AHRQ Patient Safety Network

The Collection > Health Care Providers

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Safety Target

•Device-related Complications (167)

•Diagnostic Errors (220)

•Identification Errors (115)

•Discontinuities, Gaps, and Hand-Off Problems (479)

•Fatigue and Sleep Deprivation (101)

•Medication Safety (1436)

•Medical Complications (426)

•Nonsurgical Procedural Complications (113)

•Surgical Complications (427)

•Transfusion Complications (18)

•Psychological and Social Complications (128)

Origin/Sponsor

•Africa (4)

•Asia (50)

•Australia and New Zealand (103)

•Central and South America (9)

•Europe (431)

•North America (3311)

Resource Types

•Clinical Guideline (9)

•Journal Article (2926)

•Legislation/Regulation (66)

•Meeting/Conference (32)

•Newsletter/Journal (12)

•Newspaper/Magazine Article (355)

•Press Release/Announcement (51)

•Special or Theme Issue (63)

•Tools/Toolkit (66)

•Web Resource (115)

•Grant (7)

Error Types

•Epidemiology of Errors and Adverse Events (922)

•Active Errors (757)

•Latent Errors (277)

•Near Miss (81)

Approach to Improving Safety

•Quality Improvement Strategies (952)

•Legal and Policy Approaches (326)

•Error Reporting and Analysis (1012)

•Communication Improvement (1063)

•Human Factors Engineering (597)

•Teamwork (322)

•Specialization of Care (312)

•Logistical Approaches (311)

•Culture of Safety (459)

•Technologic Approaches (720)

•Education and Training (813)

Clinical Areas

•Allied Health Services (12)

Target Audience
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Health Care Providers

•Allied Health Professionals (9)

•Clinical Technologists (28)

Setting of Care

•Psychiatric Facilities (19)

•Residential Facilities (71)

•Ambulatory Care (465)

•Outpatient Surgery (44)

•Patient Transport (31)

1 - 20 of 3993

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STUDY

Sustaining and spreading the reduction of adverse drug events in a multicenter collaborative.

Tham E, Calmes HM, Poppy A, et al. Pediatrics. 2011;128:e438-e445.

STUDY

Medication safety initiative in reducing medication errors.

Nguyen EE, Connolly PM, Wong V. J Nurs Care Qual. 2010;25:224-230.

STUDY

Hospital discharge documentation and risk of rehospitalisation.

Hansen LO, Strater A, Smith L, et al. BMJ Qual Saf. 2011;20:773-778.

COMMENTARY

ISMP medication error report analysis.

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

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

Identifying causes of adverse events detected by an automated trigger tool through in-depth analysis.

Muething SE, Conway PH, Kloppenborg E, et al. Qual Saf Health Care. 2010;19:435-439.

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.

NEWSPAPER/MAGAZINE ARTICLE

Proper positioning of pharmacy label on Hospira PCA vials will avoid interference with scanning.

ISMP Medication Safety Alert! Acute Care Edition. August 14, 2008;13:1-3.

COMMENTARY

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:937-938, 945.

BOOK/REPORT classic

The Silent Treatment: Why Safety Tools and Checklists Aren't Enough to Save Lives.

Maxfield D, Grenny J, Lavandero R, Groah L. Provo, UT: VitalSmarts; 2011.

STUDY

Lack of patient knowledge regarding hospital medications.

Cumbler E, Wald H, Kutner J. J Hosp Med. 2010;5-83-86.

COMMENTARY

Complementary telephone strategies to improve postdischarge communication.

Rennke S, Kesh S, Neeman N, Sehgal NL. Am J Med. 2012;125:28-30.

COMMENTARY

Keeping an eye on patient safety using human factors engineering (HFE): a family affair for the hospitalized child.

Wilson BL. J Spec Pediatr Nurs. 2010;15:84-87.

NEWSPAPER/MAGAZINE ARTICLE

Anticoagulant safety practices call for pharmacist supervision.

Scott A. Drug Topics (Health-System Edition). November 10, 2008.

COMMENTARY

ISMP medication error report analysis.

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

COMMENTARY

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2010;45:13-17.

STUDY

Collaboration between pharmacists, physicians and nurse practitioners: a qualitative investigation of working relationships in the inpatient medical setting.

Makowsky MJ, Schindel TJ, Rosenthal M, Campbell K, Tsuyuki RT, Madill HM. J Interprof Care. 2009;23:169-84.

STUDY

Origins of and solutions for neonatal medication-dispensing errors.

Sauberan JB, Dean LM, Fiedelak J, Abraham JA. Am J Health Syst Pharm. 2010;67:49-57.

MEASUREMENT TOOL/INDICATOR

Tubing Misconnections Self Assessment for Healthcare Facilities.

Horsham, PA: Institute for Safe Medication Practices, Deerfield, IL: Baxter Healthcare; 2012.

BOOK/REPORT

Hand Hygiene Project: Best Practices from Hospitals Participating in the Joint Commission Center for Transforming Healthcare Project.

Health Research and Educational Trust. Chicago, IL: American Hospital Association; 2010.

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