AHRQ Patient Safety Network

The Collection > Hospitals

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Safety Target

•Device-related Complications (167)

•Diagnostic Errors (109)

•Identification Errors (122)

•Discontinuities, Gaps, and Hand-Off Problems (434)

•Fatigue and Sleep Deprivation (110)

•Medication Safety (1065)

•Medical Complications (428)

•Nonsurgical Procedural Complications (82)

•Surgical Complications (500)

•Transfusion Complications (17)

•Psychological and Social Complications (111)

Origin/Sponsor

•Africa (2)

•Asia (56)

•Australia and New Zealand (84)

•Central and South America (9)

•Europe (340)

•North America (2868)

Resource Types

•Audiovisual (46)

•Award (22)

•Book/Report (139)

•Clinical Guideline (6)

•Journal Article (2503)

•Legislation/Regulation (46)

•Meeting/Conference (11)

•Newspaper/Magazine Article (505)

•Press Release/Announcement (9)

•Special or Theme Issue (22)

•Tools/Toolkit (45)

•Web Resource (56)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (842)

•Active Errors (556)

•Latent Errors (243)

•Near Miss (58)

Approach to Improving Safety

•Quality Improvement Strategies (836)

•Legal and Policy Approaches (338)

•Error Reporting and Analysis (944)

•Communication Improvement (807)

•Human Factors Engineering (449)

•Teamwork (267)

•Specialization of Care (303)

•Logistical Approaches (322)

•Culture of Safety (440)

•Technologic Approaches (646)

•Education and Training (665)

Clinical Areas

•Allied Health Services (5)

Target Audience

•Health Care Providers (2293)

•Health Care Executives and Administrators (2644)

•Non-Health Care Professionals (1109)

•Patients (391)

Setting of Care
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Hospitals

•General Hospitals (1167)

•Children’s Hospitals (130)

•Specialty Hospitals (54)

1 - 20 of 3412

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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

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

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

Errors associated with medications removed from automated dispensing machines using override functions.

Kester K, Baxter J, Freudenthal K. Hosp Pharm. 2006;41:535-537.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2009;44:730-733.

NEWSPAPER/MAGAZINE ARTICLE

Medication errors: a year in review.

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

STUDY

ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2008.

Pedersen CA, Schneider P, Scheckelhoff DJ. Am J Health Syst Pharm. 2009;66:926-946.

COMMENTARY

ISMP medication error report analysis.

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

STUDY

Medication safety program reduces adverse drug events in a community hospital.

Cohen MM, Kimmel NL, Benage MK, et al. Qual Saf Health Care. 2005;14:169-174.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2009;44:463-464.

STUDY

Severity of medication administration errors detected by a bar-code medication administration system.

Sakowski J, Newman JM, Dozier K. Am J Health Syst Pharm. 2008;65:1661-1666.

NEWSPAPER/MAGAZINE ARTICLE

What pilots can teach hospitals about patient safety.

Murphy K. New York Times. October 31, 2006:F5.

COMMENTARY

Citrate Mix-Up

Weber RJ. AHRQ WebM&M [serial online]. May 2006.

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.

NEWSPAPER/MAGAZINE ARTICLE

Medication errors associated with documented allergies.

PA-PSRS Patient Saf Advis. September 2008;5:75-80.

ORGANIZATIONAL POLICY/GUIDELINES

Preventing errors relating to commonly used anticoagulants.

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

STUDY

The impact of a closed-loop electronic prescribing and administration system on prescribing errors, administration errors and staff time: a before-and-after study.

Franklin BD, O'Grady K, Donyai P, Jacklin A, Barber N. Qual Saf Health Care. 2007;16:279-284.

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

High rates of adverse drug events in a highly computerized hospital.

Nebeker JR, Hoffman JM, Weir CR, Bennett CL, Hurdle JF. Arch Intern Med. 2005;165:1111-1116.

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.

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