AHRQ Patient Safety Network

The Collection > Quality and Safety Professionals

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Safety Target

•Device-related Complications (92)

•Diagnostic Errors (121)

•Identification Errors (76)

•Discontinuities, Gaps, and Hand-Off Problems (191)

•Fatigue and Sleep Deprivation (45)

•Medication Safety (691)

•Medical Complications (190)

•Nonsurgical Procedural Complications (47)

•Surgical Complications (258)

•Transfusion Complications (10)

•Psychological and Social Complications (44)

Origin/Sponsor

•Africa (2)

•Asia (39)

•Australia and New Zealand (77)

•Central and South America (8)

•Europe (384)

•North America (1195)

Resource Types

•Audiovisual (5)

•Award (1)

•Book/Report (36)

•Clinical Guideline (2)

•Journal Article (1524)

•Legislation/Regulation (18)

•Meeting/Conference (6)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (99)

•Press Release/Announcement (9)

•Special or Theme Issue (20)

•Tools/Toolkit (8)

•Web Resource (13)

•Grant (3)

Error Types

•Epidemiology of Errors and Adverse Events (747)

•Active Errors (446)

•Latent Errors (112)

•Near Miss (43)

Approach to Improving Safety

•Quality Improvement Strategies (398)

•Legal and Policy Approaches (73)

•Error Reporting and Analysis (541)

•Communication Improvement (353)

•Human Factors Engineering (349)

•Teamwork (121)

•Specialization of Care (111)

•Logistical Approaches (143)

•Culture of Safety (160)

•Technologic Approaches (428)

•Education and Training (298)

Clinical Areas

•Allied Health Services (4)

Target Audience
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Quality and Safety Professionals

Setting of Care

•Hospitals (1210)

•Psychiatric Facilities (6)

•Residential Facilities (22)

•Ambulatory Care (131)

•Outpatient Surgery (17)

•Patient Transport (16)

1 - 20 of 1745

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STUDY

Can an electronic prescribing system detect doctors who are more likely to make a serious prescribing error?

Coleman JJ, Hemming K, Nightingale PG, et al. J R Soc Med. 2011;104:208-218.

STUDY

Bedouch P, Allenet B, Grass A, et al. J Clin Pharm Ther. 2009;34:187-195.

STUDY

Impact of a computerized physician order entry system on compliance with prescription accuracy requirements.

Mir C, Gadri A, Zelger GL, Pichon R, Pannatier A. Pharm World Sci. 2009;31:596-602.

STUDY

Computerized physician order entry of injectable antineoplastic drugs: an epidemiologic study of prescribing medication errors.

Nerich V, Limat S, Demarchi M, et al. Int J Med Inform. 2010;79:699-706.

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

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

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

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

Electronic prescribing within an electronic health record reduces ambulatory prescribing errors.

Abramson EL, Barrón Y, Quaresimo J, Kaushal R. Jt Comm J Qual Patient Saf. 2011;37:470-478.

STUDY

Does user-centred design affect the efficiency, usability and safety of CPOE order sets?

Chan J, Shojania KG, Easty AC, Etchells EE. J Am Med Inform Assoc. 2011;18:276-281.

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.

STUDY

Medication-error alerts for warfarin orders detected by a bar-code-assisted medication administration system.

Fitzhenry F, Doran J, Lobo B, et al. Am J Health Syst Pharm. 2011;68:434-441.

NEWSPAPER/MAGAZINE ARTICLE

Medication errors: a year in review.

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

STUDY

Physician order entry or nurse order entry? Comparison of two implementation strategies for a computerized order entry system aimed at reducing dosing medication errors.

Kazemi A, Fors UG, Tofighi S, Tessma M, Ellenius J. J Med Internet Res. 2010;12:e5.

COMMENTARY

Miscalculated Risk

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

STUDY

Prevalence of medication administration errors in two medical units with automated prescription and dispensing.

Rodriguez-Gonzalez CG, Herranz-Alonso A, Martin-Barbero ML, et al. J Am Med Inform Assoc. 2012;19:72-78.

STUDY

Patient-specific electronic decision support reduces prescription of excessive doses.

Seidling HM, Schmitt SPW, Bruckner T, et al. Qual Saf Health Care. 2010;19:e15.

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

Errors and omissions in hospital prescriptions: a survey of prescription writing in a hospital.

Calligaris L, Panzera A, Arnoldo L, et al. BMC Clin Pharmacol. 2009;9:9.

STUDY

Detection, classification, and correction of defective chemotherapy orders through nursing and pharmacy oversight.

Mertens WC, Brown DE, Parisi R, et al. J Patient Saf. 2008;4:195-200.

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