AHRQ Patient Safety Network

The Collection > Quality and Safety Professionals

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Safety Target

•Device-related Complications (104)

•Diagnostic Errors (106)

•Identification Errors (79)

•Discontinuities, Gaps, and Hand-Off Problems (251)

•Fatigue and Sleep Deprivation (45)

•Medication Safety (691)

•Medical Complications (278)

•Nonsurgical Procedural Complications (71)

•Surgical Complications (307)

•Transfusion Complications (13)

•Psychological and Social Complications (63)

Origin/Sponsor

•Africa (2)

•Asia (29)

•Australia and New Zealand (65)

•Central and South America (5)

•Europe (252)

•North America (1806)

Resource Types

•Audiovisual (8)

•Award (6)

•Book/Report (65)

•Clinical Guideline (3)

•Journal Article (1811)

•Legislation/Regulation (29)

•Meeting/Conference (13)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (123)

•Press Release/Announcement (15)

•Special or Theme Issue (23)

•Tools/Toolkit (20)

•Web Resource (42)

•Grant (5)

Error Types

•Epidemiology of Errors and Adverse Events (601)

•Active Errors (397)

•Latent Errors (133)

•Near Miss (47)

Approach to Improving Safety

•Quality Improvement Strategies (557)

•Legal and Policy Approaches (108)

•Error Reporting and Analysis (618)

•Communication Improvement (521)

•Human Factors Engineering (345)

•Teamwork (218)

•Specialization of Care (165)

•Logistical Approaches (159)

•Culture of Safety (261)

•Technologic Approaches (414)

•Education and Training (438)

Clinical Areas

•Allied Health Services (7)

•Complementary and Alternative Medicine (1)

Target Audience
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Quality and Safety Professionals

Setting of Care

•Hospitals (1418)

•Psychiatric Facilities (5)

•Residential Facilities (37)

•Ambulatory Care (164)

•Outpatient Surgery (22)

•Patient Transport (17)

1 - 20 of 2166

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MULTI-USE WEBSITE

ISMP QuarterWatch Reports.

Institute for Safe Medication Practices.

COMMENTARY

Medication errors related to product names.

Santell JP, Cousins DD. Jt Comm J Qual Patient Saf. 2005;31:649-654.

COMMENTARY

Partners in safety: implementing a community-based patient safety advisory council.

Leonhardt KK, Bonin D, Pagel P. Wisc Med J. 2006;105;54-59.

COMMENTARY

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2010:45;352-355.

PRESS RELEASE/ANNOUNCEMENT

National Patient Safety Goal on Reconciling Medication Information (NPSG.3.06.01).

Oakbrook Terrace, IL: Joint Commission; December 7, 2010.

STUDY

Personal digital assistant-based drug information sources: potential to improve medication safety.

Galt KA, Rule AM, Houghton B, Young DO, Remington G. J Med Libr Assoc. 2005;93:229-236.

COMMENTARY

Medication reconciliation in the emergency department: opportunities for workflow redesign.

Hummel J, Evans PC, Lee H. Qual Saf Health Care. 2010;19:531-535.

STUDY

Identifying and reducing medication errors in psychiatry: creating a culture of safety through the use of an adverse event reporting mechanism.

Jayaram G, Doyle D, Steinwachs D, Samuels J. J Psychiatr Pract. 2011;17:81–88.

NEWSPAPER/MAGAZINE ARTICLE

ISMP updates its list of drug name pairs with Tall man letters.

ISMP Medication Safety Alert! Acute Care Edition. November 18, 2010;15:1-3.

COMMENTARY

Ten years after the IOM report: engaging residents in quality and patient safety by creating a house staff quality council.

Fleischut PM, Evans AS, Nugent WC, et al. Am J Med Qual. 2011;26:89-94.

STUDY

The safety journal: lessons learned with an error reporting tool to stimulate systems thinking.

Singh R, Naughton B, Singh A, Anderson DR, Singh G. J Patient Saf. 2007;3:135-141.

COMMENTARY

Patient Safety and Quality Improvement Act of 2005: what you need to know.

Rohrich RJ. Plast Reconstr Surg. 2006;117:671-672.

MINNESOTA MEETING/CONFERENCE

Medication Safety Collaborative.

American Society of Health-System Pharmacists. June 2–5, 2013; Minneapolis Convention Center, Minneapolis, MN.

MULTI-USE WEBSITE

Aware in Care.

Miami, FL: National Parkinson Foundation; October 2012.

STUDY

Medication discrepancies in integrated electronic health records.

Linsky A, Simon SR. BMJ Qual Saf. 2013;22:103-109.

STUDY

Post-discharge medication reviews for patients with heart failure: a pilot study.

Ponniah A, Shakib S, Doecke CJ, Boyce M, Angley M. Pharm World Sci. 2008;30:810-815.

STUDY

Medication errors involving oral chemotherapy.

Weingart SN, Toro J, Spencer J, et al. Cancer. 2010;116:2455-2464.

NEWSPAPER/MAGAZINE ARTICLE

Shakespeare was on target—don't be a borrower or lender.

ISMP Medication Safety Alert! Acute Care Edition. November 19, 2009;14:1-3.

MULTI-USE WEBSITE

Patient Safety: Here for the Health of Texas.

University of Texas Medical Branch (UTMB), 301 University Boulevard, Galveston, Texas 77555.

STUDY

Development and pilot testing of guidelines to monitor high-risk medications in the ambulatory setting.

Tjia J, Field TS, Garber LD, et al. Am J Manag Care. 2010;16:489-496.

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