AHRQ Patient Safety Network

The Collection > Quality and Safety Professionals

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Safety Target

•Device-related Complications (119)

•Diagnostic Errors (113)

•Identification Errors (86)

•Discontinuities, Gaps, and Hand-Off Problems (266)

•Fatigue and Sleep Deprivation (62)

•Medication Safety (754)

•Medical Complications (264)

•Nonsurgical Procedural Complications (74)

•Surgical Complications (293)

•Transfusion Complications (10)

•Psychological and Social Complications (66)

Origin/Sponsor

•Asia (41)

•Australia and New Zealand (75)

•Central and South America (5)

•Europe (318)

•North America (1806)

Resource Types

•Audiovisual (10)

•Award (6)

•Book/Report (72)

•Clinical Guideline (3)

•Journal Article (1918)

•Legislation/Regulation (28)

•Meeting/Conference (13)

•Newsletter/Journal (4)

•Newspaper/Magazine Article (133)

•Press Release/Announcement (16)

•Special or Theme Issue (26)

•Tools/Toolkit (20)

•Web Resource (30)

•Grant (4)

Error Types

•Epidemiology of Errors and Adverse Events (650)

•Active Errors (463)

•Latent Errors (153)

•Near Miss (54)

Approach to Improving Safety

•Quality Improvement Strategies (583)

•Legal and Policy Approaches (114)

•Error Reporting and Analysis (683)

•Communication Improvement (499)

•Human Factors Engineering (397)

•Teamwork (203)

•Specialization of Care (161)

•Logistical Approaches (178)

•Culture of Safety (276)

•Technologic Approaches (428)

•Education and Training (437)

Clinical Areas

•Allied Health Services (6)

Target Audience
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Quality and Safety Professionals

Setting of Care

•Hospitals (1540)

•Psychiatric Facilities (8)

•Residential Facilities (33)

•Ambulatory Care (167)

•Outpatient Surgery (22)

•Patient Transport (16)

1 - 20 of 2283

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COMMENTARY

ISMP medication error report analysis.

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

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2009;44:730-733.

NEWSPAPER/MAGAZINE ARTICLE

Medication errors: a year in review.

Institute for Safe Medication Practices. Pharmacy Practice News. October 2011:7-14.

COMMENTARY

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2010;45:191-195.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2009;44:654-657.

REVIEW

The safety of intravenous drug delivery systems: update on current issues since the 1999 Consensus Development Conference.

Sanborn M, Gabay M, Moody ML. Hosp Pharm. 2009;44:159-164.

REVIEW

Bar code technology and medication administration error.

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

STUDY

Improving the usability of intravenous medication labels to support safe medication delivery.

Bauer DT, Guerlain S. Int J Ind Ergon. 2011;41:394-399.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2008;43:696–698.

STUDY

Origins of and solutions for neonatal medication-dispensing errors.

Sauberan JB, Dean LM, Fiedelak J, Abraham JA. Am J Health Syst Pharm. 2010;67:49-57.

NEWSPAPER/MAGAZINE ARTICLE

Collaboration focused on priority issues promotes safety.

ISMP Medication Safety Alert! Acute Care Edition. October 10, 2008;13:1-3.

COMMENTARY

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:937-938, 945.

NEWSPAPER/MAGAZINE ARTICLE

Oral syringes: a crucial and economical risk-reduction strategy that has not been fully utilized.

ISMP Medication Safety Alert! Acute Care Edition. October 22, 2009;14:1-3.

NEWSPAPER/MAGAZINE ARTICLE

Dose of technology helps Shands at UF avoid drug errors.

Chun D. Gainsville Sun. August 21, 2006.

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

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.

NEWSPAPER/MAGAZINE ARTICLE

Don't underestimate the impact of change on risk potential.

ISMP Medication Safety Alert! Acute Care Edition. September 11, 2008;13:1-3.

STUDY

Empowering frontline nurses: a structured intervention enables nurses to improve medication administration accuracy.

Kliger J, Blegen MA, Gootee D, O'Neil E. Jt Comm J Qual Patient Saf. 2009;35:604-612.

COMMENTARY

Medication tracers: a systems approach to medication safety.

Hendrick EC, Montanya KR, Griffith N. Hosp Pharm. 2007;42:916-920.

NEWSPAPER/MAGAZINE ARTICLE

Fatal outcome after inadvertent injection of topical epinephrine.

ISMP Medication Safety Alert! Acute Care Edition. March 26, 2009;14:1-2.

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