AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (120)

•Diagnostic Errors (126)

•Identification Errors (83)

•Discontinuities, Gaps, and Hand-Off Problems (358)

•Fatigue and Sleep Deprivation (50)

•Medication Safety (1011)

•Medical Complications (331)

•Nonsurgical Procedural Complications (71)

•Surgical Complications (297)

•Transfusion Complications (12)

•Psychological and Social Complications (103)

Origin/Sponsor

•Africa (5)

•Asia (40)

•Australia and New Zealand (100)

•Central and South America (6)

•Europe (434)

•North America (1966)

Resource Types

•Audiovisual (17)

•Award (14)

•Book/Report (129)

•Clinical Guideline (5)

•Journal Article (2011)

•Legislation/Regulation (37)

•Meeting/Conference (20)

•Newsletter/Journal (4)

•Newspaper/Magazine Article (172)

•Press Release/Announcement (24)

•Special or Theme Issue (42)

•Tools/Toolkit (41)

•Web Resource (66)

•Grant (7)

Error Types

•Epidemiology of Errors and Adverse Events (663)

•Active Errors (509)

•Latent Errors (197)

•Near Miss (52)

Approach to Improving Safety

•Quality Improvement Strategies (606)

•Legal and Policy Approaches (152)

•Error Reporting and Analysis (604)

•Communication Improvement (786)

•Human Factors Engineering (497)

•Teamwork (263)

•Specialization of Care (224)

•Logistical Approaches (183)

•Culture of Safety (336)

•Technologic Approaches (630)

•Education and Training (493)

Clinical Areas

•Allied Health Services (7)

Target Audience
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Health Care Providers

•Allied Health Professionals (2)

•Clinical Technologists (6)

Setting of Care

•Psychiatric Facilities (11)

•Residential Facilities (41)

•Ambulatory Care (297)

•Outpatient Surgery (21)

•Patient Transport (19)

1 - 20 of 2589

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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

Decrease in hospital-wide mortality rate after implementation of a commercially sold computerized physician order entry system.

Longhurst CA, Parast L, Sandborg CI, et al. Pediatrics. 2010;126:14-21.

STUDY

The unintended consequences of computerized provider order entry: findings from a mixed methods exploration.

Ash JS, Sittig DF, Dykstra R, Campbell E, Guappone K. Int J Med Inform. 2009;78(suppl 1): S69-S76.

STUDY

Clinicians' satisfaction with CPOE ease of use and effect on clinicians' workflow, efficiency and medication safety.

Khajouei R, Wierenga PC, Hasman A, Jaspers MW. Int J Med Inform. 2011;80:297-309.

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

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

Shakespeare was on target—don't be a borrower or lender.

ISMP Medication Safety Alert! Acute Care Edition. November 19, 2009;14:1-3.

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

Medication reconciliation during internal hospital transfer and impact of computerized prescriber order entry.

Lee JY, Leblanc K, Fernandes OA, et al. Ann Pharmacother. 2010;44:1887-1895.

STUDY

Developing a programme for medication reconciliation at the time of admission into hospital.

Manzorro AG, Zoni AC, Rieiro CR, et al. Int J Clin Pharm. 2011;33:603-609.

STUDY

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

COMMENTARY

Medication reconciliation in a community, nonteaching hospital.

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

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.

NEWSPAPER/MAGAZINE ARTICLE

Medication errors occurring with the use of bar-code administration technology.

PA-PSRS Patient Saf Advis. December 2008;5:122-126.

STUDY

Understanding handling of drug safety alerts: a simulation study.

van der Sijs H, van Gelder T, Vulto A, Berg M, Aarts J. Int J Med Inform. 2010;79:361-369.

REVIEW

Medication safety in acute care in Australia: where are we now? Part 2: a review of strategies and activities for improving medication safety 2002-2008.

Semple SJ, Roughead EE. Aust New Zealand Health Policy. 2009;6:24.

STUDY

Assessing the anticipated consequences of computer-based provider order entry at three community hospitals using an open-ended, semi-structured survey instrument.

Sittig DF, Ash JS, Guappone KP, Campbell EM, Dykstra RH. Int J Med Inform. 2008;77:440-447.

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

Wristbands as aids to reduce misidentification: an ethnographically guided task analysis.

Smith AF, Casey K, Wilson J, Fischbacher-Smith D. Int J Qual Health Care. 2011;23:590-599.

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