AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (164)

•Diagnostic Errors (117)

•Identification Errors (100)

•Discontinuities, Gaps, and Hand-Off Problems (442)

•Fatigue and Sleep Deprivation (102)

•Medication Safety (980)

•Medical Complications (478)

•Nonsurgical Procedural Complications (77)

•Surgical Complications (375)

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•Audiovisual (41)

•Award (22)

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•Tools/Toolkit (48)

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Error Types

•Epidemiology of Errors and Adverse Events (813)

•Active Errors (518)

•Latent Errors (262)

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Approach to Improving Safety

•Quality Improvement Strategies (837)

•Legal and Policy Approaches (358)

•Error Reporting and Analysis (922)

•Communication Improvement (788)

•Human Factors Engineering (483)

•Teamwork (277)

•Specialization of Care (308)

•Logistical Approaches (304)

•Culture of Safety (491)

•Technologic Approaches (631)

•Education and Training (649)

Clinical Areas

•Allied Health Services (3)

Target Audience

•Health Care Providers (2258)

•Health Care Executives and Administrators (2671)

•Non-Health Care Professionals (1224)

•Patients (305)

Setting of Care
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Hospitals

•General Hospitals (932)

•Children’s Hospitals (121)

•Specialty Hospitals (61)

1 - 20 of 3366

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STUDY

Impact of electronic prescribing in a hospital setting: a process-focused evaluation.

Cunningham TR, Geller ES, Clarke SW. Int J Med Inform. 2008;77:546-554.

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.

STUDY

Using Lean to improve medication administration safety: in search of the "perfect dose."

Ching JM, Long C, Williams BL, Blackmore CC. Jt Comm J Qual Patient Saf. 2013;39:195-204.

STUDY

Medication administration quality and health information technology: a national study of US hospitals.

Appari A, Carian EK, Johnson ME, Anthony DL. J Am Med Inform Assoc. 2012;19:360-367.

NEWSPAPER/MAGAZINE ARTICLE

Driving out errors, with mom in mind.

Weinstock M. Hosp Health Netw. April 2011.

NEWSPAPER/MAGAZINE ARTICLE

Anticoagulant safety practices call for pharmacist supervision.

Scott A. Drug Topics (Health-System Edition). November 10, 2008.

BOOK/REPORT

Safer Hospital Care: Strategies for Continuous Innovation.

Raheja D. New York, NY: Productivity Press; 2011. ISBN: 9781439821022.

STUDY

Failure to utilize functions of an electronic prescribing system and the subsequent generation of 'technically preventable' computerized alerts.

Baysari MT, Reckmann MH, Li L, Day RO, Westbrook JI. J Am Med Inform Assoc. 2012;19:1003-1010.

STUDY

Intravenous infusion safety technology: return on investment.

Danello SH, Maddox RR, Schaack GJ. Hosp Pharm. 2009;44:680-687, 696.

ORGANIZATIONAL POLICY/GUIDELINES

Preventing errors relating to commonly used anticoagulants.

Sentinel Event Alert. September 24, 2008;(41):1-4.

STUDY

Effects of two commercial electronic prescribing systems on prescribing error rates in hospital in-patients: a before and after study.

Westbrook JI, Reckmann M, Li L, et al. PLoS Med. 2012;9:e1001164.

NEWSPAPER/MAGAZINE ARTICLE

For all the right reasons.

Hagland M. Healthc Informatics. 2009;26:40-44.

TOOLKIT

Wristband Standardization Initiative.

Austin, TX: Texas Hospital Association; October 2008.

STUDY

Practically speaking: rethinking hand hygiene improvement programs in health care settings.

Son C, Chuck T, Childers T, et al. Am J Infect Control. 2011;39:716-724.

AWARD RECIPIENT

Announcing 2009 Leapfrog top hospitals.

Washington, DC: Leapfrog Group; December 4, 2009.

NEWSPAPER/MAGAZINE ARTICLE

Safe practice environment chapter proposed by USP.

ISMP Medication Safety Alert! Acute Care Edition. December 4, 2008;13:1-3.

REVIEW

Medication safety in acute care in Australia: where are we now? Part 2: a review of strategies and activities for improving medication safety 2002-2008.

Semple SJ, Roughead EE. Aust New Zealand Health Policy. 2009;6:24.

COMMENTARY

Implementation of computerized prescriber order entry in four academic medical centers.

Cooley TW, May D, Alwan M, Sue C. Am J Health Syst Pharm. 2012;69:2166-2173.

STUDY

Parenteral nutrition prescribing processes using computerized prescriber order entry: opportunities to improve safety.

Hilmas E, Peoples JD. JPEN J Parenter Enteral Nutr. 2012;36(suppl 2):32S-35S.

STUDY

A review of verbal order policies in acute care hospitals.

Wakefield DS, Wakefield BJ, Despins L, et al. Jt Comm J Qual Patient Saf. 2012;38:24-33.

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