigue and Sleep Deprivation (12)

•Medication Safety (644)

•Medical Complications (236)

•Nonsurgical Procedural Complications (48)

•Surgical Complications (152)

•Transfusion Complications (7)

•Psychological and Social Complications (36)

Origin/Sponsor

•Africa (3)

•Asia (24)

•Australia and New Zealand (45)

•Central and South America (6)

•Europe (207)

•North America (1128)

Resource Types

•Audiovisual (20)

•Award (8)

•Book/Report (97)

•Clinical Guideline (7)

•Journal Article (906)

•Legislation/Regulation (42)

•Meeting/Conference (21)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (149)

•Press Release/Announcement (60)

•Special or Theme Issue (38)

•Tools/Toolkit (38)

•Web Resource (75)

•Grant (9)

Error Types

•Epidemiology of Errors and Adverse Events (287)

•Active Errors (367)

•Latent Errors (149)

•Near Miss (23)

Approach to Improving Safety

•Quality Improvement Strategies (544)

•Legal and Policy Approaches (146)

•Error Reporting and Analysis (341)

•Communication Improvement (424)

•Human Factors Engineering (456)

•Teamwork (104)

•Specialization of Care (75)

•Logistical Approaches (78)

•Culture of Safety (167)

•Technologic Approaches (284)

•Education and Training (452)

Clinical Areas

•Allied Health Services (6)

•Complementary and Alternative Medicine (1)

Target Audience

•Health Care Providers (1351)

•Health Care Executives and Administrators (1046)

•Non-Health Care Professionals (465)

•Patients (138)

Setting of Care

•Hospitals (770)

•Psychiatric Facilities (13)

•Residential Facilities (35)

•Ambulatory Care (285)

•Outpatient Surgery (22)

•Patient Transport (17)

1 - 20 of 1473

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PRESS RELEASE/ANNOUNCEMENT

Promethazine HCl (marketed as Phenergan) Information.

FDA Alert [US Food and Drug Administration Web site]. April 25, 2006.

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.

PRESS RELEASE/ANNOUNCEMENT

Relenza (zanamivir) inhalation powder.

MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; October 9, 2009.

PRESS RELEASE/ANNOUNCEMENT

Information for healthcare professionals: risk of transmission of blood-borne pathogens from shared use of insulin pens.

FDA Alert [US Food and Drug Administration Web site]. March 19, 2009.

PRESS RELEASE/ANNOUNCEMENT

Kaletra (lopinavir/ritonavir) oral solution.

MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; August 13, 2007.

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.

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.

REVIEW

An international review of patient safety measures in radiotherapy practice.

Shafiq J, Barton M, Noble D, Lemer C, Donaldson LJ. Radiother Oncol. 2009;92:15-21.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2009;44:654-657.

STUDY

Implementing patient safety practices in small ambulatory care settings.

Schauberger CW, Larson P. Jt Comm J Qual Patient Saf. 2006;32:419-425.

COMMENTARY

Privacy Gone Awry.

Pauker SG, Pauker SP. AHRQ WebM&M [serial online]. May 2004.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2008;43:696–698.

COMMENTARY

Language Barrier

Flores G. AHRQ WebM&M [serial online]. April 2006.

NEWSPAPER/MAGAZINE ARTICLE

Program encourages reporting accidents waiting to happen: the Good Catch Awards.

McCook A. Anesthesiology News. Sept 2011;37:9.

COMMENTARY

Missed TB.

FitzGerald JM, Menzies D. AHRQ WebM&M [serial online]. May 2004.

NEWSPAPER/MAGAZINE ARTICLE

Considering insulin pens for routine hospital use? Consider this...

ISMP Medication Safety Alert! Acute Care Edition. May 8, 2008;13:1-3.

COMMENTARY

On the Other Hand

Henneman EA. AHRQ WebM&M [serial online]. May 2007.

NEWSPAPER/MAGAZINE ARTICLE

Misadministration of IV insulin associated with dose measurement and hyperkalemia treatment.

ISMP Medication Safety Alert! Acute Care Edition. August 11, 2011;16:1-3.

COMMENTARY

'My five moments for hand hygiene': a user-centred design approach to understand, train, monitor and report hand hygiene.

Sax H, Allegranzi B, Uçkay I, Larson E, Boyce J, Pittet D. J Hosp Infect. 2007;67:9-21.

PRESS RELEASE/ANNOUNCEMENT

FDA preliminary public health notification: update of information about Ralstonia spp. associated with Vapotherm Respiratory Gas Administration device.

Schultz DG. Rockville, MD: Center for Devices and Radiological Health, Food and Drug Administration; December 20, 2005.

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