AHRQ Patient Safety Network

The Collection > General Hospitals

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Safety Target

•Device-related Complications (73)

•Diagnostic Errors (51)

•Identification Errors (57)

•Discontinuities, Gaps, and Hand-Off Problems (161)

•Fatigue and Sleep Deprivation (15)

•Medication Safety (392)

•Medical Complications (170)

•Nonsurgical Procedural Complications (45)

•Surgical Complications (316)

•Transfusion Complications (5)

•Psychological and Social Complications (42)

Origin/Sponsor

•Africa (2)

•Asia (26)

•Australia and New Zealand (46)

•Central and South America (8)

Resource Types

•Clinical Guideline (1)

•Journal Article (1069)

•Legislation/Regulation (5)

•Meeting/Conference (1)

•Newspaper/Magazine Article (55)

•Press Release/Announcement (4)

•Special or Theme Issue (13)

•Tools/Toolkit (1)

•Web Resource (8)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (486)

•Active Errors (287)

•Latent Errors (70)

•Near Miss (32)

Approach to Improving Safety

•Quality Improvement Strategies (285)

•Legal and Policy Approaches (51)

•Error Reporting and Analysis (322)

•Communication Improvement (321)

•Human Factors Engineering (225)

•Teamwork (151)

•Specialization of Care (108)

•Logistical Approaches (81)

•Culture of Safety (131)

•Technologic Approaches (223)

•Education and Training (225)

Clinical Areas

•Allied Health Services (2)

•Medicine (1058)

•Nursing (109)

•Pharmacy (114)

Target Audience

•Health Care Providers (895)

•Health Care Executives and Administrators (1032)

•Non-Health Care Professionals (427)

•Patients (33)

Setting of Care
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General Hospitals

•Intensive Care Units (226)

•Emergency Departments (178)

•Operating Room (327)

•Labor and Delivery (56)

1 - 20 of 1185

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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

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

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

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

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

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

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

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

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

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

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

Medication errors: how reliable are the severity ratings reported to the National Reporting and Learning System?

Williams SD, Ashcroft DM. Int J Qual Health Care. 2009;21:316-320.

STUDY

Accuracy of medication documentation in hospital discharge summaries: a retrospective analysis of medication transcription errors in manual and electronic discharge summaries.

Callen J, McIntosh J, Li J. Int J Med Inform. 2010;79:58-64.

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 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

Potential risk of medication discrepancies and reconciliation errors at admission and discharge from an inpatient medical service.

Climente-Martí M, García-Mañón ER, Artero-Mora AA, Jiménez-Torres NV. Ann Pharmacother. 2010;44:1747-1754.

NEWSPAPER/MAGAZINE ARTICLE

Following the patient journey to improve medicines management and reduce errors.

Crocker C. Nurs Times. 2009 Nov 24;105:12-15.

STUDY

Omitted and unjustified medications in the discharge summary.

Perren A, Previsdomini M, Cerutti B, Soldini D, Donghi D, Marone C. Qual Saf Health Care. 2009;18:205-208.

STUDY

Bedouch P, Allenet B, Grass A, et al. J Clin Pharm Ther. 2009;34:187-195.

STUDY

Early readmissions to the department of medicine as a screening tool for monitoring quality of care problems.

Balla U, Malnick S, Schattner A. Medicine (Baltimore). 2008;87:294-300.

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