AHRQ Patient Safety Network

The Collection > Facility and Group Administrators

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Safety Target

•Device-related Complications (11)

•Diagnostic Errors (21)

•Identification Errors (16)

•Discontinuities, Gaps, and Hand-Off Problems (73)

•Fatigue and Sleep Deprivation (28)

•Medication Safety (170)

•Medical Complications (39)

•Nonsurgical Procedural Complications (4)

•Surgical Complications (32)

•Transfusion Complications (3)

•Psychological and Social Complications (14)

Origin/Sponsor

•Asia (7)

•Australia and New Zealand (16)

Resource Types

•Clinical Guideline (1)

•Journal Article (397)

•Legislation/Regulation (5)

•Meeting/Conference (2)

•Newsletter/Journal (2)

•Newspaper/Magazine Article (49)

•Press Release/Announcement (1)

•Special or Theme Issue (4)

•Tools/Toolkit (12)

•Web Resource (11)

Error Types

•Epidemiology of Errors and Adverse Events (106)

•Active Errors (48)

•Latent Errors (34)

•Near Miss (13)

Approach to Improving Safety

•Quality Improvement Strategies (131)

•Legal and Policy Approaches (49)

•Error Reporting and Analysis (167)

•Communication Improvement (129)

•Human Factors Engineering (41)

•Teamwork (36)

•Specialization of Care (37)

•Logistical Approaches (64)

•Culture of Safety (84)

•Technologic Approaches (123)

•Education and Training (76)

Clinical Areas

•Medicine (308)

•Nursing (38)

•Pharmacy (31)

Target Audience
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Facility and Group Administrators

Setting of Care

•Hospitals (281)

•Psychiatric Facilities (1)

•Residential Facilities (28)

•Ambulatory Care (76)

•Outpatient Surgery (8)

•Patient Transport (6)

1 - 20 of 510

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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.

STUDY

Design and implementation of an application and associated services to support interdisciplinary medication reconciliation efforts at an integrated healthcare delivery network.

Poon EG, Blumenfeld B, Hamann C, et al. J Am Med Inform Assoc. 2006;13:581-592.

COMMENTARY

Ordering of continuous renal replacement therapy in a computerized provider order entry system.

Oh SS, Sinclair-Pingel J, Feldott CC, Hargrove FR. Hosp Pharm. 2007;42:255–257.

BOOK/REPORT

Saving Lives, Saving Money: The Imperative for Computerized Physician Order Entry in Massachusetts Hospitals.

Adams M, Bates D, Coffman G, Everett W. Westborough, MA: Massachusetts Technology Collaborative and New England Healthcare Institute; 2008.

STUDY

Medication-error reporting and pharmacy resident experience during implementation of computerized prescriber order entry.

Weant KA, Cook AM, Armitstead JA. Am J Health Syst Pharm. 2007;64:526-530.

COMMENTARY

Implementation of computerized prescriber order entry in four academic medical centers.

Cooley TW, May D, Alwan M, Sue C. Am J Health Syst Pharm. 2012;69:2166-2173.

NEWSPAPER/MAGAZINE ARTICLE

Point-of-care medication error prevention: best practices in action.

Swenson D. Patient Saf Qual Healthc. May/June 2007;4:18-25.

BOOK/REPORT

Committed to Safety: Ten Case Studies on Reducing Harm to Patients.

McCarthy D, Blumenthal D. New York, NY: The Commonwealth Fund; April 2006.

STUDY

Medication errors in a pharmacy-based bar-code-repackaging center.

Cina J, Fanikos J, Mitton P, McCrea M, Churchill W. Am J Health Syst Pharm. 2006;63:165-168.

STUDY

The need for organizational change in patient safety initiatives.

Anderson JG, Ramanujam R, Hensel D, Anderson MM, Sirio CA. Int J Med Inform. 2006;75:809-817.

STUDY

Assessing the value of electronic prescribing in ambulatory care: A focus group study.

Weingart SN, Massagli M, Cyrulik A, et al. Int J Med Inform. 2009;78:571-578.

STUDY

Beliefs of ambulatory care physicians about accuracy of patient medication records and technology-enhanced solutions to improve accuracy.

Weeks DL, Corbett CF, Stream G. J Healthc Qual. 2010;32:12-21.

STUDY

Effect of a weight-based prescribing method within an electronic health record on prescribing errors.

Ginzburg R, Barr WB, Harris M, Munshi S. Am J Health Syst Pharm. 2009;66:2037-2041.

COMMENTARY classic

Five years after 'To Err is Human': what have we learned?

Leape LL, Berwick DM. JAMA. 2005;293:2384-2390.

STUDY

Iatrogenic events resulting in intensive care admission: frequency, cause, and disclosure to patients and institutions.

Lehmann LS, Puopolo AL, Shaykevich S, Brennan TA. Am J Med. 2005;118:409-413.

REVIEW

Monitoring for medication errors in outpatient settings.

Balkrishnan R, Foss CE, Pawaskar M, Uhas AA, Feldman SR. J Dermatolog Treat. 2009;20:229-232.

NEWSPAPER/MAGAZINE ARTICLE

Dose of technology helps Shands at UF avoid drug errors.

Chun D. Gainsville Sun. August 21, 2006.

COMMENTARY classic

Fixing healthcare from the inside, today.

Spear SJ. Harv Bus Rev. September 2005;83:78-91.

STUDY

Risk of medication errors at hospital discharge and barriers to problem resolution.

Enguidanos SM, Brumley RD. Home Health Care Serv Q. 2005;24:123-135.

STUDY

Internal reporting system to improve a pharmacy's medication distribution process.

Rickrode GA, Williams-Lowe ME, Rippe JL, Theriault RH Jr. Am J Health Syst Pharm. 2007;64:1197-1202.

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