AHRQ Patient Safety Network

The Collection > Health Care Providers

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Safety Target

•Device-related Complications (96)

•Diagnostic Errors (101)

•Identification Errors (47)

•Discontinuities, Gaps, and Hand-Off Problems (233)

•Fatigue and Sleep Deprivation (33)

•Medication Safety (887)

•Medical Complications (239)

•Nonsurgical Procedural Complications (45)

•Surgical Complications (157)

•Transfusion Complications (8)

•Psychological and Social Complications (72)

Origin/Sponsor

•Africa (5)

•Asia (27)

•Australia and New Zealand (76)

•Central and South America (5)

•Europe (279)

•North America (1565)

Resource Types

•Clinical Guideline (7)

•Journal Article (1260)

•Legislation/Regulation (45)

•Meeting/Conference (25)

•Newsletter/Journal (10)

•Newspaper/Magazine Article (223)

•Press Release/Announcement (49)

•Special or Theme Issue (47)

•Tools/Toolkit (48)

•Web Resource (101)

•Grant (11)

Error Types

•Epidemiology of Errors and Adverse Events (402)

•Active Errors (351)

•Latent Errors (152)

•Near Miss (32)

Approach to Improving Safety

•Quality Improvement Strategies (681)

•Legal and Policy Approaches (258)

•Error Reporting and Analysis (547)

•Communication Improvement (553)

•Human Factors Engineering (276)

•Teamwork (140)

•Specialization of Care (140)

•Logistical Approaches (124)

•Culture of Safety (298)

•Technologic Approaches (389)

•Education and Training (484)

Clinical Areas

•Allied Health Services (12)

•Complementary and Alternative Medicine (1)

Target Audience
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Health Care Providers

•Allied Health Professionals (2)

•Clinical Technologists (7)

Setting of Care

•Psychiatric Facilities (15)

•Residential Facilities (47)

•Ambulatory Care (331)

•Outpatient Surgery (23)

•Patient Transport (17)

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COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2005;40:940-945.

COMMENTARY

Language Barrier

Flores G. AHRQ WebM&M [serial online]. April 2006.

NEWSPAPER/MAGAZINE ARTICLE

USP initiatives for the safe use of medical gases.

Zaidi K, Curry PD Jr, Becker SC. Pharmaceutical Technology. November 2, 2005;29:102-103.

COMMENTARY

International drug name confusion.

Levien TL. Hosp Pharm. 2006;41:697-709.

COMMENTARY

ISMP medication error report analysis.

Cohen M. Hosp Pharm. 2006;41:222-224.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2005;40:844-847.

COMMENTARY

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:847-853.

COMMENTARY

Improving the safety of intravenous admixtures: lessons learned from a Pentostam® overdose.

Just S, Schepers G, Piotrowski MM, Saint S, Kauffman CA. Jt Comm J Qual Patient Saf. 2006;32:366-372.

STUDY

Pediatric vaccination errors: application of the "5 rights" framework to a national error reporting database.

Bundy DG, Shore AD, Morlock LL, Miller MR. Vaccine. 2009;27:3890-3896.

MEETING/CONFERENCE PROCEEDINGS

An Introduction to the Improved FDA Prescription Drug Labeling.

US Food and Drug Administration Center for Drug Evaluation and Research, Institute for Safe Medication Practices. November 7, 2006.

COMMENTARY

Improving heparin safety: a multidisciplinary invited conference.

Peterson C, Ham CW, Vanderveen T. Hosp Pharm. 2008;43:491-497.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2005;40:643-648.

COMMENTARY

ISMP medication error report analysis.

Cohen MC. Hosp Pharm. 2009;44:374-378.

COMMENTARY

The Wrong Shot: Error Disclosure.

Gallagher TH, Levinson W. AHRQ WebM&M [serial online]. June 2004.

AWARD RECIPIENT

Hospitals win safety award for simple changes.

Sipkoff M. Drug Topics (Health-System Edition). January 22, 2007.

COMMENTARY

Failure to Latch

Rodriguez M., Mannel R., Frye D. MN AHRQ WebM&M [serial online]. September 2008.

PRESS RELEASE/ANNOUNCEMENT

Maalox Total Relief and Maalox Liquid Products: Medication Use Errors.

MedWatch Safety Alert. Rockville, MD: US Food and Drug Administration; February 17, 2010.

NEWSPAPER/MAGAZINE ARTICLE

Fixing the medication reconciliation breakdown.

Starr D, West L. Most Wired Magazine. November 9, 2006.

COMMENTARY

Safer out of hours primary care.

Cosford PA, Thomas JM. BMJ. 2010;340:c3194.

BOOK/REPORT

Back to Basics.

Gima Z, Gosselar P, Levine A, Lincoln T, Ramirez A. Washington, DC: Public Citizen; August 6, 2009.

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