AHRQ Patient Safety Network

The Collection > Quality and Safety Professionals

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Safety Target

•Device-related Complications (116)

•Diagnostic Errors (122)

•Identification Errors (82)

•Discontinuities, Gaps, and Hand-Off Problems (267)

•Fatigue and Sleep Deprivation (62)

•Medication Safety (764)

•Medical Complications (277)

•Nonsurgical Procedural Complications (71)

•Surgical Complications (329)

•Transfusion Complications (11)

•Psychological and Social Complications (69)

Origin/Sponsor

•Africa (1)

•Asia (42)

•Australia and New Zealand (90)

•Central and South America (6)

•Europe (352)

•North America (1842)

Resource Types

•Audiovisual (10)

•Award (5)

•Book/Report (74)

•Clinical Guideline (3)

•Journal Article (2025)

•Legislation/Regulation (30)

•Meeting/Conference (10)

•Newsletter/Journal (4)

•Newspaper/Magazine Article (135)

•Press Release/Announcement (15)

•Special or Theme Issue (23)

•Tools/Toolkit (20)

•Web Resource (30)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (758)

•Active Errors (441)

•Latent Errors (152)

•Near Miss (50)

Approach to Improving Safety

•Quality Improvement Strategies (598)

•Legal and Policy Approaches (114)

•Error Reporting and Analysis (722)

•Communication Improvement (509)

•Human Factors Engineering (364)

•Teamwork (212)

•Specialization of Care (169)

•Logistical Approaches (180)

•Culture of Safety (282)

•Technologic Approaches (442)

•Education and Training (451)

Clinical Areas

•Allied Health Services (7)

Target Audience
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Quality and Safety Professionals

Setting of Care

•Hospitals (1613)

•Psychiatric Facilities (7)

•Residential Facilities (33)

•Ambulatory Care (167)

•Outpatient Surgery (21)

•Patient Transport (17)

1 - 20 of 2386

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STUDY

Prescribers' responses to alerts during medication ordering in the long term care setting.

Judge J, Field TS, DeFlorio M, et al. J Am Med Inform Assoc. 2006;13:385-390.

STUDY

Oral outpatient chemotherapy medication errors in children with acute lymphoblastic leukemia.

Taylor JA, Winter L, Geyer LJ, Hawkins DS. Cancer. 2006;107:1400-1406.

STUDY

Drug–drug interactions that should be non-interruptive in order to reduce alert fatigue in electronic health records.

Phansalkar S, van der Sijs H, Tucker AD, et al. J Am Med Inform Assoc. 2013;20:489-493.

STUDY

Understanding and preventing wrong-patient electronic orders: a randomized controlled trial.

Adelman JS, Kalkut GE, Schechter CB, et al. J Am Med Inform Assoc. 2013;20:305-310.

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

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

Antiretroviral medication errors among hospitalized patients with HIV infection.

Rastegar DA, Knight AM, Monolakis JS. Clin Infect Dis. 2006;43:933-38.

STUDY

Computer based medication error reporting: insights and implications.

Miller MR, Clark JS, Lehmann CU. Qual Saf Health Care. 2006;15:208-213.

STUDY

Retrospective evaluation of a computerized physician order entry adaptation to prevent prescribing errors in a pediatric emergency department.

Sard BE, Walsh KE, Doros G, et al. Pediatrics. 2008;122:782-787.

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

Evaluation of inpatient admissions and potential antimicrobial and analgesic dosing errors in overweight children.

Miller JL, Johnson PN, Harrison DL, Hagemann TM. Ann Pharmacother. 2010;44:35-42.

STUDY

Indication-based prescribing prevents wrong-patient medication errors in computerized provider order entry (CPOE).

Galanter W, Falck S, Burns M, Laragh M, Lambert BL. J Am Med Inform Assoc. 2013;20:477-481.

REVIEW

Bar code technology and medication administration error.

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

STUDY

PCA safety data review after clinical decision support and smart pump technology implementation.

Prewitt J, Schneider S, Horvath M, Hammond J, Jackson J, Ginsberg B. J Patient Saf. 2013;9:103-109.

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

Improving ambulatory prescribing safety with a handheld decision support system: a randomized controlled trial.

Berner ES, Houston TK, Ray MN, et al. J Am Med Inform Assoc. 2006;13:171-179.

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

Matching identifiers in electronic health records: implications for duplicate records and patient safety.

McCoy AB, Wright A, Kahn MG, Shapiro JS, Bernstam EV, Sittig DF. BMJ Qual Saf. 2013;22:219-224.

STUDY

Adverse drug events caused by serious medication administration errors.

Kale A, Keohane CA, Maviglia S, Gandhi TK, Poon EG. BMJ Qual Saf. 2012;21:933-938.

STUDY

Computerized prescribing alerts and group academic detailing to reduce the use of potentially inappropriate medications in older people.

Simon SR, Smith DH, Feldstein AC, et al. J Am Geriatr Soc. 2006;54:963-968.

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