AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (108)

•Diagnostic Errors (82)

•Identification Errors (81)

•Discontinuities, Gaps, and Hand-Off Problems (292)

•Fatigue and Sleep Deprivation (95)

•Medication Safety (701)

•Medical Complications (278)

•Nonsurgical Procedural Complications (50)

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Error Types

•Epidemiology of Errors and Adverse Events (514)

•Active Errors (498)

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Approach to Improving Safety

•Quality Improvement Strategies (545)

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Clinical Areas

•Allied Health Services (4)

Target Audience

•Health Care Providers (1529)

•Health Care Executives and Administrators (1638)

•Non-Health Care Professionals (730)

•Patients (268)

Setting of Care
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Hospitals

•General Hospitals (428)

•Children’s Hospitals (48)

•Specialty Hospitals (12)

1 - 20 of 2274

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STUDY

The epidemiology of prescribing errors: the potential impact of computerized prescriber order entry.

Bobb A, Gleason K, Husch M, Feinglass J, Yarnold PR, Noskin GA. Arch Intern Med. 2004;164:785-792.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2007;42:181–182.

STUDY

Preventable deaths: who, how often, and why?

Dubois RW, Brooke RH. Ann Intern Med. 1988;109:582-589.

STUDY

Potassium and phosphorus repletion in hospitalized patients: implications for clinical practice and the potential use of healthcare information technology to improve prescribing and patient safety.

Hemstreet BA, Stolpman N, Badesch DB, May SK, McCollum M. Curr Med Res Opin. 2006;22:2449-2455.

NEWSPAPER/MAGAZINE ARTICLE

Dose of technology helps Shands at UF avoid drug errors.

Chun D. Gainsville Sun. August 21, 2006.

NEWSPAPER/MAGAZINE ARTICLE

Death by handwriting.

Glabman M. Trustee. October 2005;58:29-32.

FACT SHEET/FAQS

Eliminating Dangerous Abbreviations, Acronyms and Symbols.

Medication Safety Issue Briefs, Series III. Health Forum. June 2005;79.

COMMENTARY classic

The wrong patient.

Chassin MR, Becher EC. Ann Intern Med. 2002;136:826-833.

STUDY

Excess dosing of antiplatelet and antithrombin agents in the treatment of non–ST-segment elevation acute coronary syndromes.

Alexander KP, Chen AY, Roe MT, et al; CRUSADE Investigators. JAMA. 2005;294:3108-3116.

NEWSPAPER/MAGAZINE ARTICLE

Rx for a better prescription. Hospital bans doctors from using confusing medical abbreviations.

Hall J. The Free Lance-Star. September 25, 2005.

COMMENTARY

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2010;45:282-287.

COMMENTARY

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2010;45:13-17.

SPECIAL OR THEME ISSUE

Special Issue: Patient Safety.

Ergonomics. 2006;49:439-630.

STUDY

Hospitalization and death associated with potentially inappropriate medication prescriptions among elderly nursing home residents.

Lau DT, Kasper JD, Potter DE, Lyles A, Bennett RG. Arch Intern Med. 2005;165:68-74.

STUDY

Who makes prescribing decisions in hospital inpatients? An observational study.

Ross S, Hamilton L, Ryan C, Bond C. Postgrad Med J. 2012;8:507-510.

COMMENTARY

Preparing your hospital for compliance with The Joint Commission's National Patient Safety Goals.

Murdaugh L, Jordin R. Hosp Pharm. 2008;43:728-733.

COMMENTARY

Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge.

Rodehaver C. Jt Comm J Qual Patient Saf. 2005;31:406-413.

STUDY

Concept and development of a discharge alert filter for abnormal laboratory values coupled with computerized provider order entry: a tool for quality improvement and hospital risk management.

Mathew G, Kho A, Dexter P, et al. J Patient Saf. 2012;8:69-75.

NEWSPAPER/MAGAZINE ARTICLE

Learning safe prescribing during post-take ward rounds.

Conroy-Smith E, Herring R, Caldwell G. Clin Teach. 2011;8:75-78.

ORGANIZATIONAL POLICY/GUIDELINES

ACOG Committee Opinion #546: tracking and reminder systems.

ACOG Committee on Patient Safety and Quality Improvement. Obstet Gynecol. 2012;120:1535-1537.

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