AHRQ Patient Safety Network

The Collection > Physicians

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Safety Target

•Device-related Complications (30)

•Diagnostic Errors (69)

•Identification Errors (18)

•Discontinuities, Gaps, and Hand-Off Problems (110)

•Fatigue and Sleep Deprivation (46)

•Medication Safety (326)

•Medical Complications (41)

•Nonsurgical Procedural Complications (13)

•Surgical Complications (99)

•Transfusion Complications (3)

•Psychological and Social Complications (29)

Origin/Sponsor

•Asia (20)

•Australia and New Zealand (21)

•Central and South America (2)

Resource Types

•Clinical Guideline (5)

•Journal Article (661)

•Legislation/Regulation (14)

•Meeting/Conference (2)

•Newsletter/Journal (2)

•Newspaper/Magazine Article (99)

•Press Release/Announcement (14)

•Special or Theme Issue (6)

•Tools/Toolkit (13)

•Web Resource (12)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (172)

•Active Errors (128)

•Latent Errors (47)

•Near Miss (13)

Approach to Improving Safety

•Quality Improvement Strategies (221)

•Legal and Policy Approaches (47)

•Error Reporting and Analysis (222)

•Communication Improvement (214)

•Human Factors Engineering (79)

•Teamwork (66)

•Specialization of Care (49)

•Logistical Approaches (77)

•Culture of Safety (65)

•Technologic Approaches (150)

•Education and Training (177)

Clinical Areas

•Allied Health Services (2)

•Medicine (636)

•Nursing (46)

•Pharmacy (125)

Target Audience
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Physicians

Setting of Care

•Hospitals (512)

•Psychiatric Facilities (1)

•Residential Facilities (7)

•Ambulatory Care (76)

•Outpatient Surgery (6)

•Patient Transport (2)

1 - 20 of 857

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COMMENTARY

Preventing medication errors in hospitals through a systems approach and technological innovation: a prescription for 2010.

Crane J, Crane FG. Hosp Top. Fall 2006;84:3-8.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2007;42:675-679.

NEWSPAPER/MAGAZINE ARTICLE

Improving the safety of telephone or verbal orders.

PA-PSRS Patient Saf Advis. June 2006;3:1-5.

COMMENTARY

Medication reconciliation physician order form.

Lacy JL, Wilkinson ST. Hosp Pharm. 2006;41:1117-1120.

STUDY

Assessing the National Electronic Injury Surveillance System—Cooperative Adverse Drug Event Surveillance Project—six sites, United States, January 1–June 15, 2004.

Centers for Disease and Control Prevention. MMWR Morb Mortal Wkly Rep. 2005;54:380-383.

COMMENTARY

Medication bar coding: to scan or not to scan?

Galvin L, McBeth S, Hasdorff C, Tillson M, Thomas S. Comput Inform Nurs. 2007;25:86-92.

STUDY

Prevalence of preventable medication-related hospitalizations in Australia: an opportunity to reduce harm.

Kalisch LM, Caughey GE, Barratt JD, et al. Int J Qual Health Care. 2012;24:239-249.

PRESS RELEASE/ANNOUNCEMENT

Heparin sodium injection 10,000 units/mL, and HEP-LOCK U/P 10 units/mL medication errors.

MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; February 6, 2007.

STUDY

Assessing and monitoring override medications in automated dispensing devices.

Kowiatek JG, Weber RJ, Skledar SJ, Frank S, DeVita M. Jt Comm J Qual Patient Saf. 2006;32:309-317.

STUDY

Epidemiology, comparative methods of detection, and preventability of adverse drug events.

Al-Tajir GK, Kelly WN. Ann Pharmacother. 2005;39:1169-1174.

NEWSPAPER/MAGAZINE ARTICLE

Practitioners agree on medication reconciliation value, but frustration and difficulties abound.

ISMP Medication Safety Alert! Acute Care Edition. July 13, 2006;11:1-2.

NEWSPAPER/MAGAZINE ARTICLE

Manic for medication safety: bar codes and drug information databases are helping to reduce medication errors.

Rogoski RR. Health Manage Technol. February 2007;28:14, 16-18.

TOOLKIT

Looking Collectively at Risk.

Pathways for Medication Safety Tool #2. Chicago, IL: American Hospital Association; 2003.

COMMENTARY

Using pharmacogenetics to improve drug safety and efficacy.

Haga SB, Burke W. JAMA. 2004;291:2869-2871.

COMMENTARY

Best-practice protocols: Preventing adverse drug events.

Weir VL. Nurs Manage. 2005;36:24-30.

AUDIOVISUAL

Avoiding accidental overdoses when methadone is prescribed for pain.

Food and Drug Administration (FDA) Patient Safety News. Show #60. February 2007.

NEWSPAPER/MAGAZINE ARTICLE

The consumer: and now, a warning about labels.

Franklin D. New York Times. October 25, 2005:F1.

STUDY

Excess dosing of antiplatelet and antithrombin agents in the treatment of non–ST-segment elevation acute coronary syndromes.

Alexander KP, Chen AY, Roe MT, et al; CRUSADE Investigators. JAMA. 2005;294:3108-3116.

STUDY

Fatality involving vinblastine overdose as a result of a complex medical error.

Klys M, Konopka T, Scislowski M, Kowalski P. Cancer Chemother Pharmacol. 2007;59:89-95.

STUDY

Errors associated with medications removed from automated dispensing machines using override functions.

Kester K, Baxter J, Freudenthal K. Hosp Pharm. 2006;41:535-537.

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