AHRQ Patient Safety Network

The Collection > Physicians

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Safety Target

•Device-related Complications (29)

•Diagnostic Errors (97)

•Identification Errors (24)

•Discontinuities, Gaps, and Hand-Off Problems (113)

•Fatigue and Sleep Deprivation (60)

•Medication Safety (336)

•Medical Complications (36)

•Nonsurgical Procedural Complications (20)

•Surgical Complications (143)

•Transfusion Complications (1)

•Psychological and Social Complications (51)

Origin/Sponsor

•Asia (4)

•Australia and New Zealand (6)

•Central and South America (1)

Resource Types

•Clinical Guideline (5)

•Journal Article (796)

•Legislation/Regulation (18)

•Meeting/Conference (4)

•Newsletter/Journal (4)

•Newspaper/Magazine Article (125)

•Press Release/Announcement (9)

•Special or Theme Issue (10)

•Tools/Toolkit (12)

•Web Resource (18)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (202)

•Active Errors (134)

•Latent Errors (45)

•Near Miss (13)

Approach to Improving Safety

•Quality Improvement Strategies (221)

•Legal and Policy Approaches (94)

•Error Reporting and Analysis (290)

•Communication Improvement (229)

•Human Factors Engineering (75)

•Teamwork (59)

•Specialization of Care (50)

•Logistical Approaches (98)

•Culture of Safety (80)

•Technologic Approaches (188)

•Education and Training (223)

Clinical Areas

•Allied Health Services (3)

Target Audience
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Physicians

Setting of Care

•Hospitals (486)

•Residential Facilities (7)

•Ambulatory Care (101)

•Outpatient Surgery (13)

•Patient Transport (2)

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NEWSPAPER/MAGAZINE ARTICLE

Drug errors show need for tech aid.

Landro L. The Wall Street Journal. June 1, 2005:D4.

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.

COMMENTARY

Computerized physician order entry and medication errors: finding a balance.

Bates DW. J Biomed Inform. 2005;38:259-261.

STUDY

Computerized clinical decision support for medication prescribing and utilization in pediatrics.

Stultz JS, Nahata MC. J Am Med Inform Assoc. 2012;19:942-953.

REVIEW

Medication errors in pediatrics—the octopus evading defeat.

Sullivan JE, Buchino JJ. J Surg Oncol. 2004;88:182-188.

STUDY

Alternatives to potentially inappropriate medications for use in e-prescribing software: triggers and treatment algorithms.

Hume AL, Quilliam BJ, Goldman R, Eaton C, Lapane KL. BMJ Qual Saf. 2011;20:875-884.

STUDY

The impact of prescribing safety alerts for elderly persons in an electronic medical record: an interrupted time series evaluation.

Smith DH, Perrin N, Feldstein A, et al. Arch Intern Med. 2006;166:1098-1104.

STUDY

Reasons provided by prescribers when overriding drug–drug interaction alerts.

Grizzle AJ, Mahmood MH, Ko Y, et al. Am J Manag Care. 2007;13:573-580.

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.

REVIEW

Just what the doctor ordered. Review of the evidence of the impact of computerized physician order entry system on medication errors.

Shamliyan TA, Duval S, Du J, Kane RL. Health Serv Res. 2008;43:32-53.

STUDY

Medication errors and adverse drug events in pediatric inpatients.

Kaushal R, Bates DW, Landrigan C, et al. JAMA. 2001;285:2114-2120.

REVIEW

E-prescribing: a focused review and new approach to addressing safety in pharmacies and primary care.

Odukoya OK, Chui MA. Res Social Adm Pharm. 2012 Oct 10; [Epub ahead of print].

STUDY

A computer alert system to prevent injury from adverse drug events: development and evaluation in a community teaching hospital.

Raschke RA, Gollihare B, Wunderlich TA, et al. [published correction appears in JAMA. 1999;281:420]. JAMA. 1998;280:1317-1320.

STUDY

Spike in fatal medication errors at the beginning of each month.

Phillips DP, Jarvinen JR, Phillips RR. Pharmacotherapy. 2005;25:1-9.

BOOK/REPORT

The Prescription Infrastructre: Are We Ready for ePrescribing?

Sarasohn-Kahn J, Holt M. Oakland, CA: California Healthcare Foundation; 2006. ISBN: 1933795026.

NEWSPAPER/MAGAZINE ARTICLE

To protect against drug errors, ask questions.

Brody JE. New York Times. January 2, 2007:F7.

STUDY

Computerized physician order entry of medications and clinical decision support can improve problem list documentation compliance.

Galanter WL, Hier DB, Jao C, Sarne D. Int J Med Inform. 2010;79:332-328.

REVIEW

The business case for patient safety.

Hwang RW, Herndon JH. Clin Orthop Relat Res. 2007;457:21-34.

COMMENTARY

What medications does your patient take? Enhancing medication safety in the outpatient setting.

Institute for Healthcare Improvement. March 14, 2007.

COMMENTARY

ISMP medication error report analysis.

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

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