AHRQ Patient Safety Network

The Collection > Hospitals

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Safety Target

•Device-related Complications (139)

•Diagnostic Errors (91)

•Identification Errors (89)

•Discontinuities, Gaps, and Hand-Off Problems (408)

•Fatigue and Sleep Deprivation (111)

•Medication Safety (982)

•Medical Complications (387)

•Nonsurgical Procedural Complications (60)

•Surgical Complications (339)

•Transfusion Complications (15)

•Psychological and Social Complications (110)

Origin/Sponsor

•Africa (3)

•Asia (50)

•Australia and New Zealand (76)

•Central and South America (3)

•Europe (259)

•North America (2637)

Resource Types

•Audiovisual (39)

•Award (21)

•Book/Report (164)

•Clinical Guideline (4)

•Journal Article (2240)

•Legislation/Regulation (43)

•Meeting/Conference (12)

•Newspaper/Magazine Article (436)

•Press Release/Announcement (10)

•Special or Theme Issue (29)

•Tools/Toolkit (42)

•Web Resource (63)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (729)

•Active Errors (421)

•Latent Errors (216)

•Near Miss (53)

Approach to Improving Safety

•Quality Improvement Strategies (743)

•Legal and Policy Approaches (338)

•Error Reporting and Analysis (851)

•Communication Improvement (704)

•Human Factors Engineering (367)

•Teamwork (236)

•Specialization of Care (268)

•Logistical Approaches (321)

•Culture of Safety (436)

•Technologic Approaches (636)

•Education and Training (578)

Clinical Areas

•Allied Health Services (5)

•Medicine (2192)

•Nursing (423)

•Pharmacy (377)

Target Audience

•Health Care Providers (2082)

•Health Care Executives and Administrators (2423)

•Non-Health Care Professionals (1112)

•Patients (289)

Setting of Care
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Hospitals

•General Hospitals (815)

•Children’s Hospitals (106)

•Specialty Hospitals (40)

1 - 20 of 3104

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COMMENTARY

Preventing medication errors in hospitals through a systems approach and technological innovation: a prescription for 2010.

Crane J, Crane FG. Hosp Top. Fall 2006;84:3-8.

NEWSPAPER/MAGAZINE ARTICLE

Scanner beep only means the barcode has been scanned.

ISMP Medication Safety Alert! Acute Care Edition. June 30, 2011;16:1-2.

NEWSPAPER/MAGAZINE ARTICLE

Barcode technology flaws put some patients at risk.

US News & World Report. July 3, 2008.

NEWSPAPER/MAGAZINE ARTICLE

An extra dose of safety.

Health Manage Techol. April 2007;28:30-32, 34.

STUDY

Effectiveness of a pharmacist–nurse intervention on resolving medication discrepancies for patients transitioning from hospital to home health care.

Setter SM, Corbett CF, Neumiller JJ, Gates BJ, Sclar DA, Sonnett TE. Am J Health Syst Pharm. 2009;66:2027-2031.

COMMENTARY

Best-practice protocols: Preventing adverse drug events.

Weir VL. Nurs Manage. 2005;36:24-30.

STUDY

Bar-code technology for medication administration: medication errors and nurse satisfaction.

Fowler SB, Sohler P, Zarillo DF. MedSurg Nursing. 2009;18:103-110.

NEWSPAPER/MAGAZINE ARTICLE

Practitioners agree on medication reconciliation value, but frustration and difficulties abound.

ISMP Medication Safety Alert! Acute Care Edition. July 13, 2006;11:1-2.

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

The impact of safety organizing, trusted leadership, and care pathways on reported medication errors in hospital nursing units.

Vogus TJ, Sutcliffe KM. Med Care. 2007;45:997-1002.

COMMENTARY

Improving heparin safety: a multidisciplinary invited conference.

Peterson C, Ham CW, Vanderveen T. Hosp Pharm. 2008;43:491-497.

STUDY

Intravenous infusion safety technology: return on investment.

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

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

Design for reliability: barcoded medication administration.

Hayden AC, Lanoue ET, Still CJ. Patient Saf Qual Healthc. July/August 2011;8:12-20.

NEWSPAPER/MAGAZINE ARTICLE

The enterprise take on patient safety.

Rogoski RR. Health Manage Technol. August 2005;26:12,14,16,18.

NEWSPAPER/MAGAZINE ARTICLE

The 'second victims' of medication errors begin to gain support.

Blum K. Pharm Pract News. November 2011.

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.

STUDY

Effects of an automatic drug dispensing system on medication adverse event occurrences and cost containment at SAMSO.

Dib JG, Abdulmohsin SA, Farooki MU, et al. Hosp Pharm. 2006;41:1180-1184.

STUDY

Implementation of medication error reporting through Med Safe Tool: the clinical pharmacists and the inpatient nursing staff collaborative approach.

Elnour AA, Ellahham NH, Al Qassas HI. J Patient Saf. 2007;3:177-183.

NEWSPAPER/MAGAZINE ARTICLE

CPOE: it don't come easy.

Anderson HJ. Health Data Manag. January 1, 2009;17:18.

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