AHRQ Patient Safety Network

The Collection > Risk Managers

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Safety Target

•Device-related Complications (47)

•Diagnostic Errors (67)

•Identification Errors (31)

•Discontinuities, Gaps, and Hand-Off Problems (87)

•Fatigue and Sleep Deprivation (43)

•Medication Safety (264)

•Medical Complications (63)

•Nonsurgical Procedural Complications (32)

•Surgical Complications (124)

•Transfusion Complications (6)

•Psychological and Social Complications (29)

Origin/Sponsor

•Asia (21)

•Australia and New Zealand (27)

•Central and South America (1)

Resource Types

•Clinical Guideline (1)

•Journal Article (702)

•Legislation/Regulation (9)

•Meeting/Conference (1)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (69)

•Press Release/Announcement (17)

•Special or Theme Issue (7)

•Tools/Toolkit (6)

•Web Resource (7)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (309)

•Active Errors (151)

•Latent Errors (49)

•Near Miss (27)

Approach to Improving Safety

•Quality Improvement Strategies (188)

•Legal and Policy Approaches (99)

•Error Reporting and Analysis (384)

•Communication Improvement (159)

•Human Factors Engineering (120)

•Teamwork (41)

•Specialization of Care (33)

•Logistical Approaches (70)

•Culture of Safety (62)

•Technologic Approaches (120)

•Education and Training (93)

Clinical Areas

•Allied Health Services (3)

Target Audience
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Risk Managers

Setting of Care

•Hospitals (469)

•Psychiatric Facilities (4)

•Residential Facilities (11)

•Ambulatory Care (52)

•Outpatient Surgery (12)

•Patient Transport (9)

1 - 20 of 861

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STUDY

Prevention of pediatric medication errors by hospital pharmacists and the potential benefit of computerized physician order entry.

Wang JK, Herzog NS, Kaushal R, et al. Pediatrics. 2007;119:e77-85.

STUDY

Association between license status and medication errors.

Conroy S. Arch Dis Child. 2011;96:305-306.

COMMENTARY

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2010;45:282-287.

STUDY

Hospital admission medication reconciliation in medically complex children: an observational study.

Stone BL, Boehme S, Mundorff MB, Maloney CG, Srivastava R. Arch Dis Child. 2010;95:250-255.

STUDY

Assessing controlled substance prescribing errors in a pediatric teaching hospital: an analysis of the safety of analgesic prescription practice in the transition from the hospital to home.

Lee BH, Lehmann CU, Jackson EV, et al. J Pain. 2009;10:160-166.

STUDY

Computer based medication error reporting: insights and implications.

Miller MR, Clark JS, Lehmann CU. Qual Saf Health Care. 2006;15:208-213.

STUDY

Oral outpatient chemotherapy medication errors in children with acute lymphoblastic leukemia.

Taylor JA, Winter L, Geyer LJ, Hawkins DS. Cancer. 2006;107:1400-1406.

STUDY

Pediatric antidepressant medication errors in a national error reporting database.

Rinke ML, Bundy DG, Shore AD, Colantuoni E, Morlock LL, Miller MR. J Dev Behav Pediatr. 2010;31:129-136.

REVIEW

Bar code technology and medication administration error.

Young J, Slebodnik M, Sands L. J Patient Saf. 2010;6;115-120.

STUDY

Improving ambulatory prescribing safety with a handheld decision support system: a randomized controlled trial.

Berner ES, Houston TK, Ray MN, et al. J Am Med Inform Assoc. 2006;13:171-179.

STUDY

An intervention to decrease patient identification band errors in a children's hospital.

Hain PD, Joers B, Rush M, et al. Qual Saf Health Care. 2010;19:244-247.

STUDY

Using an enhanced oral chemotherapy computerized provider order entry system to reduce prescribing errors and improve safety.

Collins CM, Elsaid KA. Int J Qual Health Care. 2011;23:36-43.

STUDY

Impact of implementing alerts about medication black-box warnings in electronic health records.

Yu DT, Seger DL, Lasser KE, et al. Pharmacoepidemiol Drug Saf. 2011;20:192-202.

STUDY

Medical errors in US pediatric inpatients with chronic conditions.

Ahuja N, Zhao W, Xiang H. Pediatrics. 2012;130:e786-e793.

COMMENTARY

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2010;45:13-17.

STUDY

Antiretroviral medication errors among hospitalized patients with HIV infection.

Rastegar DA, Knight AM, Monolakis JS. Clin Infect Dis. 2006;43:933-38.

STUDY

Self-reported violations during medication administration in two paediatric hospitals.

Alper SJ, Holden RJ, Scanlon MC, et al. BMJ Qual Saf. 2012;21:408-415.

STUDY

A trigger tool fails to identify serious errors and adverse events in pediatric otolaryngology.

Lander L, Roberson DW, Plummer KM, Forbes PW, Healy GB, Shah RK. Otolaryngol Head Neck Surg. 2010;143:480-486.

STUDY

Potassium and phosphorus repletion in hospitalized patients: implications for clinical practice and the potential use of healthcare information technology to improve prescribing and patient safety.

Hemstreet BA, Stolpman N, Badesch DB, May SK, McCollum M. Curr Med Res Opin. 2006;22:2449-2455.

STUDY

Effects of mental demands during dispensing on perceived medication safety and employee well-being: a study of workload in pediatric hospital pharmacies.

Holden RJ, Patel NR, Scanlon MC, Shalaby TM, Arnold JM, Karsh BT. Res Social Admin Pharm. 2010;6:293-306.

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