AHRQ Patient Safety Network

The Collection > Hospitals

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Safety Target

•Device-related Complications (160)

•Diagnostic Errors (101)

•Identification Errors (85)

•Discontinuities, Gaps, and Hand-Off Problems (426)

•Fatigue and Sleep Deprivation (91)

•Medication Safety (1058)

•Medical Complications (475)

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Error Types

•Epidemiology of Errors and Adverse Events (793)

•Active Errors (493)

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Approach to Improving Safety

•Quality Improvement Strategies (765)

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Clinical Areas

•Allied Health Services (2)

Target Audience

•Health Care Providers (2218)

•Health Care Executives and Administrators (2431)

•Non-Health Care Professionals (1054)

•Patients (293)

Setting of Care
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Hospitals

•General Hospitals (901)

•Children’s Hospitals (125)

•Specialty Hospitals (60)

1 - 20 of 3141

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STUDY

ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2011.

Pedersen CA, Schneider PJ, Scheckelhoff DJ. Am J Health Syst Pharm. 2012;69:768-785.

STUDY

Design and implementation of an application and associated services to support interdisciplinary medication reconciliation efforts at an integrated healthcare delivery network.

Poon EG, Blumenfeld B, Hamann C, et al. J Am Med Inform Assoc. 2006;13:581-592.

COMMENTARY

Ordering of continuous renal replacement therapy in a computerized provider order entry system.

Oh SS, Sinclair-Pingel J, Feldott CC, Hargrove FR. Hosp Pharm. 2007;42:255–257.

BOOK/REPORT

Saving Lives, Saving Money: The Imperative for Computerized Physician Order Entry in Massachusetts Hospitals.

Adams M, Bates D, Coffman G, Everett W. Westborough, MA: Massachusetts Technology Collaborative and New England Healthcare Institute; 2008.

STUDY

Medication-error reporting and pharmacy resident experience during implementation of computerized prescriber order entry.

Weant KA, Cook AM, Armitstead JA. Am J Health Syst Pharm. 2007;64:526-530.

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

Adopting real-time surveillance dashboards as a component of an enterprisewide medication safety strategy.

Waitman LR, Phillips IE, McCoy AB, et al. Jt Comm J Qual Patient Saf. 2011;37:326-332.

NEWSPAPER/MAGAZINE ARTICLE

Mismatched prescribing and pharmacy templates for parenteral nutrition (PN) lead to data entry errors.

ISMP Medication Safety Alert! Acute Care Edition. June 28, 2012;17:1-3.

COMMENTARY

Implementation of a telepharmacy service to provide round-the-clock medication order review by pharmacists.

Wakefield DS, Ward MM, Loes JL, O'Brien J, Sperry L. Am J Health Syst Pharm. 2010;67:2052-2057.

STUDY

Intravenous infusion safety technology: return on investment.

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

NEWSPAPER/MAGAZINE ARTICLE

Heparin overdose in three infants revisits hospital error issues.

Phend C. MedPage Today. November 26, 2007.

STUDY

Utilising improvement science methods to optimise medication reconciliation.

White CM, Schoettker PJ, Conway PH, et al. BMJ Qual Saf. 2011;20:372-380.

ORGANIZATIONAL POLICY/GUIDELINES

Preventing errors relating to commonly used anticoagulants.

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

CLINICAL GUIDELINE

ASHP guidelines on preventing medication errors in hospitals.

American Society of Hospital Pharmacists. Am J Hosp Pharm. 1993:50:305-314.

NEWSPAPER/MAGAZINE ARTICLE

Point-of-care medication error prevention: best practices in action.

Swenson D. Patient Saf Qual Healthc. May/June 2007;4:18-25.

BOOK/REPORT

Committed to Safety: Ten Case Studies on Reducing Harm to Patients.

McCarthy D, Blumenthal D. New York, NY: The Commonwealth Fund; April 2006.

STUDY

Full implementation of computerized physician order entry and medication-related quality outcomes: a study of 3364 hospitals.

Yu FB, Menachemi N, Berner ES, Allison JJ, Weissman NW, Houston TK. Am J Med Qual. 2009;24:278-286.

NEWSPAPER/MAGAZINE ARTICLE

Medication errors: a year in review.

Institute for Safe Medication Practices. Pharmacy Practice News. October 2011:7-14.

STUDY

Impact of a pharmacotherapy alerting system on medication errors.

Natali BJ, Varkey AC, Garey KW, Liebl M. Am J Health Syst Pharm. 2013;70:48-52.

STUDY

Collaboration between pharmacists, physicians and nurse practitioners: a qualitative investigation of working relationships in the inpatient medical setting.

Makowsky MJ, Schindel TJ, Rosenthal M, Campbell K, Tsuyuki RT, Madill HM. J Interprof Care. 2009;23:169-84.

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