AHRQ Patient Safety Network

The Collection > Information Professionals

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Safety Target

•Device-related Complications (16)

•Diagnostic Errors (18)

•Identification Errors (21)

•Discontinuities, Gaps, and Hand-Off Problems (68)

•Medication Safety (320)

•Medical Complications (24)

•Nonsurgical Procedural Complications (2)

•Surgical Complications (20)

•Transfusion Complications (3)

•Psychological and Social Complications (9)

Origin/Sponsor

•Asia (12)

•Australia and New Zealand (15)

Resource Types

•Journal Article (530)

•Legislation/Regulation (8)

•Meeting/Conference (4)

•Newspaper/Magazine Article (61)

•Special or Theme Issue (7)

•Tools/Toolkit (3)

•Web Resource (8)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (152)

•Active Errors (97)

•Latent Errors (47)

•Near Miss (8)

Approach to Improving Safety

•Quality Improvement Strategies (101)

•Legal and Policy Approaches (40)

•Error Reporting and Analysis (109)

•Communication Improvement (89)

•Human Factors Engineering (85)

•Teamwork (25)

•Specialization of Care (22)

•Logistical Approaches (38)

•Culture of Safety (30)

•Technologic Approaches (570)

•Education and Training (52)

Clinical Areas

•Allied Health Services (2)

•Medicine (349)

•Nursing (42)

•Pharmacy (138)

Target Audience
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Information Professionals

Setting of Care

•Hospitals (346)

•Residential Facilities (7)

•Ambulatory Care (81)

•Outpatient Surgery (3)

1 - 20 of 643

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STUDY

Intravenous infusion safety technology: return on investment.

Danello SH, Maddox RR, Schaack GJ. Hosp Pharm. 2009;44:680-687, 696.

STUDY

Impact of electronic prescribing in a hospital setting: a process-focused evaluation.

Cunningham TR, Geller ES, Clarke SW. Int J Med Inform. 2008;77:546-554.

NEWSPAPER/MAGAZINE ARTICLE

For all the right reasons.

Hagland M. Healthc Informatics. 2009;26:40-44.

NEWSPAPER/MAGAZINE ARTICLE

Effective use of medication-related decision support in CPOE.

Metzger JB, Welebob E, Turisco F, Classen DC. Patient Saf Qual Healthc. Sept/Oct 2008;5:16-24.

NEWSPAPER/MAGAZINE ARTICLE

Piecing together medication administration.

Anderson HJ. Health Data Manage. May 1, 2009;17:22.

STUDY

Frequency, types, and potential clinical significance of medication-dispensing errors.

Bohand X, Simon L, Perrier E, Mullot H, Lefeuvre L, Plotton C. Clinics. 2009;64:11-16.

STUDY

A new method to guard inpatient medication safety by the implementation of RFID.

Sun PR, Wang BH, Wu F. J Med Syst. 2008;32:327-332.

COMMENTARY

Application of electronic health records to The Joint Commission's 2011 National Patient Safety Goals.

Radecki RP, Sittig DF. JAMA. 2011;306:92-93.

NEWSPAPER/MAGAZINE ARTICLE

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

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

FACT SHEET/FAQS

Bar-Coded Medication Administration (BCMA).

Decisionmaker Brief. AHRQ Publication No: 08-0085, August 2008. Agency for Healthcare Research and Quality, Rockville, MD.

STUDY

Smartphone use during inpatient attending rounds: prevalence, patterns and potential for distraction.

Katz-Sidlow RJ, Ludwig A, Miller S, Sidlow R. J Hosp Med. 2012;7:595-599.

STUDY

The unintended consequences of computerized provider order entry: findings from a mixed methods exploration.

Ash JS, Sittig DF, Dykstra R, Campbell E, Guappone K. Int J Med Inform. 2009;78(suppl 1): S69-S76.

COMMENTARY

Making inpatient medication reconciliation patient centered, clinically relevant and implementable: a consensus statement on key principles and necessary first steps.

Greenwald JL, Halasyamani L, Greene J, et al. J Hosp Med. 2010;5:477-485.

NEWSPAPER/MAGAZINE ARTICLE

Medication errors: a year in review.

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

STUDY

Relationship between medication event rates and the Leapfrog computerized physician order entry evaluation tool.

Leung AA, Keohane C, Lipsitz S, et al. J Am Med Inform Assoc. 2013 Apr 18; [Epub ahead of print].

COMMENTARY

Implementing a bar-code medication administration system.

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

STUDY

Using computerized provider order entry and clinical decision support to improve referring physicians' implementation of consultants' medical recommendations.

Were MC, Abernathy G, Hui SL, Kempf C, Weiner M. J Am Med Inform Assoc. 2009;16:196-202.

ORGANIZATIONAL POLICY/GUIDELINES

Safely implementing health information and converging technologies.

Sentinel Event Alert. December 11, 2008;(42):1-4.

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.

NEWSPAPER/MAGAZINE ARTICLE

As industry automates, adverse events continue to haunt caregivers.

Wetzel TG. Health Data Manage. 2011 Feb;19:86, 88, 90 passim.

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