AHRQ Patient Safety Network

The Collection > Physicians

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Safety Target

•Device-related Complications (39)

•Diagnostic Errors (114)

•Identification Errors (28)

•Discontinuities, Gaps, and Hand-Off Problems (139)

•Fatigue and Sleep Deprivation (70)

•Medication Safety (363)

•Medical Complications (47)

•Nonsurgical Procedural Complications (22)

•Surgical Complications (182)

•Transfusion Complications (3)

•Psychological and Social Complications (55)

Origin/Sponsor

•Asia (12)

•Australia and New Zealand (19)

•Central and South America (2)

•Europe (119)

•North America (1019)

Resource Types

•Audiovisual (12)

•Book/Report (25)

•Clinical Guideline (6)

•Journal Article (941)

•Legislation/Regulation (19)

•Meeting/Conference (4)

•Newsletter/Journal (4)

•Newspaper/Magazine Article (133)

•Press Release/Announcement (13)

•Special or Theme Issue (11)

•Tools/Toolkit (16)

•Web Resource (19)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (240)

•Active Errors (162)

•Latent Errors (55)

•Near Miss (16)

Approach to Improving Safety

•Quality Improvement Strategies (270)

•Legal and Policy Approaches (96)

•Error Reporting and Analysis (337)

•Communication Improvement (282)

•Human Factors Engineering (102)

•Teamwork (84)

•Specialization of Care (55)

•Logistical Approaches (111)

•Culture of Safety (89)

•Technologic Approaches (208)

•Education and Training (258)

Clinical Areas

•Allied Health Services (2)

Target Audience
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Physicians

Setting of Care

•Hospitals (633)

•Psychiatric Facilities (1)

•Residential Facilities (7)

•Ambulatory Care (105)

•Outpatient Surgery (12)

•Patient Transport (3)

1 - 20 of 1204

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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.

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

Best-practice protocols: Preventing adverse drug events.

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

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.

FACT SHEET/FAQS

Medication safety issue brief. Bar code implementation strategies.

American Hospital Association, American Society of Health-System Pharmacists, Hospitals and Health Networks. Hosp Health Netw. July 2005;79:65-66.

STUDY

Improving patient safety by identifying side effects from introducing bar coding in medication administration.

Patterson ES, Cook RI, Render ML. J Am Med Inform Assoc. 2002;9:540-553.

COMMENTARY

ISMP medication error report analysis.

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

NEWSPAPER/MAGAZINE ARTICLE

The 'second victims' of medication errors begin to gain support.

Blum K. Pharm Pract News. November 2011.

STUDY

High rates of adverse drug events in a highly computerized hospital.

Nebeker JR, Hoffman JM, Weir CR, Bennett CL, Hurdle JF. Arch Intern Med. 2005;165:1111-1116.

STUDY

Effects of an automatic drug dispensing system on medication adverse event occurrences and cost containment at SAMSO.

Dib JG, Abdulmohsin SA, Farooki MU, et al. Hosp Pharm. 2006;41:1180-1184.

NEWSPAPER/MAGAZINE ARTICLE

New practices reduce childbirth risks.

Landro L. Wall Street Journal. July 12, 2006:D1. [Reprinted on Post-gazette.com].

ORGANIZATIONAL POLICY/GUIDELINES

Electronic prescribing systems in pediatrics: the rationale and functionality requirements.

American Academy of Pediatrics Council on Clinical Information Technology. Pediatrics. 2007;119:1229-1231.

NEWSPAPER/MAGAZINE ARTICLE

Patients taking their own medications while in the hospital.

PA-PSRS Patient Saf Advis. June 2012;9:50-57.

COMMENTARY

Medication reconciliation physician order form.

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

NEWSPAPER/MAGAZINE ARTICLE

Tomorrow's operating room to harness Net, RFID.

Olsen S. CNET News.com; October 19, 2005.

STUDY

Using a multi-method, user centred, prospective hazard analysis to assess care quality and patient safety in a care pathway.

Dean J, Hutchinson A, Hamilton Escoto K, Lawson R. BMC Health Serv Res. 2007;7:89.

NEWSPAPER/MAGAZINE ARTICLE

Improving the safety of telephone or verbal orders.

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

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

Design and implementation of an automated email notification system for results of tests pending at discharge.

Dalal AK, Schnipper JL, Poon EG, et al. J Am Med Inform Assoc. 2012;19:523-538.

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