AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (156)

•Diagnostic Errors (108)

•Identification Errors (91)

•Discontinuities, Gaps, and Hand-Off Problems (419)

•Fatigue and Sleep Deprivation (101)

•Medication Safety (1017)

•Medical Complications (467)

•Nonsurgical Procedural Complications (75)

•Surgical Complications (372)

•Transfusion Complications (20)

•Psychological and Social Complications (103)

Origin/Sponsor

•Africa (5)

•Asia (40)

•Australia and New Zealand (83)

•Central and South America (6)

•Europe (311)

•North America (2788)

Resource Types

•Audiovisual (38)

•Award (22)

•Book/Report (183)

•Clinical Guideline (6)

•Journal Article (2397)

•Legislation/Regulation (41)

•Meeting/Conference (10)

•Newspaper/Magazine Article (429)

•Press Release/Announcement (12)

•Special or Theme Issue (37)

•Tools/Toolkit (47)

•Web Resource (68)

•Grant (3)

Error Types

•Epidemiology of Errors and Adverse Events (851)

•Active Errors (475)

•Latent Errors (241)

•Near Miss (52)

Approach to Improving Safety

•Quality Improvement Strategies (818)

•Legal and Policy Approaches (347)

•Error Reporting and Analysis (981)

•Communication Improvement (749)

•Human Factors Engineering (401)

•Teamwork (257)

•Specialization of Care (309)

•Logistical Approaches (297)

•Culture of Safety (470)

•Technologic Approaches (625)

•Education and Training (602)

Clinical Areas

•Allied Health Services (3)

•Medicine (2429)

•Nursing (295)

•Pharmacy (383)

Target Audience

•Health Care Providers (2230)

•Health Care Executives and Administrators (2615)

•Non-Health Care Professionals (1172)

•Patients (296)

Setting of Care
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Hospitals

•General Hospitals (909)

•Children’s Hospitals (130)

•Specialty Hospitals (62)

1 - 20 of 3293

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NEWSPAPER/MAGAZINE ARTICLE

Medication errors: when pharmacy is closed.

PA-PSRS Patient Saf Advis. March 2012;9:11-17.

STUDY

Using a bar-coded medication administration system to prevent medication errors in a community hospital network.

Sakowski J, Leonard T, Colburn S, et al. Am J Health Syst Pharm. 2005;62:2619-2625.

STUDY

Patients' concerns about medical errors during hospitalization.

Burroughs TE, Waterman AD, Gallagher TH, et al. Jt Comm J Qual Patient Saf. 2007;33:5-14.

STUDY

Supratherapeutic dosing of acetaminophen among hospitalized patients.

Zhou L, Maviglia SM, Mahoney LM, et al. Arch Intern Med. 2012;172:1721-1728.

STUDY

Intravenous infusion safety technology: return on investment.

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

STUDY

Smartphone use during inpatient attending rounds: prevalence, patterns and potential for distraction.

Katz-Sidlow RJ, Ludwig A, Miller S, Sidlow R. J Hosp Med. 2012;7:595-599.

BOOK/REPORT

HealthGrades Quality Study: Third Annual Patient Safety in American Hospitals Study.

Golden, CO: Health Grades, Inc.; April 2006.

TOOLKIT

Making Strides in Safety.

Chicago, IL: American Medical Association.

NEWSPAPER/MAGAZINE ARTICLE

How business intelligence can improve patient safety.

Wanless S, McManaway J. Business Intelligence Network. August 30, 2005.

NEWSPAPER/MAGAZINE ARTICLE

How we cut drug errors.

Nicol N, Huminski L. Mod Healthc. August 28, 2006;36:38.

NEWSPAPER/MAGAZINE ARTICLE

Medication reconciliation only as good as the IT allows.

Page D. Hosp Health Networks. March 2011.

AWARD RECIPIENT

Hospitals win safety award for simple changes.

Sipkoff M. Drug Topics (Health-System Edition). January 22, 2007.

MEASUREMENT TOOL/INDICATOR

2011 ISMP Medication Safety Self Assessment for Hospitals.

Horsham, PA: Institute for Safe Medication Practices; April 2011.

REVIEW

The benefits of health information technology: a review of the recent literature shows predominantly positive results.

Buntin MB, Burke MF, Hoaglin MC, Blumenthal D. Health Aff (Millwood). 2011;30:464-471.

STUDY

Cost implications of actual and potential adverse events prevented by interventions of a critical care pharmacist.

Kopp BJ, Mrsan M, Erstad BL, Duby JJ. Am J Health Syst Pharm. 2007;64:2483-2487.

BOOK/REPORT

Achieving an Exceptional Patient and Family Experience of Inpatient Hospital Care.

Balik B, Conway J, Zipperer L, Watson J. Cambridge, MA: Institute for Healthcare Improvement; 2011.

STUDY

Clinical pharmacy interventions in paediatric electronic prescriptions.

Maat B, Au YS, Bollen CW, van Vught AJ, Egberts TC, Rademaker CM. Arch Dis Child. 2013;98:222-227.

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.

BOOK/REPORT

Patient Safety in Canada: An Update.

Ottawa, ON, Canada: Canadian Institute for Health Information; August 14, 2007.

BOOK/REPORT

Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2009.

Oakbrook Terrace, IL: The Joint Commission; January 2010.

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