AHRQ Patient Safety Network

The Collection > Facility and Group Administrators

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Safety Target

•Device-related Complications (8)

•Diagnostic Errors (12)

•Identification Errors (14)

•Discontinuities, Gaps, and Hand-Off Problems (58)

•Fatigue and Sleep Deprivation (26)

•Medication Safety (159)

•Medical Complications (37)

•Nonsurgical Procedural Complications (4)

•Surgical Complications (31)

•Transfusion Complications (3)

•Psychological and Social Complications (14)

Origin/Sponsor

•Asia (7)

•Australia and New Zealand (10)

Resource Types

•Clinical Guideline (1)

•Journal Article (355)

•Legislation/Regulation (4)

•Meeting/Conference (1)

•Newsletter/Journal (2)

•Newspaper/Magazine Article (49)

•Press Release/Announcement (1)

•Special or Theme Issue (4)

•Tools/Toolkit (8)

•Web Resource (10)

Error Types

•Epidemiology of Errors and Adverse Events (95)

•Active Errors (35)

•Latent Errors (27)

•Near Miss (11)

Approach to Improving Safety

•Quality Improvement Strategies (120)

•Legal and Policy Approaches (42)

•Error Reporting and Analysis (156)

•Communication Improvement (111)

•Human Factors Engineering (37)

•Teamwork (33)

•Specialization of Care (33)

•Logistical Approaches (58)

•Culture of Safety (77)

•Technologic Approaches (107)

•Education and Training (65)

Clinical Areas

•Medicine (267)

•Nursing (36)

•Pharmacy (31)

Target Audience
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Facility and Group Administrators

Setting of Care

•Hospitals (262)

•Residential Facilities (23)

•Ambulatory Care (64)

•Outpatient Surgery (8)

•Patient Transport (4)

1 - 20 of 456

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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.

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.

NEWSPAPER/MAGAZINE ARTICLE

Dose of technology helps Shands at UF avoid drug errors.

Chun D. Gainsville Sun. August 21, 2006.

BOOK/REPORT

Pharmacist Staffing and the Use of Technology in Small Rural Hospitals: Implications for Medication Safety.

Casey MM, Moscovice I, Davidson G. Upper Midwest Rural Health Research Center; December 2005.

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.

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.

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.

REVIEW

Clinical pharmacists and inpatient medical care: a systematic review.

Kaboli PJ, Hoth AB, McClimon BJ, Schnipper JL. Arch Intern Med. 2006;166:955-964.

STUDY

Medication safety program reduces adverse drug events in a community hospital.

Cohen MM, Kimmel NL, Benage MK, et al. Qual Saf Health Care. 2005;14:169-174.

COMMENTARY

Implementing an electronic medical record with computerized prescriber order entry at a critical access hospital.

Horning R. Am J Health Syst Pharm. 2011;68:2288-2292.

STUDY

Adoption of technology to improve medication safety: perspectives of pharmacy directors.

Bussard BE, McAlearney AS, Pedersen CA, Schneider PJ. J Patient Saf. 2006;2:217-224.

STUDY

Errors prevented by and associated with bar-code medication administration systems.

Cochran GL, Jones KJ, Brockman J, Skinner A, Hicks RW. Jt Comm J Qual Patient Saf. 2007;33:293-301.

COMMENTARY

Implementation of standard concentrations for continuous infusions using a computerized provider order entry system.

Sinclair-Pingel J, Grisso AG, Hargrove FR, Wright L. Hosp Pharm. 2006;41:1102-1106.

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

The safety of hospital stroke care.

Holloway RG, Tuttle D, Baird T, Skelton WK. Neurology. 2007;68:550-555.

STUDY

Hospitalwide adverse drug events before and after limiting weekly work hours of medical residents to 80.

Mycyk MB, McDaniel MR, Fotis MA, Regalado J. Am J Health Syst Pharm. 2005;62:1592-1595.

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.

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.

NEWSPAPER/MAGAZINE ARTICLE

Residency program fills medication safety void.

Young D. Am J Health Syst Pharm. 2005;62:2450-2451.

REVIEW

Interventions in primary care to reduce medication related adverse events and hospital admissions: systematic review and meta-analysis.

Royal S, Smeaton L, Avery AJ, Hurwitz B, Sheikh A. Qual Saf Health Care. 2006;15:23-31.

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