AHRQ Patient Safety Network

The Collection > Information Professionals

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Safety Target

•Device-related Complications (17)

•Diagnostic Errors (17)

•Identification Errors (21)

•Discontinuities, Gaps, and Hand-Off Problems (65)

•Medication Safety (338)

•Medical Complications (23)

•Nonsurgical Procedural Complications (2)

•Surgical Complications (20)

•Transfusion Complications (3)

•Psychological and Social Complications (7)

Origin/Sponsor

•Asia (13)

•Australia and New Zealand (18)

Resource Types

•Journal Article (533)

•Legislation/Regulation (8)

•Meeting/Conference (3)

•Newspaper/Magazine Article (61)

•Special or Theme Issue (8)

•Tools/Toolkit (4)

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•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (168)

•Active Errors (101)

•Latent Errors (49)

•Near Miss (8)

Approach to Improving Safety

•Quality Improvement Strategies (97)

•Legal and Policy Approaches (36)

•Error Reporting and Analysis (111)

•Communication Improvement (86)

•Human Factors Engineering (84)

•Teamwork (24)

•Specialization of Care (20)

•Logistical Approaches (35)

•Culture of Safety (28)

•Technologic Approaches (575)

•Education and Training (52)

Clinical Areas

•Allied Health Services (2)

•Medicine (350)

•Nursing (45)

•Pharmacy (141)

Target Audience
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Information Professionals

Setting of Care

•Hospitals (345)

•Residential Facilities (7)

•Ambulatory Care (80)

•Outpatient Surgery (3)

1 - 20 of 644

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NEWSPAPER/MAGAZINE ARTICLE

Design for reliability: barcoded medication administration.

Hayden AC, Lanoue ET, Still CJ. Patient Saf Qual Healthc. July/August 2011;8:12-20.

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.

REVIEW

Bar code technology and medication administration error.

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

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.

NEWSPAPER/MAGAZINE ARTICLE

Medication errors: a year in review.

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

NEWSPAPER/MAGAZINE ARTICLE

Barcode technology flaws put some patients at risk.

US News & World Report. July 3, 2008.

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

Errors associated with medications removed from automated dispensing machines using override functions.

Kester K, Baxter J, Freudenthal K. Hosp Pharm. 2006;41:535-537.

REVIEW

Medication administration technologies and patient safety: a mixed-method systematic review.

Wulff K, Cummings GG, Marck P, Yurtseven O. J Adv Nurs. 2011;67:2080-2095.

STUDY

A network collaboration implementing technology to improve medication dispensing and administration in critical access hospitals.

Wakefield DS, Ward MM, Loes JL, O'Brien J. J Am Med Inform Assoc. 2010;17:584-587.

STUDY

Bar code medication administration technology: characterization of high-alert medication triggers and clinician workarounds.

Miller DF, Fortier CR, Garrison KL. Ann Pharmacother. 2011;45:162-168.

NEWSPAPER/MAGAZINE ARTICLE

Medication errors occurring with the use of bar-code administration technology.

PA-PSRS Patient Saf Advis. December 2008;5:122-126.

COMMENTARY classic

Computerization can create safety hazards: a bar-coding near miss.

McDonald CJ. Ann Intern Med. 2006;144:510-516.

STUDY

Improving patient safety by identifying side effects from introducing bar coding in medication administration.

Patterson ES, Cook RI, Render ML. J Am Med Inform Assoc. 2002;9:540-553.

STUDY

Comparing errors in ED computer-assisted vs conventional pediatric drug dosing and administration.

Yamamoto L, Kanemori J. Am J Emerg Med. 2010;28:588-592.

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

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.

STUDY

Medication errors resulting from computer entry by nonprescribers.

Santell JP, Kowiatek JG, Weber RJ, Hicks RW, Sirio CA. Am J Health Syst Pharm. 2009;66:843-853.

COMMENTARY

Implementing a bar-code medication administration system.

Weber RJ. Hosp Pharm. 2008;43:1016-1023.

STUDY

Effects of an adverse-drug-event alert system on cost and quality outcomes in community hospitals.

Piontek F, Kohli R, Conlon P, Ellis JJ, Jablonski J, Kini N. Am J Health Syst Pharm. 2010;67:613-620.

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