AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (18)

•Diagnostic Errors (17)

•Identification Errors (19)

•Discontinuities, Gaps, and Hand-Off Problems (67)

•Medication Safety (316)

•Medical Complications (25)

•Nonsurgical Procedural Complications (2)

•Surgical Complications (19)

•Transfusion Complications (3)

•Psychological and Social Complications (8)

Origin/Sponsor

•Australia and New Zealand (15)

•North America (460)

Resource Types

•Audiovisual (2)

•Book/Report (17)

•Journal Article (470)

•Legislation/Regulation (8)

•Meeting/Conference (3)

•Newspaper/Magazine Article (63)

•Press Release/Announcement (1)

•Special or Theme Issue (6)

•Tools/Toolkit (4)

•Web Resource (6)

Error Types

•Epidemiology of Errors and Adverse Events (143)

•Active Errors (93)

•Latent Errors (46)

•Near Miss (7)

Approach to Improving Safety

•Quality Improvement Strategies (93)

•Legal and Policy Approaches (35)

•Error Reporting and Analysis (100)

•Communication Improvement (83)

•Human Factors Engineering (76)

•Teamwork (19)

•Specialization of Care (21)

•Logistical Approaches (34)

•Culture of Safety (24)

•Technologic Approaches (524)

•Education and Training (41)

Clinical Areas

•Allied Health Services (2)

•Medicine (317)

•Nursing (33)

•Pharmacy (131)

Target Audience
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Information Professionals

Setting of Care

•Hospitals (330)

•Residential Facilities (7)

•Ambulatory Care (70)

•Outpatient Surgery (3)

1 - 20 of 583

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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.

NEWSPAPER/MAGAZINE ARTICLE

Wrist tag 'offers drug warning.'

BBC News. August 9, 2005.

COMMENTARY

In Conversation with…Eric G. Poon, MD, MPH

AHRQ WebM&M [serial online]. September 2008.

NEWSPAPER/MAGAZINE ARTICLE

Medication errors: a year in review.

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

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

Eptifibatide Epilogue

Churchill WW, Fiumara K. AHRQ WebM&M [serial online]. April 2009.

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

Smart pumps: advanced capabilities and continuous quality improvement.

Vanderveen T. Patient Saf Quality Healthc. January/February 2007.

STUDY

Using a bar-coded medication administration system to prevent medication errors in a community hospital network.

Sakowski J, Leonard T, Colburn S, et al. Am J Health Syst Pharm. 2005;62:2619-2625.

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.

COMMENTARY

Preventing medication errors in hospitals through a systems approach and technological innovation: a prescription for 2010.

Crane J, Crane FG. Hosp Top. Fall 2006;84:3-8.

STUDY

From research to practice: factors affecting implementation of prospective targeted injury-detection systems.

Sorensen AV, Harrison MI, Kane HL, Roussel AE, Halpern MT, Bernard SL. BMJ Qual Saf. 2011;20:527-533.

MEASUREMENT TOOL/INDICATOR

Medication Safety Self Assessment for Automated Dispensing Cabinets.

Horsham, PA: Institute for Safe Medication Practices; 2009.

COMMENTARY

Implementing a bar-code medication administration system.

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

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.

BOOK/REPORT

Inpatient Computerized Provider Order Entry: Findings from the AHRQ Health IT Portfolio.

Dixon BE, Zafar A, for AHRQ National Resource Center for Health IT. Rockville, MD: Agency for Healthcare Research and Quality; January 2009. AHRQ Publication No. 09-0031-EF.

STUDY

Clinical pharmacy interventions in paediatric electronic prescriptions.

Maat B, Au YS, Bollen CW, van Vught AJ, Egberts TC, Rademaker CM. Arch Dis Child. 2013;98:222-227.

DATABASE/DIRECTORY

Rockville, MD: U.S. Pharmacopeia; 2011.

BOOK/REPORT

Saving Lives, Saving Money: The Imperative for Computerized Physician Order Entry in Massachusetts Hospitals.

Adams M, Bates D, Coffman G, Everett W. Westborough, MA: Massachusetts Technology Collaborative and New England Healthcare Institute; 2008.

STUDY

A framework for evaluating the appropriateness of clinical decision support alerts and responses.

McCoy AB, Waitman LR, Lewis JB, et al. J Am Med Inform Assoc. 2012;19:346-352.

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