AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (156)

•Diagnostic Errors (219)

•Identification Errors (111)

•Discontinuities, Gaps, and Hand-Off Problems (416)

•Fatigue and Sleep Deprivation (82)

•Medication Safety (1402)

•Medical Complications (389)

•Nonsurgical Procedural Complications (103)

•Surgical Complications (428)

•Transfusion Complications (15)

•Psychological and Social Complications (115)

Origin/Sponsor

•Africa (5)

•Asia (51)

•Australia and New Zealand (95)

•Central and South America (9)

•Europe (396)

•North America (3108)

Resource Types

•Clinical Guideline (7)

•Journal Article (2768)

•Legislation/Regulation (61)

•Meeting/Conference (25)

•Newsletter/Journal (12)

•Newspaper/Magazine Article (333)

•Press Release/Announcement (41)

•Special or Theme Issue (57)

•Tools/Toolkit (52)

•Web Resource (101)

•Grant (7)

Error Types

•Epidemiology of Errors and Adverse Events (1078)

•Active Errors (729)

•Latent Errors (247)

•Near Miss (84)

Approach to Improving Safety

•Quality Improvement Strategies (869)

•Legal and Policy Approaches (306)

•Error Reporting and Analysis (990)

•Communication Improvement (949)

•Human Factors Engineering (519)

•Teamwork (283)

•Specialization of Care (268)

•Logistical Approaches (254)

•Culture of Safety (400)

•Technologic Approaches (709)

•Education and Training (695)

Clinical Areas

•Allied Health Services (12)

Target Audience
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Health Care Providers

•Allied Health Professionals (5)

•Clinical Technologists (34)

Setting of Care

•Psychiatric Facilities (25)

•Residential Facilities (71)

•Ambulatory Care (415)

•Outpatient Surgery (41)

•Patient Transport (32)

1 - 20 of 3717

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STUDY

Time-dependent drug–drug interaction alerts in care provider order entry: software may inhibit medication error reductions.

van der Sijs H, Lammers L, van den Tweel A, et al. J Am Med Inform Assoc. 2009;16:864-868.

STUDY

Preventing potentially inappropriate medication use in hospitalized older patients with a computerized provider order entry warning system.

Mattison MLP, Afonso KA, Ngo LH, Mukamal KJ. Arch Intern Med. 2010;170:1331-1336.

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

Electronic prescribing in an ambulatory care setting: a cluster randomized trial.

Dainty KN, Adhikari NK, Kiss A, Quan S, Zwarenstein M. J Eval Clin Pract. 2012;18:761-767.

STUDY

Medication errors in paediatric outpatients.

Kaushal R, Goldmann DA, Keohane CA, et al. Qual Saf Health Care. 2010;19:e30.

STUDY

The influence that electronic prescribing has on medication errors and preventable adverse drug events: an interrupted time-series study.

van Doormaal JE, van den Bemt PMLA, Zaal RJ, et al. J Am Med Inform Assoc. 2009;16:816-825.

REVIEW

Year in review: medication mishaps in the elderly.

Peron EP, Marcum ZA, Boyce R, Hanlon JT, Handler SM. Am J Geriatr Pharmacother. 2011;9:1-10.

STUDY

A multidisciplinary approach to adverse drug events in pediatric trauma patients in an adult trauma center.

Kalina M, Tinkoff G, Gleason W, Veneri P, Fulda G. Pediatr Emerg Care. 2009;25:444-446.

STUDY

Computerized decision support for medication dosing in renal insufficiency: a randomized, controlled trial.

Terrell KM, Perkins AJ, Hui SL, Callahan CM, Dexter PR, Miller DK. Ann Emerg Med. 2010;56:623-629.

STUDY

Using an enhanced oral chemotherapy computerized provider order entry system to reduce prescribing errors and improve safety.

Collins CM, Elsaid KA. Int J Qual Health Care. 2011;23:36-43.

STUDY

Toward understanding errors in inpatient psychiatry: a qualitative inquiry.

Cullen SW, Nath SB, Marcus SC. Psychiatr Q. 2010;81:197-205.

STUDY

Impact of implementing alerts about medication black-box warnings in electronic health records.

Yu DT, Seger DL, Lasser KE, et al. Pharmacoepidemiol Drug Saf. 2011;20:192-202.

STUDY

Consistency between coded poison center data and fatality abstract narratives for therapeutic error deaths in older adults.

Hayes BD, Klein-Schwartz W. Clin Toxicol (Phila). 2010;48:68-71.

STUDY

An unintended consequence of electronic prescriptions: prevalence and impact of internal discrepancies.

Palchuk MB, Fang EA, Cygielnik JM, et al. J Am Med Inform Assoc. 2010;17:472-476.

COMMENTARY

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2010;45:282-287.

STUDY

Impact of a computerized physician order entry system on compliance with prescription accuracy requirements.

Mir C, Gadri A, Zelger GL, Pichon R, Pannatier A. Pharm World Sci. 2009;31:596-602.

NEWSPAPER/MAGAZINE ARTICLE

ISMP updates its list of drug name pairs with Tall man letters.

ISMP Medication Safety Alert! Acute Care Edition. November 18, 2010;15:1-3.

STUDY

Unintended effects of a computerized physician order entry nearly hard-stop alert to prevent a drug interaction: a randomized controlled trial.

Strom BL, Schinnar R, Aberra F, et al. Arch Intern Med. 2010;170:1578-1583.

NEWSPAPER/MAGAZINE ARTICLE

Events associated with the prescribing, dispensing, and administering of medication loading doses.

Carson SL, Gaunt MJ. PA-PSRS Patient Saf Advis. 2012;9:82-88.

STUDY

Medication prescribing errors in the prehospital setting and in the ED.

Lifshitz AE, Goldstein LH, Sharist M, et al. Am J Emerg Med. 2012;30:726-731.

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