AHRQ Patient Safety Network

The Collection > Health Care Executives and Administrators

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Safety Target

•Device-related Complications (95)

•Diagnostic Errors (82)

•Identification Errors (56)

•Discontinuities, Gaps, and Hand-Off Problems (256)

•Fatigue and Sleep Deprivation (100)

•Medication Safety (763)

•Medical Complications (216)

•Nonsurgical Procedural Complications (31)

•Surgical Complications (230)

•Transfusion Complications (9)

•Psychological and Social Complications (93)

Origin/Sponsor

•Asia (6)

•Australia and New Zealand (19)

•Europe (83)

•North America (2366)

Resource Types

•Clinical Guideline (1)

•Journal Article (1760)

•Legislation/Regulation (37)

•Meeting/Conference (22)

•Newsletter/Journal (7)

•Newspaper/Magazine Article (319)

•Press Release/Announcement (19)

•Special or Theme Issue (47)

•Tools/Toolkit (32)

•Web Resource (47)

•Grant (4)

Error Types

•Epidemiology of Errors and Adverse Events (434)

•Active Errors (242)

•Latent Errors (138)

•Near Miss (41)

Approach to Improving Safety

•Quality Improvement Strategies (665)

•Legal and Policy Approaches (320)

•Error Reporting and Analysis (671)

•Communication Improvement (545)

•Human Factors Engineering (279)

•Teamwork (210)

•Specialization of Care (191)

•Logistical Approaches (228)

•Culture of Safety (439)

•Technologic Approaches (453)

•Education and Training (448)

Clinical Areas

•Allied Health Services (9)

Target Audience
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Health Care Executives and Administrators

•Facility and Group Administrators (172)

•Nurse Managers (405)

•Risk Managers (242)

•Quality and Safety Professionals (597)

Setting of Care

•Hospitals (1471)

•Psychiatric Facilities (10)

•Residential Facilities (43)

•Ambulatory Care (170)

•Outpatient Surgery (18)

•Patient Transport (7)

1 - 20 of 2501

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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.

COMMENTARY

Medication reconciliation physician order form.

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

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

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

The consumer: and now, a warning about labels.

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

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.

BOOK/REPORT

The Prescription Infrastructre: Are We Ready for ePrescribing?

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

FACT SHEET/FAQS

Oral Dosage Forms that Should Not Be Crushed.

Mitchell JF. Institute for Safe Medication Practices.

COMMENTARY

Preventing vincristine administration errors: does evidence support minibag infusions?

Schulmeister L. Clin J Oncol Nurs. 2006;10:271-273.

NEWSPAPER/MAGAZINE ARTICLE

Dose of technology helps Shands at UF avoid drug errors.

Chun D. Gainsville Sun. August 21, 2006.

COMMENTARY

Automated dispensing cabinets.

Gaunt MJ, Johnston J, Davis MM. Am J Nurs. 2007;107:27-28.

COMMENTARY

ISMP medication error report analysis.

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

STUDY

Pharmacist workload and pharmacy characteristics associated with the dispensing of potentially clinically important drug-drug interactions.

Malone DC, Abarca J, Skrepnek GH, et al. Med Care. 2007;45:456-462.

NEWSPAPER/MAGAZINE ARTICLE

Don't underestimate the impact of change on risk potential.

ISMP Medication Safety Alert! Acute Care Edition. September 11, 2008;13:1-3.

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.

COMMENTARY

How the US drug safety system should be changed.

Strom BL. JAMA. 2006;295:2072-2075.

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.

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.

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