AHRQ Patient Safety Network

The Collection > Information Professionals

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Safety Target

•Device-related Complications (19)

•Diagnostic Errors (20)

•Identification Errors (19)

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

•Medication Safety (337)

•Medical Complications (27)

•Nonsurgical Procedural Complications (2)

•Surgical Complications (20)

•Transfusion Complications (3)

•Psychological and Social Complications (8)

Origin/Sponsor

•Asia (10)

•Australia and New Zealand (19)

Resource Types

•Journal Article (540)

•Legislation/Regulation (9)

•Meeting/Conference (2)

•Newspaper/Magazine Article (59)

•Press Release/Announcement (1)

•Special or Theme Issue (8)

•Tools/Toolkit (4)

•Web Resource (7)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (165)

•Active Errors (99)

•Latent Errors (45)

•Near Miss (8)

Approach to Improving Safety

•Quality Improvement Strategies (108)

•Legal and Policy Approaches (39)

•Error Reporting and Analysis (117)

•Communication Improvement (88)

•Human Factors Engineering (89)

•Teamwork (25)

•Specialization of Care (23)

•Logistical Approaches (37)

•Culture of Safety (27)

•Technologic Approaches (574)

•Education and Training (51)

Clinical Areas

•Allied Health Services (2)

•Medicine (346)

•Nursing (44)

•Pharmacy (137)

Target Audience
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Information Professionals

Setting of Care

•Hospitals (350)

•Residential Facilities (7)

•Ambulatory Care (80)

•Outpatient Surgery (3)

1 - 20 of 652

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STUDY

Medication-error reporting and pharmacy resident experience during implementation of computerized prescriber order entry.

Weant KA, Cook AM, Armitstead JA. Am J Health Syst Pharm. 2007;64:526-530.

REVIEW

Systematic review of medication safety assessment methods.

Meyer-Massetti C, Cheng CM, Schwappach DL, et al. Am J Health Syst Pharm. 2011;68:227-240.

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

Adverse drug event reporting in intensive care units: a survey of current practices.

Kane-Gill SL, Devlin JW. Ann Pharmacother. 2006;40:1267-73.

REVIEW

Bar code technology and medication administration error.

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

STUDY

Decreasing errors in pediatric continuous intravenous infusions.

Lehmann CU, Kim GR, Gujral R, Veltri MA, Clark JS, Miller MR. Pediatr Crit Care Med. 2006;7:225-230.

STUDY

Supratherapeutic dosing of acetaminophen among hospitalized patients.

Zhou L, Maviglia SM, Mahoney LM, et al. Arch Intern Med. 2012;172:1721-1728.

STUDY

The incidence and cost of unexpected hospital use after scheduled outpatient endoscopy.

Leffler DA, Kheraj R, Garud S, et al. Arch Intern Med. 2010;170:1752-1757.

STUDY

Unexpected increased mortality after implementation of a commercially sold computerized physician order entry system.

Han YY, Carcillo JA, Venkataraman ST, et al. Pediatrics. 2005;116:1506-1512.

STUDY

Design of a retrospective patient record study on the occurrence of adverse events among patients in Dutch hospitals.

Zegers M, de Bruijne MC, Wagner C, Groenewegen PP, Waaijman R, van der Wal G. BMC Health Serv Res. 2007;7:27.

NEWSPAPER/MAGAZINE ARTICLE

Supplementary Advisory: Results of the PA-PSRS Workgroup on Pharmacy Computer System Safety.

PA-PSRS Patient Saf Advis. May 2007;4(suppl 2):1-8.

STUDY

Identifying risk factors for medical injury.

Guse CE, Yang H, Layde PM. Int J Qual Health Care. 2006;18:203-210.

STUDY

Matching identifiers in electronic health records: implications for duplicate records and patient safety.

McCoy AB, Wright A, Kahn MG, Shapiro JS, Bernstam EV, Sittig DF. BMJ Qual Saf. 2013;22:219-224.

STUDY

Fall prevention in acute care hospitals: a randomized trial.

Dykes PC, Carroll DL, Hurley A, et al. JAMA. 2010;304:1912-1918.

STUDY

Improving ambulatory prescribing safety with a handheld decision support system: a randomized controlled trial.

Berner ES, Houston TK, Ray MN, et al. J Am Med Inform Assoc. 2006;13:171-179.

ORGANIZATIONAL POLICY/GUIDELINES

Safely implementing health information and converging technologies.

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

STUDY

Preventable adverse drug events and their causes and contributing factors: the analysis of register data.

Jylhä V, Saranto K, Bates DW. Int J Qual Health Care. 2011;23:187-197.

STUDY

Development of a tool within the electronic medical record to facilitate medication reconciliation after hospital discharge.

Schnipper JL, Liang CL, Hamann C, et al. J Am Med Inform Assoc. 2011;18:309-313.

STUDY

Provider and pharmacist responses to warfarin drug–drug interaction alerts: a study of healthcare downstream of CPOE alerts.

Miller AM, Boro MS, Korman NE, Davoren JB. J Am Med Inform Assoc. 2011;18(suppl 1):i45-i50.

STUDY

Comparison of traditional trigger tool to data warehouse based screening for identifying hospital adverse events.

O'Leary KJ, Devisetty VK, Patel AR, et al. BMJ Qual Saf. 2013;22:130-138.

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