AHRQ Patient Safety Network

The Collection > Health Care Executives and Administrators

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Safety Target

•Device-related Complications (114)

•Diagnostic Errors (99)

•Identification Errors (82)

•Discontinuities, Gaps, and Hand-Off Problems (303)

•Fatigue and Sleep Deprivation (72)

•Medication Safety (1008)

•Medical Complications (289)

•Nonsurgical Procedural Complications (37)

•Surgical Complications (242)

•Transfusion Complications (13)

•Psychological and Social Complications (82)

Origin/Sponsor

•Africa (3)

•Asia (23)

•Australia and New Zealand (51)

•Central and South America (3)

•Europe (175)

•North America (2475)

Resource Types

•Clinical Guideline (2)

•Journal Article (1974)

•Legislation/Regulation (32)

•Meeting/Conference (25)

•Newsletter/Journal (8)

•Newspaper/Magazine Article (310)

•Press Release/Announcement (13)

•Special or Theme Issue (50)

•Tools/Toolkit (30)

•Web Resource (57)

•Grant (8)

Error Types

•Epidemiology of Errors and Adverse Events (993)

•Active Errors (286)

•Latent Errors (152)

•Near Miss (46)

Approach to Improving Safety

•Quality Improvement Strategies (728)

•Legal and Policy Approaches (322)

•Error Reporting and Analysis (834)

•Communication Improvement (577)

•Human Factors Engineering (286)

•Teamwork (172)

•Specialization of Care (205)

•Logistical Approaches (199)

•Culture of Safety (445)

•Technologic Approaches (725)

•Education and Training (417)

Clinical Areas

•Allied Health Services (8)

•Medicine (1711)

•Nursing (172)

•Pharmacy (402)

Target Audience
< All

Health Care Executives and Administrators

•Facility and Group Administrators (176)

•Nurse Managers (126)

•Risk Managers (275)

•Quality and Safety Professionals (793)

Setting of Care

•Hospitals (1710)

•Psychiatric Facilities (11)

•Residential Facilities (59)

•Ambulatory Care (232)

•Outpatient Surgery (27)

•Patient Transport (17)

1 - 20 of 2738

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STUDY

Effect of a pharmacist on adverse drug events and medication errors in outpatients with cardiovascular disease.

Murray MD, Ritchey ME, Wu J, Tu W. Arch Intern Med. 2009;169:757-763.

STUDY

In-home medication reviews: a novel approach to improving patient care through coordination of care.

Willis JS, Hoy RH, Jenkins WD. J Community Health. 2011;36:1027-1031.

COMMENTARY

Making inpatient medication reconciliation patient centered, clinically relevant and implementable: a consensus statement on key principles and necessary first steps.

Greenwald JL, Halasyamani L, Greene J, et al. J Hosp Med. 2010;5:477-485.

NEWSPAPER/MAGAZINE ARTICLE

Piecing together medication administration.

Anderson HJ. Health Data Manage. May 1, 2009;17:22.

STUDY

Assessing the accuracy of drug profiles in an electronic medical record system of a Washington State hospital.

Platte B, Akinci F, Güç Y. Am J Manag Care. 2010;16:e245-e250.

STUDY

Improving medication safety in primary care using electronic health records.

Nemeth LS, Wessell AM. J Patient Saf. 2010;6:238-243.

STUDY

Electronic prescribing within an electronic health record reduces ambulatory prescribing errors.

Abramson EL, Barrón Y, Quaresimo J, Kaushal R. Jt Comm J Qual Patient Saf. 2011;37:470-478.

STUDY

Accuracy of computer-generated, Spanish-language medicine labels.

Sharif I, Tse J. Pediatrics. 2010;125:960-965.

STUDY

Dispensing error rate in a highly automated mail-service pharmacy practice.

Teagarden JR, Nagle B, Aubert RE, Wasdyke C, Courtney P, Epstein RS. Pharmacotherapy. 2005;25:1629-1635.

NEWSPAPER/MAGAZINE ARTICLE

Medication reconciliation only as good as the IT allows.

Page D. Hosp Health Networks. March 2011.

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

Risk models to improve safety of dispensing high-alert medications in community pharmacies.

Cohen MR, Smetzer JL, Westphal JE, Comden SC, Horn DM. J Am Pharm Assoc. 2012;52:584-602.

COMMENTARY

Medication reconciliation physician order form.

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

STUDY

Assessing the anticipated consequences of computer-based provider order entry at three community hospitals using an open-ended, semi-structured survey instrument.

Sittig DF, Ash JS, Guappone KP, Campbell EM, Dykstra RH. Int J Med Inform. 2008;77:440-447.

STUDY

Improving the usability of intravenous medication labels to support safe medication delivery.

Bauer DT, Guerlain S. Int J Ind Ergon. 2011;41:394-399.

STUDY

Implementation of an electronic system for medication reconciliation.

Kramer JS, Hopkins PJ, Rosendale JC, et al. Am J Health Syst Pharm. 2007;64:404-422.

COMMENTARY

2004 ASHP Leadership Conference on Pharmacy Practice Management Executive Summary: Improving patient care and medication safety.

Am J Health Syst Pharm. 2005;62:1303-1310.

COMMENTARY

Medication reconciliation at an academic medical center: implementation of a comprehensive program from admission to discharge.

Murphy EM, Oxencis CJ, Klauck JA, Meyer DA, Zimmerman JM. Am J Health Syst Pharm. 2009;66:2126-2131.

BOOK/REPORT

Prescription for Improving Patient Safety: Addressing Medication Errors.

The Medication Errors Panel. Sacramento, CA: California State Senate; March 2007.

COMMENTARY

Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge.

Rodehaver C. Jt Comm J Qual Patient Saf. 2005;31:406-413.

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