AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (157)

•Diagnostic Errors (77)

•Identification Errors (97)

•Discontinuities, Gaps, and Hand-Off Problems (401)

•Fatigue and Sleep Deprivation (91)

•Medication Safety (944)

•Medical Complications (413)

•Nonsurgical Procedural Complications (73)

•Surgical Complications (369)

•Transfusion Complications (18)

•Psychological and Social Complications (102)

Origin/Sponsor

•Africa (1)

•Asia (50)

•Australia and New Zealand (73)

•Central and South America (7)

•Europe (269)

•North America (2620)

Resource Types

•Audiovisual (33)

•Award (18)

•Book/Report (122)

•Clinical Guideline (7)

•Journal Article (2287)

•Legislation/Regulation (38)

•Meeting/Conference (10)

•Newspaper/Magazine Article (419)

•Press Release/Announcement (9)

•Special or Theme Issue (27)

•Tools/Toolkit (39)

•Web Resource (42)

•Grant (3)

Error Types

•Epidemiology of Errors and Adverse Events (733)

•Active Errors (468)

•Latent Errors (228)

•Near Miss (54)

Approach to Improving Safety

•Quality Improvement Strategies (736)

•Legal and Policy Approaches (272)

•Error Reporting and Analysis (802)

•Communication Improvement (712)

•Human Factors Engineering (482)

•Teamwork (264)

•Specialization of Care (258)

•Logistical Approaches (336)

•Culture of Safety (412)

•Technologic Approaches (617)

•Education and Training (577)

Clinical Areas

•Allied Health Services (5)

•Medicine (2202)

•Nursing (454)

•Pharmacy (357)

Target Audience

•Health Care Providers (2033)

•Health Care Executives and Administrators (2492)

•Non-Health Care Professionals (1102)

•Patients (246)

Setting of Care
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Hospitals

•General Hospitals (913)

•Children’s Hospitals (102)

•Specialty Hospitals (47)

1 - 20 of 3054

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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

Empowering frontline nurses: a structured intervention enables nurses to improve medication administration accuracy.

Kliger J, Blegen MA, Gootee D, O'Neil E. Jt Comm J Qual Patient Saf. 2009;35:604-612.

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

Guidelines for timely medication administration: response to the CMS "30-minute rule."

ISMP Medication Safety Alert! Acute Care Edition. January 13, 2011;16:1-4.

STUDY

Nurses' clinical reasoning: processes and practices of medication safety.

Dickson GL, Flynn L. Qual Health Res. 2012;22:3-16.

STUDY

Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station.

Colligan L, Guerlain S, Steck SE, Hoke TR. BMJ Qual Saf. 2012;21:939-947.

STUDY

Nursing care quality and adverse events in US hospitals.

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

STUDY

Medication Administration Time Study (MATS): nursing staff performance of medication administration.

Elganzouri ES, Standish CA, Androwich I. J Nurs Adm. 2009;39:204-210.

STUDY

Adverse drug events in hospitalized cardiac patients.

Fanikos J, Cina JL, Baroletti S, Fiumara K, Matta L, Goldhaber SZ. Am J Cardiol. 2007;100:1465-1469.

STUDY

Reducing interruptions to improve medication safety.

Freeman R, McKee S, Lee-Lehner B, Pesenecker J. J Nurs Care Qual. 2013;28:176-185.

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.

STUDY

Bar code medication administration technology: characterization of high-alert medication triggers and clinician workarounds.

Miller DF, Fortier CR, Garrison KL. Ann Pharmacother. 2011;45:162-168.

REVIEW

Medication administration technologies and patient safety: a mixed-method systematic review.

Wulff K, Cummings GG, Marck P, Yurtseven O. J Adv Nurs. 2011;67:2080-2095.

COMMENTARY

CPOE: strategies for success.

Manor PJ. Nurs Manage. 2010;41:18-20.

COMMENTARY

Medication room madness: calming the chaos.

Conrad C, Fields W, McNamara T, Cone M. J Nurs Care Qual. 2009;25:137-144.

NEWSPAPER/MAGAZINE ARTICLE

Don't underestimate the impact of change on risk potential.

ISMP Medication Safety Alert! Acute Care Edition. September 11, 2008;13:1-3.

STUDY

Nurses relate the contributing factors involved in medication errors.

Tang FI, Sheu SJ, Yu S, Wei IL, Chen CH. J Clin Nurs. 2007;16:447-457.

STUDY

Nurses' practice environments, error interception practices, and inpatient medication errors.

Flynn L, Liang Y, Dickson GL, Xie M, Suh DC. J Nurs Scholarsh. 2012;44:180-186.

STUDY

Work-arounds and artifacts during transition to a computer physician order entry: what they are and what they mean.

Schoville RR. J Nurs Care Qual. 2009;24:316-324.

STUDY

Comparing errors in ED computer-assisted vs conventional pediatric drug dosing and administration.

Yamamoto L, Kanemori J. Am J Emerg Med. 2010;28:588-592.

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