AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (14)

•Diagnostic Errors (15)

•Identification Errors (13)

•Discontinuities, Gaps, and Hand-Off Problems (41)

•Medication Safety (225)

•Medical Complications (20)

•Nonsurgical Procedural Complications (2)

•Surgical Complications (16)

•Transfusion Complications (1)

•Psychological and Social Complications (3)

Origin/Sponsor

•Asia (6)

•Australia and New Zealand (14)

Resource Types

•Journal Article (361)

•Legislation/Regulation (5)

•Meeting/Conference (2)

•Newspaper/Magazine Article (29)

•Special or Theme Issue (7)

•Tools/Toolkit (1)

•Web Resource (4)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (128)

•Active Errors (82)

•Latent Errors (32)

•Near Miss (6)

Approach to Improving Safety

•Quality Improvement Strategies (71)

•Legal and Policy Approaches (24)

•Error Reporting and Analysis (82)

•Communication Improvement (56)

•Human Factors Engineering (63)

•Teamwork (19)

•Specialization of Care (17)

•Logistical Approaches (23)

•Culture of Safety (22)

•Technologic Approaches (379)

•Education and Training (40)

Clinical Areas

•Allied Health Services (1)

•Medicine (221)

•Nursing (44)

•Pharmacy (88)

Target Audience
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Information Professionals

Setting of Care

•Hospitals (234)

•Residential Facilities (5)

•Ambulatory Care (34)

•Outpatient Surgery (2)

1 - 20 of 423

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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.

COMMENTARY

Patient safety and technology.

Henneman EA. AACN Adv Crit Care. 2009;20:128-132.

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.

REVIEW

Nurses' role in medication safety.

Choo J, Hutchinson A, Bucknall T. J Nurs Manag. 2010;18:853-861.

COMMENTARY

Framework for patient safety—part 1 and part 2.

Blouin AS, McDonagh KJ. J Nurs Adm. 2011;41:397-400, 450-452.

STUDY

Nurse interruptions pre- and post-implementation of a point-of-care medication administration system.

Stamp KD, Willis DG. J Nurs Care Qual. 2010;25:231-239.

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

Why patient summaries in electronic health records do not provide the cognitive support necessary for nurses' handoffs on medical and surgical units: insights from interviews and observations.

Staggers N, Clark L, Blaz JW, Kapsandoy S. Health Informatics J. 2011;17:209-223.

STUDY

The effect of hospital electronic health record adoption on nurse-assessed quality of care and patient safety.

Kutney-Lee A, Kelly D. J Nurs Adm. 2011;41:466-472.

STUDY

Using the internet to deliver education on drug safety.

Franklin BD, O'Grady K, Parr J, Walton I. Qual Saf Health Care. 2006;15:329-333.

NEWSPAPER/MAGAZINE ARTICLE

Scanner beep only means the barcode has been scanned.

ISMP Medication Safety Alert! Acute Care Edition. June 30, 2011;16:1-2.

STUDY

Horus meets Nightingale in the modern age: how nursing communicates with pharmacy in HCIT era.

Armstrong I, Cox MA. Stud Health Technol Inform. 2006;122:585-586.

NEWSPAPER/MAGAZINE ARTICLE

Health IT implementation stories: HANDS care plan tool seeks to improve nurse communication at handoff in AHRQ-funded study.

AHRQ National Resource Center for Health Information Technology.

REVIEW

Research on nursing handoffs for medical and surgical settings: an integrative review.

Staggers N, Blaz JW. J Adv Nurs. 2013;69:247-262.

STUDY

Impact of computerized orders for pediatric continuous drug infusions on detecting infusion pump programming errors: a simulated study.

Sowan AK, Gaffoor MI, Soeken K, Johantgen ME, Vaidya VU. J Pediatr Nurs. 2010;25:108-118.

COMMENTARY

Improving the safety of medication administration using an interactive CD-ROM program.

Schneider PJ, Pedersen CA, Montanya KR, et al. Am J Health Syst Pharm. 2006;63:59-64.

SPECIAL OR THEME ISSUE

CMS 30-minute rule for drug administration needs revision.

ISMP Medication Safety Alert! Acute Care Edition. September 9, 2010;15:1-6.

COMMENTARY

CPOE: strategies for success.

Manor PJ. Nurs Manage. 2010;41:18-20.

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.

STUDY

Challenges to nurses' efforts of retrieving, documenting, and communicating patient care information.

Keenan G, Yakel E, Dunn Lopez K, Tschannen D, Ford YB. J Am Med Inform Assoc. 2013;20:245-251.

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