AHRQ Patient Safety Network

The Collection > Quality and Safety Professionals

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Safety Target

•Device-related Complications (123)

•Diagnostic Errors (116)

•Identification Errors (85)

•Discontinuities, Gaps, and Hand-Off Problems (271)

•Fatigue and Sleep Deprivation (52)

•Medication Safety (786)

•Medical Complications (275)

•Nonsurgical Procedural Complications (73)

•Surgical Complications (293)

•Transfusion Complications (12)

•Psychological and Social Complications (66)

Origin/Sponsor

•Africa (1)

•Asia (38)

•Australia and New Zealand (83)

•Central and South America (5)

•Europe (350)

•North America (1823)

Resource Types

•Audiovisual (10)

•Award (5)

•Book/Report (74)

•Clinical Guideline (3)

•Journal Article (1968)

•Legislation/Regulation (29)

•Meeting/Conference (13)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (133)

•Press Release/Announcement (14)

•Special or Theme Issue (30)

•Tools/Toolkit (20)

•Web Resource (33)

•Grant (5)

Error Types

•Epidemiology of Errors and Adverse Events (650)

•Active Errors (463)

•Latent Errors (163)

•Near Miss (51)

Approach to Improving Safety

•Quality Improvement Strategies (590)

•Legal and Policy Approaches (114)

•Error Reporting and Analysis (673)

•Communication Improvement (537)

•Human Factors Engineering (404)

•Teamwork (254)

•Specialization of Care (163)

•Logistical Approaches (175)

•Culture of Safety (284)

•Technologic Approaches (474)

•Education and Training (446)

Clinical Areas

•Allied Health Services (7)

Target Audience
< All

Quality and Safety Professionals

Setting of Care

•Hospitals (1560)

•Psychiatric Facilities (7)

•Residential Facilities (35)

•Ambulatory Care (183)

•Outpatient Surgery (20)

•Patient Transport (19)

1 - 20 of 2340

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COMMENTARY

ISMP medication error report analysis.

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

NEWSPAPER/MAGAZINE ARTICLE

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

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

COMMENTARY

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2010;45:13-17.

NEWSPAPER/MAGAZINE ARTICLE

Dose of technology helps Shands at UF avoid drug errors.

Chun D. Gainsville Sun. August 21, 2006.

COMMENTARY

Eptifibatide Epilogue

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

COMMENTARY

ISMP medication error report analysis.

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

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

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.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2008;43:960-964.

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

Novel analysis of clinically relevant diagnostic errors in point-of-care devices.

Shermock KM, Streiff MB, Pinto BL, Kraus P, Pronovost PJ. J Thromb Haemost. 2011;9:1769-1775.

STUDY

Evaluation of consistency in dosing directions and measuring devices for pediatric nonprescription liquid medications.

Yin HS, Wolf MS, Dreyer BP, Sanders LM, Parker RM. JAMA. 2010;304:2595-2602.

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.

NEWSPAPER/MAGAZINE ARTICLE

Design for reliability: barcoded medication administration.

Hayden AC, Lanoue ET, Still CJ. Patient Saf Qual Healthc. July/August 2011;8:12-20.

NEWSPAPER/MAGAZINE ARTICLE

Medication errors associated with documented allergies.

PA-PSRS Patient Saf Advis. September 2008;5:75-80.

REVIEW

Bar code technology and medication administration error.

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

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

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.

NEWSPAPER/MAGAZINE ARTICLE

Drug shortages: a pharmacy informatics perspective.

Edillo PN. Pharm Purch Prod. April 2011;8:26.

STUDY

High incidence of medication documentation errors in a Swiss university hospital due to the handwritten prescription process.

Hartel MJ, Staub LP, Röder C, Eggli S. BMC Health Serv Res. 2011;11:199.

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