AHRQ Patient Safety Network

The Collection > Health Care Executives and Administrators

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Safety Target

•Device-related Complications (97)

•Diagnostic Errors (60)

•Identification Errors (57)

•Discontinuities, Gaps, and Hand-Off Problems (309)

•Fatigue and Sleep Deprivation (52)

•Medication Safety (898)

•Medical Complications (308)

•Nonsurgical Procedural Complications (26)

•Surgical Complications (114)

•Transfusion Complications (15)

•Psychological and Social Complications (77)

Origin/Sponsor

•Africa (5)

•Asia (40)

•Australia and New Zealand (80)

•Central and South America (3)

•Europe (346)

•North America (1865)

Resource Types

•Audiovisual (21)

•Award (17)

•Book/Report (190)

•Clinical Guideline (2)

•Journal Article (1712)

•Legislation/Regulation (30)

•Meeting/Conference (21)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (245)

•Press Release/Announcement (16)

•Special or Theme Issue (38)

•Tools/Toolkit (43)

•Web Resource (59)

•Grant (11)

Error Types

•Epidemiology of Errors and Adverse Events (581)

•Active Errors (278)

•Latent Errors (167)

•Near Miss (37)

Approach to Improving Safety

•Quality Improvement Strategies (660)

•Legal and Policy Approaches (285)

•Error Reporting and Analysis (711)

•Communication Improvement (535)

•Human Factors Engineering (260)

•Teamwork (166)

•Specialization of Care (201)

•Logistical Approaches (198)

•Culture of Safety (411)

•Technologic Approaches (757)

•Education and Training (487)

Clinical Areas

•Allied Health Services (8)

•Medicine (1626)

•Nursing (179)

•Pharmacy (343)

Target Audience
< All

Health Care Executives and Administrators

•Facility and Group Administrators (170)

•Nurse Managers (162)

•Risk Managers (178)

•Quality and Safety Professionals (795)

Setting of Care

•Hospitals (1882)

•Psychiatric Facilities (10)

•Residential Facilities (49)

•Ambulatory Care (195)

•Outpatient Surgery (19)

•Patient Transport (3)

1 - 20 of 2406

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STUDY

Use of electronic health records in US hospitals.

Jha AK, Desroches CM, Campbell EG, et al. N Engl J Med. 2009;360:1628-1638.

STUDY

Intravenous infusion safety technology: return on investment.

Danello SH, Maddox RR, Schaack GJ. Hosp Pharm. 2009;44:680-687, 696.

NEWSPAPER/MAGAZINE ARTICLE

Piecing together medication administration.

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

NEWSPAPER/MAGAZINE ARTICLE

CPOE: it don't come easy.

Anderson HJ. Health Data Manag. January 1, 2009;17:18.

ORGANIZATIONAL POLICY/GUIDELINES

Preventing errors relating to commonly used anticoagulants.

Sentinel Event Alert. September 24, 2008;(41):1-4.

NEWSPAPER/MAGAZINE ARTICLE

Effective use of medication-related decision support in CPOE.

Metzger JB, Welebob E, Turisco F, Classen DC. Patient Saf Qual Healthc. Sept/Oct 2008;5:16-24.

STUDY

ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2011.

Pedersen CA, Schneider PJ, Scheckelhoff DJ. Am J Health Syst Pharm. 2012;69:768-785.

COMMENTARY

In Conversation with…Eric G. Poon, MD, MPH

AHRQ WebM&M [serial online]. September 2008.

NEWSPAPER/MAGAZINE ARTICLE

Anticoagulant safety practices call for pharmacist supervision.

Scott A. Drug Topics (Health-System Edition). November 10, 2008.

FACT SHEET/FAQS

Bar-Coded Medication Administration (BCMA).

Decisionmaker Brief. AHRQ Publication No: 08-0085, August 2008. Agency for Healthcare Research and Quality, Rockville, MD.

STUDY

The effect of health information technology on quality in U.S. hospitals.

McCullough JS, Casey M, Moscovice I, Prasad S. Health Aff (Millwood). 2010;29:647-654.

NEWSPAPER/MAGAZINE ARTICLE

Medication errors occurring with the use of bar-code administration technology.

PA-PSRS Patient Saf Advis. December 2008;5:122-126.

STUDY

Reported medication errors after introducing an electronic medication management system.

Redley B, Botti M. J Clin Nurs. 2013;22:579-589.

STUDY

Impact of electronic prescribing in a hospital setting: a process-focused evaluation.

Cunningham TR, Geller ES, Clarke SW. Int J Med Inform. 2008;77:546-554.

STUDY

A new method to guard inpatient medication safety by the implementation of RFID.

Sun PR, Wang BH, Wu F. J Med Syst. 2008;32:327-332.

STUDY

Mixed results in the safety performance of computerized physician order entry.

Metzger J, Welebob E, Bates DW, Lipsitz S, Classen DC. Health Aff (Millwood). 2010;29:655-663.

STUDY

Early cost and safety benefits of an inpatient electronic health record.

Zlabek JA, Wickus JW, Mathiason MA. J Am Med Inform Assoc. 2011;18:169-172.

NEWSPAPER/MAGAZINE ARTICLE

Proper positioning of pharmacy label on Hospira PCA vials will avoid interference with scanning.

ISMP Medication Safety Alert! Acute Care Edition. August 14, 2008;13:1-3.

STUDY

CPOE in Iran—a viable prospect? Physicians' opinions on using CPOE in an Iranian teaching hospital.

Kazemi A, Ellenius J, Tofighi S, Salehi A, Eghbalian F, Fors UG. Int J Med Inform. 2008;78:199-207.

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.

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