AHRQ Patient Safety Network

The Collection > Physicians

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Safety Target

•Device-related Complications (29)

•Diagnostic Errors (100)

•Identification Errors (21)

•Discontinuities, Gaps, and Hand-Off Problems (98)

•Fatigue and Sleep Deprivation (50)

•Medication Safety (331)

•Medical Complications (34)

•Nonsurgical Procedural Complications (15)

•Surgical Complications (130)

•Transfusion Complications (1)

•Psychological and Social Complications (34)

Origin/Sponsor

•Asia (14)

•Australia and New Zealand (26)

•Central and South America (1)

Resource Types

•Clinical Guideline (6)

•Journal Article (713)

•Legislation/Regulation (15)

•Meeting/Conference (1)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (76)

•Press Release/Announcement (11)

•Special or Theme Issue (4)

•Tools/Toolkit (14)

•Web Resource (9)

Error Types

•Epidemiology of Errors and Adverse Events (200)

•Active Errors (141)

•Latent Errors (42)

•Near Miss (12)

Approach to Improving Safety

•Quality Improvement Strategies (238)

•Legal and Policy Approaches (60)

•Error Reporting and Analysis (247)

•Communication Improvement (188)

•Human Factors Engineering (86)

•Teamwork (50)

•Specialization of Care (41)

•Logistical Approaches (69)

•Culture of Safety (52)

•Technologic Approaches (167)

•Education and Training (177)

Clinical Areas

•Allied Health Services (3)

Target Audience
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Physicians

Setting of Care

•Hospitals (460)

•Psychiatric Facilities (2)

•Residential Facilities (6)

•Ambulatory Care (82)

•Outpatient Surgery (9)

•Patient Transport (2)

1 - 20 of 875

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COMMENTARY

Miscalculated Risk

Strassels SA. AHRQ WebM&M [serial online]. August 2006.

COMMENTARY

Safe medication prescribing and monitoring in the outpatient setting.

Shojania KG. CMAJ. 2006;174:1257-1258.

NEWSPAPER/MAGAZINE ARTICLE

Dose of technology helps Shands at UF avoid drug errors.

Chun D. Gainsville Sun. August 21, 2006.

STUDY

In-house, overnight physician staffing: a cross-sectional survey of Canadian adult and pediatric intensive care units.

Parshuram CS, Kirpalani H, Mehta S, Granton J, Cook D, for the Canadian Critical Care Trials Group. Crit Care Med. 2006;34:1674-78.

STUDY

Decreasing errors in pediatric continuous intravenous infusions.

Lehmann CU, Kim GR, Gujral R, Veltri MA, Clark JS, Miller MR. Pediatr Crit Care Med. 2006;7:225-230.

NEWSPAPER/MAGAZINE ARTICLE

Promethazine conundrum: IV can hurt more than IM injection!

ISMP Medication Safety Alert! Acute Care Edition. November 2, 2006;11:1-3.

STUDY

Prescribers' responses to alerts during medication ordering in the long term care setting.

Judge J, Field TS, DeFlorio M, et al. J Am Med Inform Assoc. 2006;13:385-390.

COMMENTARY

Lessons from "unexpected increased mortality after implementation of a commercially sold computerized physician order entry system."

Sittig DF, Ash JS, Zhang J, Osheroff JA, Shabot MM. Pediatrics. 2006;118:797-801.

STUDY

Retrospective evaluation of a computerized physician order entry adaptation to prevent prescribing errors in a pediatric emergency department.

Sard BE, Walsh KE, Doros G, et al. Pediatrics. 2008;122:782-787.

STUDY

The development and evaluation of an integrated electronic prescribing and drug management system for primary care.

Tamblyn R, Huang A, Kawasumi Y, et al. J Am Med Inform Assoc. 2006;13:148-159.

STUDY

Use of a standardized protocol to decrease medication errors and adverse events related to sliding scale insulin.

Donihi AC, DiNardo MM, DeVita MA, Korytkowski MT. Qual Saf Health Care. 2006;15:89-91.

STUDY

Medication-error reporting and pharmacy resident experience during implementation of computerized prescriber order entry.

Weant KA, Cook AM, Armitstead JA. Am J Health Syst Pharm. 2007;64:526-530.

STUDY

Medication prescribing errors involving the route of administration.

Lesar TS. Hosp Pharm. 2006;41:1053-1066.

STUDY

High incidence of medication documentation errors in a Swiss university hospital due to the handwritten prescription process.

Hartel MJ, Staub LP, Röder C, Eggli S. BMC Health Serv Res. 2011;11:199.

ORGANIZATIONAL POLICY/GUIDELINES

Patient safety in the pediatric emergency care setting.

Krug SE, Frush K, for the Committee on Pediatric Emergency Medicine and American Academy of Pediatrics. Pediatrics. 2007;120:1367-1375.

STUDY

Risk of medication errors at hospital discharge and barriers to problem resolution.

Enguidanos SM, Brumley RD. Home Health Care Serv Q. 2005;24:123-135.

STUDY

Clinical application of a computerized system for physician order entry with clinical decision support to prevent adverse drug events in long-term care.

Rochon PA, Field TS, Bates DW, et al. CMAJ. 2006;174:52-54.

STUDY

Transmitting and processing electronic prescriptions: experiences of physician practices and pharmacies.

Grossman JM, Cross DA, Boukus ER, Cohen GR. J Am Med Inform Assoc. 2012;19:353-359.

STUDY

Effectiveness of a community collaborative for eliminating the use of high-risk abbreviations written by physicians.

Leonhardt KK, Botticelli J. J Patient Saf. 2006;2:147-153.

STUDY

Prospective observational study on the incidence of medication errors during simulated resuscitation in a paediatric emergency department.

Kozer E, Seto W, Verjee Z, et al. BMJ. 2004;329:1321.

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