AHRQ Patient Safety Network

The Collection > Risk Managers

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Safety Target

•Device-related Complications (29)

•Diagnostic Errors (44)

•Identification Errors (17)

•Discontinuities, Gaps, and Hand-Off Problems (54)

•Fatigue and Sleep Deprivation (41)

•Medication Safety (184)

•Medical Complications (40)

•Nonsurgical Procedural Complications (14)

•Surgical Complications (68)

•Transfusion Complications (2)

•Psychological and Social Complications (17)

Origin/Sponsor

•Asia (20)

•Australia and New Zealand (16)

Resource Types

•Clinical Guideline (1)

•Journal Article (433)

•Legislation/Regulation (2)

•Meeting/Conference (1)

•Newspaper/Magazine Article (47)

•Press Release/Announcement (6)

•Special or Theme Issue (2)

•Tools/Toolkit (5)

•Web Resource (4)

Error Types

•Epidemiology of Errors and Adverse Events (172)

•Active Errors (93)

•Latent Errors (31)

•Near Miss (11)

Approach to Improving Safety

•Quality Improvement Strategies (141)

•Legal and Policy Approaches (57)

•Error Reporting and Analysis (218)

•Communication Improvement (85)

•Human Factors Engineering (65)

•Teamwork (20)

•Specialization of Care (15)

•Logistical Approaches (54)

•Culture of Safety (40)

•Technologic Approaches (84)

•Education and Training (60)

Clinical Areas

•Allied Health Services (2)

•Medicine (352)

•Nursing (45)

•Pharmacy (71)

Target Audience
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Risk Managers

Setting of Care

•Hospitals (329)

•Psychiatric Facilities (2)

•Residential Facilities (3)

•Ambulatory Care (34)

•Outpatient Surgery (7)

•Patient Transport (4)

1 - 20 of 524

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COMMENTARY

Citrate Mix-Up

Weber RJ. AHRQ WebM&M [serial online]. May 2006.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2006;41:725-728.

COMMENTARY

It's All in the Syringe

Weingart SN. AHRQ WebM&M [serial online]. August 2006.

COMMENTARY

A Troubling Amine

Flynn EA. AHRQ WebM&M [serial online]. September 2006.

COMMENTARY

ISMP medication error report analysis.

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

AUDIOVISUAL

Preventing fatal heparin overdoses.

Food and Drug Administration (FDA) Patient Safety News. Show #58. December 2006.

BOOK/REPORT

National Diabetes Inpatient Audit 2011.

Leeds, UK: Health and Social Care Information Centre; 2012.

STUDY

Detection and prevention of medication errors using real-time bedside nurse charting.

Nelson NC, Evans RS, Samore MH, Gardner RM. J Am Med Inform Assoc. 2005;12:390-397.

STUDY

Drug-induced hypoglycaemia--new insight into an old problem.

Ching CK, Lai CK, Poon WT, et al. Hong Kong Med J. 2006;12:334-338.

STUDY

Epidemiology, comparative methods of detection, and preventability of adverse drug events.

Al-Tajir GK, Kelly WN. Ann Pharmacother. 2005;39:1169-1174.

COMMENTARY

Crossed Coverage

Kayser SR. AHRQ WebM&M [serial online]. February 2007.

NEWSPAPER/MAGAZINE ARTICLE

Promethazine conundrum: IV can hurt more than IM injection!

ISMP Medication Safety Alert! Acute Care Edition. November 2, 2006;11:1-3.

STUDY

A review of medication administration errors reported in a large psychiatric hospital in the United Kingdom.

Haw CM, Dickens G, Stubbs J. Psychiatr Serv. 2005;56:1610-1613.

COMMENTARY

Miscalculated Risk

Strassels SA. AHRQ WebM&M [serial online]. August 2006.

STUDY

Attitudes and barriers to incident reporting: a collaborative hospital study.

Evans SM, Berry JG, Smith BJ, et al. Qual Saf Health Care. 2006;15:39-43.

STUDY

Medication reconciliation for reducing drug-discrepancy adverse events.

Boockvar KS, Carlson Lacorte H, Giambanco V, Fridman B, Siu A. Am J Geriatr Pharmacother. 2006;4:236-243.

NEWSPAPER/MAGAZINE ARTICLE

What pilots can teach hospitals about patient safety.

Murphy K. New York Times. October 31, 2006:F5.

NEWSPAPER/MAGAZINE ARTICLE

Generic drug names: fertile ground for errors?

Wynn P. Drug Topics Supplements. August 8, 2005.

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

Using human error theory to explore the supply of non-prescription medicines from community pharmacies.

Watson MC, Bond CM, Johnston M, Mearns K. Qual Saf Health Care. 2006;15:244-250.

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