AHRQ Patient Safety Network

The Collection > Quality and Safety Professionals

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Safety Target

•Device-related Complications (118)

•Diagnostic Errors (120)

•Identification Errors (83)

•Discontinuities, Gaps, and Hand-Off Problems (280)

•Fatigue and Sleep Deprivation (47)

•Medication Safety (767)

•Medical Complications (303)

•Nonsurgical Procedural Complications (78)

•Surgical Complications (332)

•Transfusion Complications (13)

•Psychological and Social Complications (67)

Origin/Sponsor

•Africa (2)

•Asia (43)

•Australia and New Zealand (85)

•Central and South America (8)

•Europe (390)

•North America (1854)

Resource Types

•Audiovisual (8)

•Award (6)

•Book/Report (76)

•Clinical Guideline (3)

•Journal Article (2029)

•Legislation/Regulation (29)

•Meeting/Conference (14)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (130)

•Press Release/Announcement (15)

•Special or Theme Issue (24)

•Tools/Toolkit (19)

•Web Resource (40)

•Grant (5)

Error Types

•Epidemiology of Errors and Adverse Events (747)

•Active Errors (459)

•Latent Errors (147)

•Near Miss (54)

Approach to Improving Safety

•Quality Improvement Strategies (605)

•Legal and Policy Approaches (116)

•Error Reporting and Analysis (709)

•Communication Improvement (548)

•Human Factors Engineering (381)

•Teamwork (232)

•Specialization of Care (177)

•Logistical Approaches (168)

•Culture of Safety (280)

•Technologic Approaches (468)

•Education and Training (468)

Clinical Areas

•Allied Health Services (7)

Target Audience
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Quality and Safety Professionals

Setting of Care

•Hospitals (1604)

•Psychiatric Facilities (6)

•Residential Facilities (39)

•Ambulatory Care (180)

•Outpatient Surgery (22)

•Patient Transport (18)

1 - 20 of 2401

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NEWSPAPER/MAGAZINE ARTICLE

Medication errors occurring with the use of bar-code administration technology.

PA-PSRS Patient Saf Advis. December 2008;5:122-126.

STUDY

Identifying causes of adverse events detected by an automated trigger tool through in-depth analysis.

Muething SE, Conway PH, Kloppenborg E, et al. Qual Saf Health Care. 2010;19:435-439.

STUDY

Developing a programme for medication reconciliation at the time of admission into hospital.

Manzorro AG, Zoni AC, Rieiro CR, et al. Int J Clin Pharm. 2011;33:603-609.

STUDY

Unintended effects of a computerized physician order entry nearly hard-stop alert to prevent a drug interaction: a randomized controlled trial.

Strom BL, Schinnar R, Aberra F, et al. Arch Intern Med. 2010;170:1578-1583.

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

Effect of bar-code technology on the safety of medication administration.

Poon EG, Keohane CA, Yoon CS, et al. N Engl J Med. 2010;362:1698-1707.

STUDY

Transitioning between electronic health records: effects on ambulatory prescribing safety.

Abramson EL, Malhotra S, Fischer K, et al. J Gen Intern Med. 2011;26:868-874.

STUDY

Errors and electronic prescribing: a controlled laboratory study to examine task complexity and interruption effects.

Magrabi F, Li SY, Day RO, Coiera E. J Am Med Inform Assoc. 2010;17:575-583.

STUDY

Medication reconciliation during internal hospital transfer and impact of computerized prescriber order entry.

Lee JY, Leblanc K, Fernandes OA, et al. Ann Pharmacother. 2010;44:1887-1895.

STUDY

Parenteral nutrition prescribing processes using computerized prescriber order entry: opportunities to improve safety.

Hilmas E, Peoples JD. JPEN J Parenter Enteral Nutr. 2012;36(suppl 2):32S-35S.

STUDY

Does the implementation of an electronic prescribing system create unintended medication errors? A study of the sociotechnical context through the analysis of reported medication incidents.

Redwood S, Rajakumar A, Hodson J, Coleman JJ. BMC Med Inform Decis Mak. 2011;11:29.

STUDY

Time-dependent drug–drug interaction alerts in care provider order entry: software may inhibit medication error reductions.

van der Sijs H, Lammers L, van den Tweel A, et al. J Am Med Inform Assoc. 2009;16:864-868.

STUDY

Fall prevention in acute care hospitals: a randomized trial.

Dykes PC, Carroll DL, Hurley A, et al. JAMA. 2010;304:1912-1918.

STUDY

Characteristics of medication errors and adverse drug events in hospitals participating in the California Pediatric Patient Safety Initiative.

Takata GS, Taketomo CK, Waite S; for the California Pediatric Patient Safety Initiative. Am J Health Syst Pharm. 2008;65:2036-2044.

STUDY

Results of the Medications At Transitions and Clinical Handoffs (MATCH) study: an analysis of medication reconciliation errors and risk factors at hospital admission.

Gleason KM, McDaniel MR, Feinglass J, et al. J Gen Intern Med. 2010;25:441-447.

STUDY

Impact of health information technology on detection of potential adverse drug events at the ordering stage.

Roberts LL, Ward MM, Brokel JM, Wakefield DS, Crandall DK, Conlon P. Am J Health Syst Pharm. 2010;67:1838-1846.

STUDY

Evaluating clinical decision support systems: monitoring CPOE order check override rates in the Department of Veterans Affairs' computerized patient record system.

Lin C-P, Payne TH, Nichol WP, et al. J Am Med Inform Assoc. 2008;15:620-626.

STUDY

Alternatives to potentially inappropriate medications for use in e-prescribing software: triggers and treatment algorithms.

Hume AL, Quilliam BJ, Goldman R, Eaton C, Lapane KL. BMJ Qual Saf. 2011;20:875-884.

STUDY

Sustaining and spreading the reduction of adverse drug events in a multicenter collaborative.

Tham E, Calmes HM, Poppy A, et al. Pediatrics. 2011;128:e438-e445.

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