AHRQ Patient Safety Network

The Collection > General Hospitals

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Safety Target

•Device-related Complications (60)

•Diagnostic Errors (23)

•Identification Errors (58)

•Discontinuities, Gaps, and Hand-Off Problems (140)

•Fatigue and Sleep Deprivation (25)

•Medication Safety (309)

•Medical Complications (128)

•Nonsurgical Procedural Complications (38)

•Surgical Complications (266)

•Transfusion Complications (3)

•Psychological and Social Complications (37)

Origin/Sponsor

•Asia (15)

•Australia and New Zealand (24)

•Central and South America (3)

Resource Types

•Clinical Guideline (3)

•Journal Article (888)

•Legislation/Regulation (11)

•Meeting/Conference (1)

•Newspaper/Magazine Article (70)

•Press Release/Announcement (1)

•Special or Theme Issue (9)

•Tools/Toolkit (5)

•Web Resource (11)

Error Types

•Epidemiology of Errors and Adverse Events (302)

•Active Errors (210)

•Latent Errors (49)

•Near Miss (25)

Approach to Improving Safety

•Quality Improvement Strategies (254)

•Legal and Policy Approaches (51)

•Error Reporting and Analysis (248)

•Communication Improvement (269)

•Human Factors Engineering (180)

•Teamwork (141)

•Specialization of Care (82)

•Logistical Approaches (99)

•Culture of Safety (137)

•Technologic Approaches (212)

•Education and Training (225)

Clinical Areas

•Allied Health Services (1)

•Medicine (866)

•Nursing (193)

•Pharmacy (76)

Target Audience

•Health Care Providers (770)

•Health Care Executives and Administrators (925)

•Non-Health Care Professionals (361)

•Patients (46)

Setting of Care
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General Hospitals

•Intensive Care Units (184)

•Emergency Departments (108)

•Operating Room (276)

•Labor and Delivery (54)

1 - 20 of 1018

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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.

NEWSPAPER/MAGAZINE ARTICLE

Scanning out medication errors: Ohio Valley Hospital's automated IV system provides real-time access to patient data.

Carbasho T. Pittsburgh Business Times. April 25, 2005.

STUDY

Medication Administration Time Study (MATS): nursing staff performance of medication administration.

Elganzouri ES, Standish CA, Androwich I. J Nurs Adm. 2009;39:204-210.

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

Clinical scenarios: enhancing the skill set of the nurse as a vigilant guardian.

Jacobson T, Belcher E, Sarr B, Riutta E, Ferrier JD, Botten MA. J Contin Educ Nurs. 2010;41:347-353.

STUDY

Why patient summaries in electronic health records do not provide the cognitive support necessary for nurses' handoffs on medical and surgical units: insights from interviews and observations.

Staggers N, Clark L, Blaz JW, Kapsandoy S. Health Informatics J. 2011;17:209-223.

STUDY

An examination of technical efficiency, quality, and patient safety in acute care nursing units.

Mark B, Jones C, Lindley L, Ozcan Y. Policy Polit Nurs Pract. 2009;10:180-186.

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

The content and context of change of shift report on medical and surgical units.

Staggers N, Jennings BM. J Nurs Adm. 2009;39:393-398.

STUDY

Hospital RNs' experiences with disruptive behavior: a qualitative study.

Walrath JM, Dang D, Nyberg D. J Nurs Care Qual. 2010;25:105-116.

STUDY

Association of interruptions with an increased risk and severity of medication administration errors.

Westbrook JI, Woods A, Rob MI, Dunsmuir WTM, Day RO. Arch Intern Med. 2010;170:683-690.

COMMENTARY

Communication in the perioperative setting.

Cvetic E. AORN J. 2011;94:261-270.

STUDY

Learning mechanisms to limit medication administration errors.

Drach-Zahavy A, Pud D. J Adv Nurs. 2010;66:794-805.

COMMENTARY

Condition concern: an innovative response system for enhancing hospitalized patient care and safety.

Baird SK, Turbin LB. J Nurs Care Qual. 2011;26:199-207.

COMMENTARY

Medication room madness: calming the chaos.

Conrad C, Fields W, McNamara T, Cone M. J Nurs Care Qual. 2009;25:137-144.

STUDY

Comparing errors in ED computer-assisted vs conventional pediatric drug dosing and administration.

Yamamoto L, Kanemori J. Am J Emerg Med. 2010;28:588-592.

STUDY

Adherence to a medication safety protocol: current practice for labeling medications and solutions on the sterile field.

Brown-Brumfield D, DeLeon A. AORN J. 2010;91:610-617.

STUDY

The impact of type of manual medication cart filling method on the frequency of medication administration errors: a prospective before and after study.

Schimmel AM, Becker ML, van den Bout T, Taxis K, van den Bemt PM. Int J Nurs Stud. 2011;48:791-797.

COMMENTARY

Identified safety risks with splitting and crushing oral medications.

Paparella S. J Emerg Nurs. 2010;36:156-158.

STUDY

Using snowball sampling method with nurses to understand medication administration errors.

Sheu SJ, Wei IL, Chen CH, Yu S, Tang FI. J Clin Nurs. 2009;18:559-569.

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