AHRQ Patient Safety Network

The Collection > Facility and Group Administrators

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Safety Target

•Device-related Complications (11)

•Diagnostic Errors (17)

•Identification Errors (15)

•Discontinuities, Gaps, and Hand-Off Problems (61)

•Fatigue and Sleep Deprivation (24)

•Medication Safety (159)

•Medical Complications (37)

•Nonsurgical Procedural Complications (2)

•Surgical Complications (36)

•Transfusion Complications (3)

•Psychological and Social Complications (12)

Origin/Sponsor

•Asia (9)

•Australia and New Zealand (22)

Resource Types

•Journal Article (379)

•Legislation/Regulation (5)

•Meeting/Conference (2)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (47)

•Press Release/Announcement (1)

•Special or Theme Issue (4)

•Tools/Toolkit (11)

•Web Resource (10)

Error Types

•Epidemiology of Errors and Adverse Events (113)

•Active Errors (41)

•Latent Errors (33)

•Near Miss (12)

Approach to Improving Safety

•Quality Improvement Strategies (137)

•Legal and Policy Approaches (47)

•Error Reporting and Analysis (182)

•Communication Improvement (95)

•Human Factors Engineering (39)

•Teamwork (35)

•Specialization of Care (32)

•Logistical Approaches (49)

•Culture of Safety (87)

•Technologic Approaches (111)

•Education and Training (73)

Clinical Areas

•Allied Health Services (2)

•Complementary and Alternative Medicine (1)

•Medicine (286)

•Nursing (31)

•Pharmacy (31)

Target Audience
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Facility and Group Administrators

Setting of Care

•Hospitals (277)

•Psychiatric Facilities (1)

•Residential Facilities (25)

•Ambulatory Care (61)

•Outpatient Surgery (7)

•Patient Transport (5)

1 - 20 of 485

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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.

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

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.

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 administration errors for older people in long-term residential care.

Szczepura A, Wild D, Nelson S. BMC Geriatr. 2011;11:82.

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.

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.

COMMENTARY

A nurse-driven system for improving patient quality outcomes.

Johnson K, Hallsey D, Meredith RL, Warden E. J Nurs Care Qual. 2006;21:168-175.

COMMENTARY

Enhancing patient safety: improving the patient handoff process through appreciative inquiry.

Shendell-Falik N, Feinson M, Mohr BJ. J Nurs Adm. 2007;37:95-104.

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.

COMMENTARY

Lessons from "unexpected increased mortality after implementation of a commercially sold computerized physician order entry system."

Sittig DF, Ash JS, Zhang J, Osheroff JA, Shabot MM. Pediatrics. 2006;118:797-801.

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

The safety of hospital stroke care.

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

REVIEW

Minimising medication errors in children.

Wong ICK, Wong LYL, Cranswick NE. Arch Dis Child. 2009;94:161-164.

NEWSPAPER/MAGAZINE ARTICLE

Dose of technology helps Shands at UF avoid drug errors.

Chun D. Gainsville Sun. August 21, 2006.

STUDY

Retrospective analysis of medication incidents reported using an on-line reporting system.

Ashcroft DM, Cooke J. Pharm World Sci. 2006;28:359-65.

STUDY

A randomised controlled trial of the effect of continuous electronic physiological monitoring on the adverse event rate in high risk medical and surgical patients.

Watkinson PJ, Barber VS, Price JD, et al. Anaesthesia. 2006;61:1031-1039.

STUDY

The effect of the fit between organizational culture and structure on medication errors in medical group practices.

Kaissi A, Kralewski J, Dowd B, Heaton A. Health Care Manage Rev. 2007;32:12-21.

STUDY

Insufficient communication about medication use at the interface between hospital and primary care.

Glintborg B, Andersen SE, Dalhoff K. Qual Saf Health Care. 2007;16:34-39.

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