AHRQ Patient Safety Network

The Collection > Risk Managers

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Safety Target

•Device-related Complications (44)

•Diagnostic Errors (67)

•Identification Errors (35)

•Discontinuities, Gaps, and Hand-Off Problems (84)

•Fatigue and Sleep Deprivation (46)

•Medication Safety (262)

•Medical Complications (60)

•Nonsurgical Procedural Complications (30)

•Surgical Complications (123)

•Transfusion Complications (5)

•Psychological and Social Complications (27)

Origin/Sponsor

•Asia (22)

•Australia and New Zealand (26)

•Central and South America (1)

Resource Types

•Clinical Guideline (1)

•Journal Article (689)

•Legislation/Regulation (9)

•Meeting/Conference (2)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (68)

•Press Release/Announcement (13)

•Special or Theme Issue (6)

•Tools/Toolkit (6)

•Web Resource (7)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (286)

•Active Errors (153)

•Latent Errors (48)

•Near Miss (26)

Approach to Improving Safety

•Quality Improvement Strategies (190)

•Legal and Policy Approaches (98)

•Error Reporting and Analysis (369)

•Communication Improvement (155)

•Human Factors Engineering (117)

•Teamwork (40)

•Specialization of Care (32)

•Logistical Approaches (72)

•Culture of Safety (63)

•Technologic Approaches (121)

•Education and Training (99)

Clinical Areas

•Allied Health Services (2)

•Medicine (567)

•Nursing (44)

•Pharmacy (86)

Target Audience
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Risk Managers

Setting of Care

•Hospitals (456)

•Psychiatric Facilities (3)

•Residential Facilities (12)

•Ambulatory Care (51)

•Outpatient Surgery (12)

•Patient Transport (8)

1 - 20 of 843

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NEWSPAPER/MAGAZINE ARTICLE

Manic for medication safety: bar codes and drug information databases are helping to reduce medication errors.

Rogoski RR. Health Manage Technol. February 2007;28:14, 16-18.

STUDY

Automated medication error studies with audit supplementation were effectively designed and analyzed by time series.

Shuster JJ, Winterstein AG. J Clin Epidemiol. 2006;59:957-963.

STUDY

Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: are they preventable?

Seiden SC, Barach P. Arch Surg. 2006;141:931-939.

STUDY

Impact of a computerized clinical decision support system on reducing inappropriate antimicrobial use: a randomized controlled trial.

McGregor JC, Weekes E, Forrest GN, et al. J Am Med Inform Assoc. 2006;13:378-384.

NEWSPAPER/MAGAZINE ARTICLE

What pilots can teach hospitals about patient safety.

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

FACT SHEET/FAQS

Medication safety issue brief. Counterfeit drug prevention and identification.

American Hospital Association, American Society of Health-System Pharmacists, Hospitals and Health Networks. Hosp Health Netw. August 2005;79.29-30.

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.

FACT SHEET/FAQS

Medication safety issue brief. Bar code implementation strategies.

American Hospital Association, American Society of Health-System Pharmacists, Hospitals and Health Networks. Hosp Health Netw. July 2005;79:65-66.

STUDY

An examination of technical efficiency, quality, and patient safety in acute care nursing units.

Mark B, Jones C, Lindley L, Ozcan Y. Policy Polit Nurs Pract. 2009;10:180-186.

STUDY

Risk factors for adverse drug events: a 10-year analysis.

Evans RS, Lloyd JF, Stoddard GJ, Nebeker JR, Samore MH. Ann Pharmacother. 2005;39:1161-1168.

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.

NEWSPAPER/MAGAZINE ARTICLE

Medical simulations identify potential problems before they can pose a real threat.

Kleefeld E. Wisconsin Technology Network. June 15, 2005.

STUDY

Work-hour restrictions as an ethical dilemma for residents.

Carpenter RO, Austin MT, Tarpley JL, Griffin MR, Lomis KD. Amer J Surg. 2006;191:527-532.

ORGANIZATIONAL POLICY/GUIDELINES

Statement on the prevention of retained foreign bodies after surgery.

Bulletin of the American College of Surgeons; October 2005.

STUDY

The nurse's role in the causation of compensable injury.

Painter LM, Dudjak LA, Kidwell KM, Simmons RL, Kidwell RP. J Nurs Care Qual. 2011;4:311-319.

REVIEW

Systematic review of medication safety assessment methods.

Meyer-Massetti C, Cheng CM, Schwappach DL, et al. Am J Health Syst Pharm. 2011;68:227-240.

STUDY

An overview of intravenous-related medication administration errors as reported to MEDMARX^(R), a national medication error-reporting program.

Hicks RW, Becker SC. J Infus Nurs. 2006;29:20-27.

COMMENTARY

Passing the "Yo' Mama" test.

Blair R. Health Manage Tech. June 2006;27:16.

MULTI-USE WEBSITE

Surgical Care Improvement Project.

National SCIP Partnership, Oklahoma Foundation for Medical Quality, 14000 Quail Springs Parkway, Suite 400, Oklahoma City, OK, 73134.

STUDY

Child-specific risk factors and patient safety.

Woods DM, Holl JL, Shonkoff JP, Mehra M, Ogata ES, Weiss KB. J Patient Saf. 2005;1:17-22.

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