AHRQ Patient Safety Network

The Collection > Quality and Safety Professionals

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Safety Target

•Device-related Complications (108)

•Diagnostic Errors (111)

•Identification Errors (82)

•Discontinuities, Gaps, and Hand-Off Problems (270)

•Fatigue and Sleep Deprivation (50)

•Medication Safety (739)

•Medical Complications (293)

•Nonsurgical Procedural Complications (76)

•Surgical Complications (308)

•Transfusion Complications (13)

•Psychological and Social Complications (66)

Origin/Sponsor

•Africa (2)

•Asia (39)

•Australia and New Zealand (81)

•Central and South America (6)

•Europe (334)

•North America (1835)

Resource Types

•Audiovisual (7)

•Award (6)

•Book/Report (77)

•Clinical Guideline (3)

•Journal Article (1946)

•Legislation/Regulation (29)

•Meeting/Conference (13)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (131)

•Press Release/Announcement (15)

•Special or Theme Issue (24)

•Tools/Toolkit (20)

•Web Resource (39)

•Grant (5)

Error Types

•Epidemiology of Errors and Adverse Events (659)

•Active Errors (423)

•Latent Errors (142)

•Near Miss (47)

Approach to Improving Safety

•Quality Improvement Strategies (590)

•Legal and Policy Approaches (114)

•Error Reporting and Analysis (652)

•Communication Improvement (540)

•Human Factors Engineering (368)

•Teamwork (225)

•Specialization of Care (176)

•Logistical Approaches (172)

•Culture of Safety (268)

•Technologic Approaches (467)

•Education and Training (453)

Clinical Areas

•Allied Health Services (7)

Target Audience
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Quality and Safety Professionals

Setting of Care

•Hospitals (1576)

•Psychiatric Facilities (5)

•Residential Facilities (36)

•Ambulatory Care (164)

•Outpatient Surgery (21)

•Patient Transport (17)

1 - 20 of 2318

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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

The impact of a closed-loop electronic prescribing and administration system on prescribing errors, administration errors and staff time: a before-and-after study.

Franklin BD, O'Grady K, Donyai P, Jacklin A, Barber N. Qual Saf Health Care. 2007;16:279-284.

STUDY

Medication-error reporting and pharmacy resident experience during implementation of computerized prescriber order entry.

Weant KA, Cook AM, Armitstead JA. Am J Health Syst Pharm. 2007;64:526-530.

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

Pharmacists' interventions in prescribing errors at hospital discharge: an observational study in the context of an electronic prescribing system in a UK teaching hospital.

Abdel-Qader DH, Harper L, Cantrill JA, Tully MP. Drug Saf. 2010;33:1027-1044.

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

Complexity of medication-related verbal orders.

Wakefield DS, Ward MM, Groath D, et al. Am J Med Qual. 2008;23:7-17.

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.

COMMENTARY

Eptifibatide Epilogue

Churchill WW, Fiumara K. AHRQ WebM&M [serial online]. April 2009.

STUDY

Antimicrobial prescription errors in hospitalized children: role of antimicrobial stewardship program in detection and intervention.

Di Pentima MC, Chan S, Eppes SC, Klein JD. Clin Pediatr (Phila). 2009;53:715-723e1.

STUDY

Adopting real-time surveillance dashboards as a component of an enterprisewide medication safety strategy.

Waitman LR, Phillips IE, McCoy AB, et al. Jt Comm J Qual Patient Saf. 2011;37:326-332.

STUDY

The unintended consequences of computerized provider order entry: findings from a mixed methods exploration.

Ash JS, Sittig DF, Dykstra R, Campbell E, Guappone K. Int J Med Inform. 2009;78(suppl 1): S69-S76.

STUDY

Utilising improvement science methods to optimise medication reconciliation.

White CM, Schoettker PJ, Conway PH, et al. BMJ Qual Saf. 2011;20:372-380.

COMMENTARY

ISMP medication error report analysis.

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

STUDY

Collaboration between pharmacists, physicians and nurse practitioners: a qualitative investigation of working relationships in the inpatient medical setting.

Makowsky MJ, Schindel TJ, Rosenthal M, Campbell K, Tsuyuki RT, Madill HM. J Interprof Care. 2009;23:169-84.

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.

NEWSPAPER/MAGAZINE ARTICLE

Medication errors: a year in review.

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

NEWSPAPER/MAGAZINE ARTICLE

Supplementary Advisory: Results of the PA-PSRS Workgroup on Pharmacy Computer System Safety.

PA-PSRS Patient Saf Advis. May 2007;4(suppl 2):1-8.

STUDY

From research to practice: factors affecting implementation of prospective targeted injury-detection systems.

Sorensen AV, Harrison MI, Kane HL, Roussel AE, Halpern MT, Bernard SL. BMJ Qual Saf. 2011;20:527-533.

STUDY

The impact of prescribing safety alerts for elderly persons in an electronic medical record: an interrupted time series evaluation.

Smith DH, Perrin N, Feldstein A, et al. Arch Intern Med. 2006;166:1098-1104.

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