AHRQ Patient Safety Network

The Collection > General Hospitals

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Safety Target

•Device-related Complications (70)

•Diagnostic Errors (39)

•Identification Errors (64)

•Discontinuities, Gaps, and Hand-Off Problems (158)

•Fatigue and Sleep Deprivation (27)

•Medication Safety (378)

•Medical Complications (157)

•Nonsurgical Procedural Complications (41)

•Surgical Complications (318)

•Transfusion Complications (3)

•Psychological and Social Complications (36)

Origin/Sponsor

•Africa (1)

•Asia (28)

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Resource Types

•Clinical Guideline (1)

•Journal Article (1023)

•Legislation/Regulation (8)

•Meeting/Conference (1)

•Newspaper/Magazine Article (92)

•Press Release/Announcement (1)

•Special or Theme Issue (12)

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Error Types

•Epidemiology of Errors and Adverse Events (497)

•Active Errors (274)

•Latent Errors (52)

•Near Miss (32)

Approach to Improving Safety

•Quality Improvement Strategies (267)

•Legal and Policy Approaches (64)

•Error Reporting and Analysis (328)

•Communication Improvement (302)

•Human Factors Engineering (192)

•Teamwork (138)

•Specialization of Care (111)

•Logistical Approaches (95)

•Culture of Safety (139)

•Technologic Approaches (227)

•Education and Training (231)

Clinical Areas

•Allied Health Services (1)

•Medicine (1029)

•Nursing (124)

•Pharmacy (109)

Target Audience

•Health Care Providers (813)

•Health Care Executives and Administrators (1018)

•Non-Health Care Professionals (405)

•Patients (64)

Setting of Care
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General Hospitals

•Intensive Care Units (213)

•Emergency Departments (171)

•Operating Room (322)

•Labor and Delivery (56)

1 - 20 of 1173

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STUDY

Medicines reconciliation using a shared electronic health care record.

Moore P, Armitage G, Wright J, Dobrzanski S, Ansari N, Hammond I, Scally A. J Patient Saf. 2011;7:147-153.

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.

STUDY

Does user-centred design affect the efficiency, usability and safety of CPOE order sets?

Chan J, Shojania KG, Easty AC, Etchells EE. J Am Med Inform Assoc. 2011;18:276-281.

STUDY

Electronic health records and adverse drug events after patient transfer.

Boockvar KS, Livote EE, Goldstein N, Nebeker JR, Siu A, Fried T. Qual Saf Health Care. 2010;19:e16.

STUDY

Reducing medication errors and improving systems reliability using an electronic medication reconciliation system.

Agrawal A, Wu WY. Jt Comm J Qual Patient Saf. 2009;35:106-114.

STUDY

Medication errors resulting from computer entry by nonprescribers.

Santell JP, Kowiatek JG, Weber RJ, Hicks RW, Sirio CA. Am J Health Syst Pharm. 2009;66:843-853.

STUDY

Results of the Medications At Transitions and Clinical Handoffs (MATCH) study: an analysis of medication reconciliation errors and risk factors at hospital admission.

Gleason KM, McDaniel MR, Feinglass J, et al. J Gen Intern Med. 2010;25:441-447.

COMMENTARY

Medication reconciliation in a community, nonteaching hospital.

Wortman SB. Am J Health Syst Pharm. 2008;65:2047-2054.

STUDY

Discrepancies between home medications listed at hospital admission and reported medical conditions.

Slain D, Kincaid SE, Dunsworth TS. Am J Geriatr Pharmacother. 2008;6:161-166.

STUDY

Can an electronic prescribing system detect doctors who are more likely to make a serious prescribing error?

Coleman JJ, Hemming K, Nightingale PG, et al. J R Soc Med. 2011;104:208-218.

STUDY

Evaluation of causes and frequency of medication errors during information technology downtime.

Hanuscak TL, Szeinbach SL, Seoane-Vazquez E, Reichert BJ, McCluskey CF. Am J Health Syst Pharm. 2009;66:1119-1124.

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

Predictive value of alert triggers for identification of developing adverse drug events.

Moore C, Li J, Hung CC, Downs J, Nebeker JR. J Patient Saf. 2009;5:223-228.

STUDY

Medication-error alerts for warfarin orders detected by a bar-code-assisted medication administration system.

Fitzhenry F, Doran J, Lobo B, et al. Am J Health Syst Pharm. 2011;68:434-441.

STUDY

Pharmacists' interventions in prescribing errors at hospital discharge: an observational study in the context of an electronic prescribing system in a UK teaching hospital.

Abdel-Qader DH, Harper L, Cantrill JA, Tully MP. Drug Saf. 2010;33:1027-1044.

STUDY

Does the implementation of an electronic prescribing system create unintended medication errors? A study of the sociotechnical context through the analysis of reported medication incidents.

Redwood S, Rajakumar A, Hodson J, Coleman JJ. BMC Med Inform Decis Mak. 2011;11:29.

STUDY

Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study.

Walker PC, Bernstein SJ, Tucker Jones JN, et al. Arch Intern Med. 2009;169:2003-2010.

STUDY

High incidence of medication documentation errors in a Swiss university hospital due to the handwritten prescription process.

Hartel MJ, Staub LP, Röder C, Eggli S. BMC Health Serv Res. 2011;11:199.

STUDY

Assessment of a safety enhancement to the hospital medication reconciliation process for elderly patients.

Gizzi LA, Slain D, Hare JT, Sager R, Briggs F 3rd, Palmer CH. Am J Geriatr Pharmacother. 2010;8:127-135.

STUDY

Quality-monitoring program for bar-code–assisted medication administration.

Mims E, Tucker C, Carlson R, Schneider R, Bagby J. Am J Health Syst Pharm. 2009;66:1125-1131.

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