AHRQ Patient Safety Network

The Collection > General Hospitals

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Safety Target

•Device-related Complications (61)

•Diagnostic Errors (46)

•Identification Errors (49)

•Discontinuities, Gaps, and Hand-Off Problems (212)

•Fatigue and Sleep Deprivation (20)

•Medication Safety (374)

•Medical Complications (159)

•Nonsurgical Procedural Complications (37)

•Surgical Complications (287)

•Transfusion Complications (4)

•Psychological and Social Complications (35)

Origin/Sponsor

•Africa (2)

•Asia (26)

•Australia and New Zealand (47)

•Central and South America (8)

Resource Types

•Clinical Guideline (1)

•Journal Article (1017)

•Legislation/Regulation (5)

•Meeting/Conference (1)

•Newspaper/Magazine Article (47)

•Press Release/Announcement (4)

•Special or Theme Issue (12)

•Tools/Toolkit (2)

•Web Resource (6)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (482)

•Active Errors (232)

•Latent Errors (66)

•Near Miss (28)

Approach to Improving Safety

•Quality Improvement Strategies (278)

•Legal and Policy Approaches (43)

•Error Reporting and Analysis (305)

•Communication Improvement (320)

•Human Factors Engineering (198)

•Teamwork (141)

•Specialization of Care (109)

•Logistical Approaches (86)

•Culture of Safety (126)

•Technologic Approaches (216)

•Education and Training (210)

Clinical Areas

•Allied Health Services (1)

•Medicine (989)

•Nursing (103)

•Pharmacy (115)

Target Audience

•Health Care Providers (856)

•Health Care Executives and Administrators (1001)

•Non-Health Care Professionals (394)

•Patients (22)

Setting of Care
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General Hospitals

•Intensive Care Units (208)

•Emergency Departments (180)

•Operating Room (298)

•Labor and Delivery (48)

1 - 20 of 1118

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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 admission medication reconciliation on adverse drug events from admission medication changes.

Boockvar KS, Blum S, Kugler A, et al. Arch Intern Med. 2011;171:860-861.

STUDY

Medication errors with electronic prescribing (eP): two views of the same picture.

Savage I, Cornford T, Klecun E, Barber N, Clifford S, Franklin BD. BMC Health Serv Res. 2010;10:135.

STUDY

Medication details documented on hospital discharge: cross-sectional observational study of factors associated with medication non-reconciliation.

Grimes TC, Duggan CA, Delaney TP, et al. Br J Clin Pharmacol. 2011;71:449-457.

STUDY

The Veterans Affairs shift change physician-to-physician handoff project.

Anderson J, Shroff D, Curtis A, et al. Jt Comm J Qual Patient Saf. 2010;36:62-71.

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

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

Comparison of methods for identifying patients at risk of medication-related harm.

van Doormaal JE, Rommers MK, Kosterink JGW, Teepe-Twiss IM, Haaijer-Ruskamp FM, Mol PGM. Qual Saf Health Care. 2010;19:e26.

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

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

Adverse drug event rates in six community hospitals and the potential impact of computerized physician order entry for prevention.

Hug BL, Witkowski DJ, Sox CM, et al. J Gen Intern Med. 2010;25:31-38.

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

Effect of an electronic medication reconciliation application and process redesign on potential adverse drug events: a cluster-randomized trial.

Schnipper JL, Hamann C, Ndumele CD, et al. Arch Intern Med. 2009;169:771-780.

COMMENTARY

Medication reconciliation in a community, nonteaching hospital.

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

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.

STUDY

Medication reconciliation performed by pharmacy technicians at the time of preoperative screening.

van den Bemt PM, van den Broek S, van Nunen AK, Harbers JB, Lenderink AW. Ann Pharmacother. 2009;43:868-874.

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

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

Incidence of potentially avoidable urgent readmissions and their relation to all-cause urgent readmissions.

van Walraven C, Jennings A, Taljaard M, et al. CMAJ. 2011;183:E1067-E1072.

STUDY

Safety of using a computerized rounding and sign-out system to reduce resident duty hours.

Van Eaton EG, McDonough K, Lober WB, Johnson EA, Pellegrini CA, Horvath KD. Acad Med. 2010;85:1189-1195.

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