AHRQ Patient Safety Network

The Collection > Quality and Safety Professionals

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Safety Target

•Device-related Complications (103)

•Diagnostic Errors (101)

•Identification Errors (79)

•Discontinuities, Gaps, and Hand-Off Problems (234)

•Fatigue and Sleep Deprivation (43)

•Medication Safety (722)

•Medical Complications (255)

•Nonsurgical Procedural Complications (64)

•Surgical Complications (273)

•Transfusion Complications (12)

•Psychological and Social Complications (58)

Origin/Sponsor

•Africa (1)

•Asia (33)

•Australia and New Zealand (55)

•Central and South America (6)

•Europe (230)

•North America (1742)

Resource Types

•Audiovisual (8)

•Award (5)

•Book/Report (56)

•Clinical Guideline (2)

•Journal Article (1775)

•Legislation/Regulation (25)

•Meeting/Conference (10)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (122)

•Press Release/Announcement (8)

•Special or Theme Issue (19)

•Tools/Toolkit (14)

•Web Resource (29)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (747)

•Active Errors (385)

•Latent Errors (113)

•Near Miss (45)

Approach to Improving Safety

•Quality Improvement Strategies (509)

•Legal and Policy Approaches (94)

•Error Reporting and Analysis (619)

•Communication Improvement (447)

•Human Factors Engineering (322)

•Teamwork (181)

•Specialization of Care (162)

•Logistical Approaches (156)

•Culture of Safety (256)

•Technologic Approaches (404)

•Education and Training (395)

Clinical Areas

•Allied Health Services (5)

Target Audience
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Quality and Safety Professionals

Setting of Care

•Hospitals (1415)

•Psychiatric Facilities (8)

•Residential Facilities (32)

•Ambulatory Care (156)

•Outpatient Surgery (19)

•Patient Transport (16)

1 - 20 of 2077

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NEWSPAPER/MAGAZINE ARTICLE

Dose of technology helps Shands at UF avoid drug errors.

Chun D. Gainsville Sun. August 21, 2006.

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.

STUDY

Effect of bar-code–assisted medication administration on medication administration errors and accuracy in multiple patient care areas.

Helmons PJ, Wargel LN, Daniels CE. Am J Health Syst Pharm. 2009;66:1202-1210.

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

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

Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study.

Walker PC, Bernstein SJ, Tucker Jones JN, et al. Arch Intern Med. 2009;169:2003-2010.

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.

COMMENTARY

ISMP medication error report analysis.

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

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.

REVIEW

Bar code technology and medication administration error.

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

NEWSPAPER/MAGAZINE ARTICLE

Medication errors: a year in review.

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

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

Evaluation of causes and frequency of medication errors during information technology downtime.

Hanuscak TL, Szeinbach SL, Seoane-Vazquez E, Reichert BJ, McCluskey CF. Am J Health Syst Pharm. 2009;66:1119-1124.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2009;44:730-733.

COMMENTARY

ISMP medication error report analysis.

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

STUDY

Clinical and safety impact of an inpatient pharmacist-directed anticoagulation service.

Schillig J, Kaatz S, Hudson M, Krol GD, Szandzik EG, Kalus JS. J Hosp Med. 2011;6:322-328.

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

Results of the Medications At Transitions and Clinical Handoffs (MATCH) study: an analysis of medication reconciliation errors and risk factors at hospital admission.

Gleason KM, McDaniel MR, Feinglass J, et al. J Gen Intern Med. 2010;25:441-447.

STUDY

The impact of type of manual medication cart filling method on the frequency of medication administration errors: a prospective before and after study.

Schimmel AM, Becker ML, van den Bout T, Taxis K, van den Bemt PM. Int J Nurs Stud. 2011;48:791-797.

COMMENTARY

Development of a training program for bar-code–assisted medication administration in inpatient pharmacy.

Dartt LR, Schneider R. Am J Health Syst Pharm. 2010;67:1592-1594.

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