AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (10)

•Diagnostic Errors (1)

•Identification Errors (1)

•Discontinuities, Gaps, and Hand-Off Problems (38)

•Medication Safety (445)

•Medical Complications (5)

•Nonsurgical Procedural Complications (1)

•Surgical Complications (2)

•Psychological and Social Complications (1)

Origin/Sponsor

•Australia and New Zealand (7)

•Central and South America (2)

•North America (382)

Resource Types

•Audiovisual (6)

•Book/Report (12)

•Journal Article (317)

•Legislation/Regulation (7)

•Meeting/Conference (3)

•Newsletter/Journal (2)

•Newspaper/Magazine Article (79)

•Press Release/Announcement (11)

•Special or Theme Issue (3)

•Tools/Toolkit (16)

•Web Resource (3)

Error Types

•Epidemiology of Errors and Adverse Events (120)

•Active Errors (57)

•Latent Errors (27)

•Near Miss (7)

Approach to Improving Safety

•Quality Improvement Strategies (115)

•Legal and Policy Approaches (25)

•Error Reporting and Analysis (105)

•Communication Improvement (114)

•Human Factors Engineering (59)

•Teamwork (3)

•Specialization of Care (74)

•Logistical Approaches (22)

•Culture of Safety (22)

•Technologic Approaches (152)

•Education and Training (60)

Clinical Areas

•Allied Health Services (1)

•Medicine (179)

•Nursing (14)

•Pharmacy (364)

Target Audience
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Pharmacists

Setting of Care

•Hospitals (208)

•Psychiatric Facilities (1)

•Residential Facilities (2)

•Ambulatory Care (107)

•Outpatient Surgery (1)

1 - 20 of 460

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STUDY

Potential medication dosing errors in outpatient pediatrics.

McPhillips HA, Stille CJ, Smith D, et al. J Pediatr. 2005;147:761-767.

STUDY

Potential utility of data-mining algorithms for early detection of potentially fatal/disabling adverse drug reactions: a retrospective evaluation.

Hauben M, Reich L. J Clin Pharmacol. 2005;45:378-384.

STUDY

The impact of abbreviations on patient safety.

Brunetti L, Santell JP, Hicks RW. Jt Comm J Qual Patient Saf. 2007;33:576-583.

NEWSPAPER/MAGAZINE ARTICLE

To protect against drug errors, ask questions.

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

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

Medication prescribing errors involving the route of administration.

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

NEWSPAPER/MAGAZINE ARTICLE

Handwritten-prescription ban puts pharmacists in awkward position as "enforcers."

Ostrom CM. Seattle Times. June 22, 2006:B1.

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.

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.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2006;41:725-728.

STUDY

Overnight and postcall errors in medication orders.

Hendey GW, Barth BE, Soliz T. Acad Emerg Med. 2005;12:629-634.

FACT SHEET/FAQS

Medication safety issue brief. Counterfeit drug prevention and identification.

American Hospital Association, American Society of Health-System Pharmacists, Hospitals and Health Networks. Hosp Health Netw. August 2005;79.29-30.

STUDY

Availability of Spanish prescription labels.

Sharif I, Lo S, Ozuah PO. J Health Care Poor Underserved. 2006;17:65-69.

NEWSPAPER/MAGAZINE ARTICLE

Safety still compromised by computer weaknesses.

ISMP Medication Safety Alert! Acute Care Edition. August 25, 2005;10:1-3.

NEWSPAPER/MAGAZINE ARTICLE

Dose of technology helps Shands at UF avoid drug errors.

Chun D. Gainsville Sun. August 21, 2006.

MULTI-USE WEBSITE

The Center for Improving Medication Management.

American Academy of Family Physicians, BlueCross BlueShield Association, Intel Corporation, Humana, Inc., Medical Group Management Association, and SureScripts, Inc., Alexandria, VA.

STUDY

Medication reconciliation for reducing drug-discrepancy adverse events.

Boockvar KS, Carlson Lacorte H, Giambanco V, Fridman B, Siu A. Am J Geriatr Pharmacother. 2006;4:236-243.

COMMENTARY

Pharmacy clarification of prescriptions ordered in primary care: a report from the Applied Strategies for Improving Patient Safety (ASIPS) collaborative.

Hansen LB, Fernald D, Araya-Guerra R, Westfall JM, West D, Pace W. J Am Board Fam Med. 2006;19:24-30.

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

Ability of practitioners to identify solid oral dosage tablets.

Schiff GD, Kim S, Seger AC, Bult J, Bates DW. Am J Health Syst Pharm. 2006;63:838-843.

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