AHRQ Patient Safety Network

The Collection > General Hospitals

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Safety Target

•Device-related Complications (38)

•Diagnostic Errors (11)

•Identification Errors (29)

•Discontinuities, Gaps, and Hand-Off Problems (84)

•Fatigue and Sleep Deprivation (25)

•Medication Safety (261)

•Medical Complications (85)

•Nonsurgical Procedural Complications (17)

•Surgical Complications (103)

•Psychological and Social Complications (21)

Origin/Sponsor

•Asia (10)

•Australia and New Zealand (13)

•Central and South America (2)

Resource Types

•Journal Article (547)

•Legislation/Regulation (4)

•Newspaper/Magazine Article (68)

•Special or Theme Issue (6)

•Tools/Toolkit (2)

•Web Resource (7)

Error Types

•Epidemiology of Errors and Adverse Events (187)

•Active Errors (122)

•Latent Errors (28)

•Near Miss (15)

Approach to Improving Safety

•Quality Improvement Strategies (163)

•Legal and Policy Approaches (48)

•Error Reporting and Analysis (160)

•Communication Improvement (148)

•Human Factors Engineering (80)

•Teamwork (64)

•Specialization of Care (76)

•Logistical Approaches (77)

•Culture of Safety (90)

•Technologic Approaches (206)

•Education and Training (124)

Clinical Areas

•Allied Health Services (2)

•Medicine (530)

•Nursing (77)

•Pharmacy (100)

Target Audience

•Health Care Providers (440)

•Health Care Executives and Administrators (570)

•Non-Health Care Professionals (300)

•Patients (50)

Setting of Care
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General Hospitals

•Intensive Care Units (98)

•Emergency Departments (70)

•Operating Room (96)

•Labor and Delivery (28)

1 - 20 of 652

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STUDY

Effect of bar-code technology on the safety of medication administration.

Poon EG, Keohane CA, Yoon CS, et al. N Engl J Med. 2010;362:1698-1707.

COMMENTARY classic

Computerization can create safety hazards: a bar-coding near miss.

McDonald CJ. Ann Intern Med. 2006;144:510-516.

STUDY

Early cost and safety benefits of an inpatient electronic health record.

Zlabek JA, Wickus JW, Mathiason MA. J Am Med Inform Assoc. 2011;18:169-172.

STUDY

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

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

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.

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.

STUDY

Prevalence of medication administration errors in two medical units with automated prescription and dispensing.

Rodriguez-Gonzalez CG, Herranz-Alonso A, Martin-Barbero ML, et al. J Am Med Inform Assoc. 2012;19:72-78.

STUDY

Physicians' beliefs about using EMR and CPOE: in pursuit of a contextualized understanding of health IT use behavior.

Holden RJ. Int J Med Inform. 2010;79:71-80.

STUDY

Assessing the anticipated consequences of computer-based provider order entry at three community hospitals using an open-ended, semi-structured survey instrument.

Sittig DF, Ash JS, Guappone KP, Campbell EM, Dykstra RH. Int J Med Inform. 2008;77:440-447.

STUDY

Effect of bar-code–assisted medication administration on medication administration errors and accuracy in multiple patient care areas.

Helmons PJ, Wargel LN, Daniels CE. Am J Health Syst Pharm. 2009;66:1202-1210.

STUDY

Nurses' satisfaction with medication administration point-of-care technology.

Hurley AC, Bane A, Fotakis S, et al. J Nurs Adm. 2007;37:343-349.

STUDY

Early adopters of computerized physician order entry in hospitals that care for children: a picture of US health care shortly after the Institute of Medicine reports on quality.

Teufel RJ 2nd, Swanson Kazley A, Basco WT Jr. Clin Pediatr (Phila). 2009;48:389-396.

STUDY

The use of a CPOE log for the analysis of physicians' behavior when responding to drug-duplication reminders.

Long A-J, Chang P, Li Y-C, Chiu W-T. Int J Med Inform. 2008;77:499-506.

STUDY

Assessing the accuracy of drug profiles in an electronic medical record system of a Washington State hospital.

Platte B, Akinci F, Güç Y. Am J Manag Care. 2010;16:e245-e250.

STUDY

The long road to patient safety: a status report on patient safety systems.

Longo DR, Hewett JE, Ge B, Schubert S. JAMA. 2005;294:2858-2865.

STUDY

Bar code medication administration technology: characterization of high-alert medication triggers and clinician workarounds.

Miller DF, Fortier CR, Garrison KL. Ann Pharmacother. 2011;45:162-168.

COMMENTARY

ISMP medication error report analysis.

Smetzer JL, Cohen MR. Hosp Pharm. 2008;43;788-792.

NEWSPAPER/MAGAZINE ARTICLE

Bringing patient safety technology to the bedside.

Health Management Technology. August 2005;26:24,26-27.

STUDY

Evaluating clinical decision support systems: monitoring CPOE order check override rates in the Department of Veterans Affairs' computerized patient record system.

Lin C-P, Payne TH, Nichol WP, et al. J Am Med Inform Assoc. 2008;15:620-626.

STUDY

Improving insulin distribution and administration safety using Lean Six Sigma methodologies.

Yamamoto J, Abraham D, Malatestinic B. Hosp Pharm. 2010;45:212-224.

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