AHRQ Patient Safety Network

The Collection > Quality and Safety Professionals

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Safety Target

•Device-related Complications (114)

•Diagnostic Errors (103)

•Identification Errors (82)

•Discontinuities, Gaps, and Hand-Off Problems (256)

•Fatigue and Sleep Deprivation (49)

•Medication Safety (727)

•Medical Complications (265)

•Nonsurgical Procedural Complications (74)

•Surgical Complications (303)

•Transfusion Complications (10)

•Psychological and Social Complications (68)

Origin/Sponsor

•Africa (1)

•Asia (41)

•Australia and New Zealand (77)

•Central and South America (7)

•Europe (294)

•North America (1801)

Resource Types

•Audiovisual (9)

•Award (5)

•Book/Report (64)

•Clinical Guideline (2)

•Journal Article (1898)

•Legislation/Regulation (28)

•Meeting/Conference (12)

•Newsletter/Journal (4)

•Newspaper/Magazine Article (130)

•Press Release/Announcement (13)

•Special or Theme Issue (28)

•Tools/Toolkit (21)

•Web Resource (34)

•Grant (3)

Error Types

•Epidemiology of Errors and Adverse Events (606)

•Active Errors (450)

•Latent Errors (139)

•Near Miss (53)

Approach to Improving Safety

•Quality Improvement Strategies (571)

•Legal and Policy Approaches (108)

•Error Reporting and Analysis (634)

•Communication Improvement (533)

•Human Factors Engineering (396)

•Teamwork (243)

•Specialization of Care (173)

•Logistical Approaches (180)

•Culture of Safety (343)

•Technologic Approaches (416)

•Education and Training (476)

Clinical Areas

•Allied Health Services (7)

•Complementary and Alternative Medicine (1)

Target Audience
< All

Quality and Safety Professionals

Setting of Care

•Hospitals (1480)

•Psychiatric Facilities (9)

•Residential Facilities (35)

•Ambulatory Care (158)

•Outpatient Surgery (20)

•Patient Transport (20)

1 - 20 of 2251

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STUDY

Effects of mental demands during dispensing on perceived medication safety and employee well-being: a study of workload in pediatric hospital pharmacies.

Holden RJ, Patel NR, Scanlon MC, Shalaby TM, Arnold JM, Karsh BT. Res Social Admin Pharm. 2010;6:293-306.

STUDY

Origins of and solutions for neonatal medication-dispensing errors.

Sauberan JB, Dean LM, Fiedelak J, Abraham JA. Am J Health Syst Pharm. 2010;67:49-57.

MEETING/CONFERENCE PROCEEDINGS

Safety in the NICU: preventing medical errors.

Stokowski LA. Highlights of the National Association of Neonatal Nurses 22nd Annual Conference [Medscape.com]. March 8, 2007.

COMMENTARY

ISMP medication error report analysis.

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

NEWSPAPER/MAGAZINE ARTICLE

Medication errors: a year in review.

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

NEWSPAPER/MAGAZINE ARTICLE

Another tragic parenteral nutrition compounding error.

ISMP Medication Safety Alert! Acute Care Edition. April 21, 2011;16:1-3.

COMMENTARY

Patient safety in the context of neonatal intensive care: research and educational opportunities.

Raju TN, Suresh G, Higgins RD. Pediatr Res. 2011;70:109-115.

NEWSPAPER/MAGAZINE ARTICLE

Dose of technology helps Shands at UF avoid drug errors.

Chun D. Gainsville Sun. August 21, 2006.

COMMENTARY

ISMP medication error report analysis.

Smetzer JL, Cohen MR. Hosp Pharm. 2008;43;788-792.

STUDY

Sustaining and spreading the reduction of adverse drug events in a multicenter collaborative.

Tham E, Calmes HM, Poppy A, et al. Pediatrics. 2011;128:e438-e445.

COMMENTARY

ISMP medication error report analysis.

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

NEWSPAPER/MAGAZINE ARTICLE

Guidelines for timely medication administration: response to the CMS "30-minute rule."

ISMP Medication Safety Alert! Acute Care Edition. January 13, 2011;16:1-4.

STUDY

Adverse drug events in hospitalized cardiac patients.

Fanikos J, Cina JL, Baroletti S, Fiumara K, Matta L, Goldhaber SZ. Am J Cardiol. 2007;100:1465-1469.

STUDY

Nurse decision making in the prearrest period.

Gazarian PK, Henneman EA, Chandler GE. Clin Nurs Res. 2010;19:21-37.

REVIEW

The safety of intravenous drug delivery systems: update on current issues since the 1999 Consensus Development Conference.

Sanborn M, Gabay M, Moody ML. Hosp Pharm. 2009;44:159-164.

COMMENTARY

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:847-853.

STUDY

An intervention to decrease patient identification band errors in a children's hospital.

Hain PD, Joers B, Rush M, et al. Qual Saf Health Care. 2010;19:244-247.

STUDY

Effects of technological interventions on the safety of a medication-use system.

Skibinski KA, White BA, Lin LI, Dong Y, Wu W. Am J Health Syst Pharm. 2007;64:90-96.

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.

NEWSPAPER/MAGAZINE ARTICLE

Action needed to prevent dangerous heparin-insulin confusion.

ISMP Medication Safety Alert! Acute Care Edition. May 3, 2007;12:1-2.

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