AHRQ Patient Safety Network

The Collection > Information Professionals

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Safety Target

•Device-related Complications (20)

•Diagnostic Errors (20)

•Identification Errors (18)

•Discontinuities, Gaps, and Hand-Off Problems (62)

•Medication Safety (315)

•Medical Complications (25)

•Nonsurgical Procedural Complications (2)

•Surgical Complications (20)

•Transfusion Complications (3)

•Psychological and Social Complications (8)

Origin/Sponsor

•Asia (7)

•Australia and New Zealand (17)

Resource Types

•Journal Article (518)

•Legislation/Regulation (9)

•Meeting/Conference (3)

•Newspaper/Magazine Article (59)

•Press Release/Announcement (1)

•Special or Theme Issue (8)

•Tools/Toolkit (3)

•Web Resource (6)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (153)

•Active Errors (96)

•Latent Errors (44)

•Near Miss (8)

Approach to Improving Safety

•Quality Improvement Strategies (106)

•Legal and Policy Approaches (40)

•Error Reporting and Analysis (112)

•Communication Improvement (83)

•Human Factors Engineering (87)

•Teamwork (26)

•Specialization of Care (18)

•Logistical Approaches (35)

•Culture of Safety (30)

•Technologic Approaches (556)

•Education and Training (48)

Clinical Areas

•Allied Health Services (1)

•Medicine (333)

•Nursing (42)

•Pharmacy (124)

Target Audience
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Information Professionals

Setting of Care

•Hospitals (325)

•Residential Facilities (7)

•Ambulatory Care (80)

•Outpatient Surgery (3)

1 - 20 of 629

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STUDY

Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder.

Makary MA, Sexton JB, Freischlag JA, et al. J Am Coll Surg. 2006;202:746-752.

SPECIAL OR THEME ISSUE

Quality of Anesthesia Care.

Neuman MD, Martinez EA, eds. Anesthesiol Clin. 2011;29:1-178.

COMMENTARY

Fumbled Handoff.

Vidyarthi A. AHRQ WebM&M [serial online]. March 2004.

STUDY

Development of an online morbidity, mortality, and near-miss reporting system to identify patterns of adverse events in surgical patients.

Bilimoria KY, Kmiecik TE, DaRosa DA, et al. Arch Surg. 2009;144:305-311.

COMMENTARY

Video technology to advance safety in the operating room and perioperative environment.

Xiao Y, Schimpff S, Mackenzie C, et al. Surg Innov. 2007;14:52-61.

STUDY

Medication safety infrastructure in critical-access hospitals in Florida.

Winterstein AG, Hartzema AG, Johns TE, et al. Am J Health Syst Pharm. 2006;63:442-450.

STUDY

Multimodal system designed to reduce errors in recording and administration of drugs in anaesthesia: prospective randomised clinical evaluation.

Merry AF, Webster CS, Hannam J, et al. BMJ. 2011;343:d5543.

COMMENTARY

Passing the "Yo' Mama" test.

Blair R. Health Manage Tech. June 2006;27:16.

COMMENTARY

In Conversation with...Allan Frankel, MD

AHRQ WebM&M [serial online]. July 2006.

STUDY

Effectiveness of an information technology intervention to improve prophylactic antibacterial use in the postoperative period.

Haynes K, Linkin DR, Fishman NO, et al. J Am Med Inform Assoc. 2011;18:164-168.

STUDY

Integrating incident reporting into an electronic patient record system.

Haller G, Myles PS, Stoelwinder J, Langley M, Anderson H, McNeil J. J Am Med Inform Assoc. 2007;14:175-181.

STUDY

What ring tone should be used for patient safety? Early results with a Blackberry-based telementoring safety solution.

Parker A, Rubinfeld I, Azuh O, et al. Am J Surg. 2010;199:336-341.

STUDY

Using a data-matrix–coded sponge counting system across a surgical practice: impact after 18 months.

Cima RR, Kollengode A, Clark J, et al. Jt Comm J Qual Patient Saf. 2011;37:51-58.

STUDY

Using an electronic prescribing system to ensure accurate medication lists in a large multidisciplinary medical group.

Stock R, Scott J, Gurtel S. Jt Comm J Qual Patient Saf. 2009;35:271-279.

COMMENTARY

The Triangle Model for evaluating the effect of health information technology on healthcare quality and safety.

Ancker JS, Kern LM, Abramson E, Kaushal R. J Am Med Inform Assoc. 2012;19:61-65.

ORGANIZATIONAL POLICY/GUIDELINES

Safely implementing health information and converging technologies.

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

STUDY

A computer alert system to prevent injury from adverse drug events: development and evaluation in a community teaching hospital.

Raschke RA, Gollihare B, Wunderlich TA, et al. [published correction appears in JAMA. 1999;281:420]. JAMA. 1998;280:1317-1320.

STUDY

Impact of implementing alerts about medication black-box warnings in electronic health records.

Yu DT, Seger DL, Lasser KE, et al. Pharmacoepidemiol Drug Saf. 2011;20:192-202.

COMMENTARY

Lessons from "unexpected increased mortality after implementation of a commercially sold computerized physician order entry system."

Sittig DF, Ash JS, Zhang J, Osheroff JA, Shabot MM. Pediatrics. 2006;118:797-801.

STUDY

Automated identification of postoperative complications within an electronic medical record using natural language processing.

Murff HJ, FitzHenry F, Matheny ME, et al. JAMA. 2011;306:848-855.

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