AHRQ Patient Safety Network

The Collection > Quality and Safety Professionals

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Safety Target

•Device-related Complications (107)

•Diagnostic Errors (102)

•Identification Errors (83)

•Discontinuities, Gaps, and Hand-Off Problems (249)

•Fatigue and Sleep Deprivation (55)

•Medication Safety (760)

•Medical Complications (248)

•Nonsurgical Procedural Complications (65)

•Surgical Complications (278)

•Transfusion Complications (9)

•Psychological and Social Complications (65)

Origin/Sponsor

•Africa (1)

•Asia (29)

•Australia and New Zealand (65)

•Central and South America (2)

•Europe (257)

•North America (1812)

Resource Types

•Audiovisual (10)

•Award (5)

•Book/Report (72)

•Clinical Guideline (3)

•Journal Article (1841)

•Legislation/Regulation (31)

•Meeting/Conference (11)

•Newsletter/Journal (4)

•Newspaper/Magazine Article (130)

•Press Release/Announcement (15)

•Special or Theme Issue (26)

•Tools/Toolkit (16)

•Web Resource (31)

•Grant (4)

Error Types

•Epidemiology of Errors and Adverse Events (610)

•Active Errors (386)

•Latent Errors (134)

•Near Miss (46)

Approach to Improving Safety

•Quality Improvement Strategies (558)

•Legal and Policy Approaches (126)

•Error Reporting and Analysis (647)

•Communication Improvement (503)

•Human Factors Engineering (387)

•Teamwork (199)

•Specialization of Care (151)

•Logistical Approaches (167)

•Culture of Safety (263)

•Technologic Approaches (452)

•Education and Training (411)

Clinical Areas

•Allied Health Services (7)

Target Audience
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Quality and Safety Professionals

Setting of Care

•Hospitals (1391)

•Psychiatric Facilities (7)

•Residential Facilities (34)

•Ambulatory Care (168)

•Outpatient Surgery (21)

•Patient Transport (16)

1 - 20 of 2199

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NEWSPAPER/MAGAZINE ARTICLE

Medication errors: a year in review.

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

STUDY

Adverse drug event reporting in intensive care units: a survey of current practices.

Kane-Gill SL, Devlin JW. Ann Pharmacother. 2006;40:1267-73.

NEWSPAPER/MAGAZINE ARTICLE

Oral solid medication appearance should play a greater role in medication error prevention.

ISMP Medication Safety Alert! Acute Care Edition. July 28, 2011;16:1-3.

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.

NEWSPAPER/MAGAZINE ARTICLE

Neuromuscular blocking agents: reducing associated wrong-drug errors.

PA-PSRS Patient Saf Advis. December 2009;6:109-114.

NEWSPAPER/MAGAZINE ARTICLE

Durasal–Durezol mix-up illustrates how dangerous product problems persist long after recognition.

ISMP Medication Safety Alert! Acute Care Edition. September 22, 2011;16:1-3.

NEWSPAPER/MAGAZINE ARTICLE

Manic for medication safety: bar codes and drug information databases are helping to reduce medication errors.

Rogoski RR. Health Manage Technol. February 2007;28:14, 16-18.

STUDY

Potential utility of data-mining algorithms for early detection of potentially fatal/disabling adverse drug reactions: a retrospective evaluation.

Hauben M, Reich L. J Clin Pharmacol. 2005;45:378-384.

NEWSPAPER/MAGAZINE ARTICLE

Multiple latent failures align to allow a serious drug interaction to harm a patient.

ISMP Medication Safety Alert! Acute Care Edition. May 5, 2011;16:1-3.

REVIEW

Year in review: medication mishaps in the elderly.

Peron EP, Marcum ZA, Boyce R, Hanlon JT, Handler SM. Am J Geriatr Pharmacother. 2011;9:1-10.

STUDY

Current approaches to punitive action for medication errors by boards of pharmacy.

Holdsworth M, Wittstrom K, Yeitrakis T. Ann Pharmacother. 2013;47:475-481.

FACT SHEET/FAQS

Medication safety issue brief. Counterfeit drug prevention and identification.

American Hospital Association, American Society of Health-System Pharmacists, Hospitals and Health Networks. Hosp Health Netw. August 2005;79.29-30.

NEWSPAPER/MAGAZINE ARTICLE

Promethazine conundrum: IV can hurt more than IM injection!

ISMP Medication Safety Alert! Acute Care Edition. November 2, 2006;11:1-3.

NEWSPAPER/MAGAZINE ARTICLE

Safety still compromised by computer weaknesses.

ISMP Medication Safety Alert! Acute Care Edition. August 25, 2005;10:1-3.

NEWSPAPER/MAGAZINE ARTICLE

ISMP 2007 survey on high-alert medications. Differences between nursing and pharmacy perspectives still prevalent.

ISMP Medication Safety Alert! Acute Care Edition. May 17, 2007;12:1-3.

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.

FACT SHEET/FAQS

Medication safety issue brief. Bar code implementation strategies.

American Hospital Association, American Society of Health-System Pharmacists, Hospitals and Health Networks. Hosp Health Netw. July 2005;79:65-66.

NEWSPAPER/MAGAZINE ARTICLE

Handwritten-prescription ban puts pharmacists in awkward position as "enforcers."

Ostrom CM. Seattle Times. June 22, 2006:B1.

STUDY

Effect of a pharmacist-led multicomponent intervention focusing on the medication monitoring phase to prevent potential adverse drug events in nursing homes.

Lapane KL, Hughes CM, Daiello LA, Cameron KA, Feinberg J. J Am Geriatr Soc. 2011;59:1238-1245.

STUDY

Automatic detection of omissions in medication lists.

Hasan S, Duncan GT, Neill DB, Padman R. J Am Med Inform Assoc. 2011;18:449-458.

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