AHRQ Patient Safety Network

The Collection > Health Care Providers

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Safety Target

•Device-related Complications (89)

•Diagnostic Errors (128)

•Identification Errors (65)

•Discontinuities, Gaps, and Hand-Off Problems (223)

•Fatigue and Sleep Deprivation (41)

•Medication Safety (757)

•Medical Complications (216)

•Nonsurgical Procedural Complications (62)

•Surgical Complications (278)

•Transfusion Complications (12)

•Psychological and Social Complications (41)

Origin/Sponsor

•Africa (6)

•Asia (66)

•Australia and New Zealand (76)

•Central and South America (9)

•Europe (324)

•North America (1429)

Resource Types

•Audiovisual (11)

•Award (7)

•Book/Report (86)

•Clinical Guideline (5)

•Journal Article (1527)

•Legislation/Regulation (34)

•Meeting/Conference (14)

•Newsletter/Journal (5)

•Newspaper/Magazine Article (117)

•Press Release/Announcement (34)

•Special or Theme Issue (20)

•Tools/Toolkit (29)

•Web Resource (46)

•Grant (5)

Error Types

•Epidemiology of Errors and Adverse Events (595)

•Active Errors (404)

•Latent Errors (121)

•Near Miss (44)

Approach to Improving Safety

•Quality Improvement Strategies (485)

•Legal and Policy Approaches (131)

•Error Reporting and Analysis (682)

•Communication Improvement (505)

•Human Factors Engineering (288)

•Teamwork (159)

•Specialization of Care (132)

•Logistical Approaches (112)

•Culture of Safety (164)

•Technologic Approaches (342)

•Education and Training (341)

Clinical Areas

•Allied Health Services (11)

Target Audience
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Health Care Providers

•Allied Health Professionals (3)

•Clinical Technologists (13)

Setting of Care

•Psychiatric Facilities (17)

•Residential Facilities (39)

•Ambulatory Care (281)

•Outpatient Surgery (23)

•Patient Transport (16)

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STUDY

Paid malpractice claims for adverse events in inpatient and outpatient settings.

Bishop TF, Ryan AK, Casalino LP. JAMA. 2011;305:2427-2431.

COMMENTARY

Look-alike and sound-alike medicines: risks and 'solutions.'

Emmerton LM, Rizk MFS. Int J Clin Pharm. 2012;34:4-8.

STUDY

Development and pilot testing of guidelines to monitor high-risk medications in the ambulatory setting.

Tjia J, Field TS, Garber LD, et al. Am J Manag Care. 2010;16:489-496.

STUDY

Potential utility of data-mining algorithms for early detection of potentially fatal/disabling adverse drug reactions: a retrospective evaluation.

Hauben M, Reich L. J Clin Pharmacol. 2005;45:378-384.

NEWSPAPER/MAGAZINE ARTICLE

Your attention please... designing effective warnings.

ISMP Medication Safety Alert! Acute Care Edition. August 24, 2006;11:1-3.

NEWSPAPER/MAGAZINE ARTICLE

Neuromuscular blocking agents: reducing associated wrong-drug errors.

PA-PSRS Patient Saf Advis. December 2009;6:109-114.

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.

REVIEW

Understanding factors that impact on health care professionals' risk perceptions and responses toward Clostridium difficile and methicillin-resistant Staphylococcus aureus: a structured literature review.

Burnett E, Kearney N, Johnston B, Corlett J, Macgillivray S. Am J Infect Control. 2013;41:394-400.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2009;44:654-657.

REVIEW

Medication errors in paediatric care: a systematic review of epidemiology and an evaluation of evidence supporting reduction strategy recommendations.

Miller MR, Robinson KA, Lubomski LH, Rinke ML, Pronovost PJ. Qual Saf Health Care. 2007;16:116-126.

NEWSPAPER/MAGAZINE ARTICLE

Results of ISMP survey on high-alert medications: differences between nursing, pharmacy, and risk/quality/safety perspectives.

ISMP Medication Safety Alert! Acute Care Edition. February 9, 2012;17:1-4.

COMMENTARY

Partners in safety: implementing a community-based patient safety advisory council.

Leonhardt KK, Bonin D, Pagel P. Wisc Med J. 2006;105;54-59.

STUDY

Analysis of risk factors for adverse drug events in critically ill patients.

Kane-Gill SL, Kirisci L, Verrico MM, Rothschild JM. Crit Care Med. 2012;40:823-828.

REVIEW

How is medication prescribing ceased? A systematic review.

Ostini R, Jackson C, Hegney D, Tett SE. Med Care. 2011;49:24-36.

STUDY

Cranshaw J, Gupta KJ, Cook TM. Anaesthesia. 2009;64:1317-1323.

NEWSPAPER/MAGAZINE ARTICLE

Multiple latent failures align to allow a serious drug interaction to harm a patient.

ISMP Medication Safety Alert! Acute Care Edition. May 5, 2011;16:1-3.

STUDY

Functional decline associated with polypharmacy and potentially inappropriate medications in community-dwelling older adults with dementia.

Lau DT, Mercaldo ND, Shega JW, Rademaker A, Weintraub S. Am J Alzheimers Dis Other Demen. 2011;26:606-615.

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

Oral chemotherapy safety practices at US cancer centres: questionnaire survey.

Weingart SN, Flug J, Brouillard D, et al. BMJ. 2007;334:407.

PRESS RELEASE/ANNOUNCEMENT

Important Warnings and Instructions for Heparin Sodium Injection (Baxter).

FDA Public Health Advisory [US Food and Drug Administration Web site]. February 28, 2008.

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