AHRQ Patient Safety Network

The Collection > Information Professionals

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Safety Target

•Device-related Complications (18)

•Diagnostic Errors (20)

•Identification Errors (21)

•Discontinuities, Gaps, and Hand-Off Problems (69)

•Medication Safety (353)

•Medical Complications (26)

•Nonsurgical Procedural Complications (2)

•Surgical Complications (21)

•Transfusion Complications (3)

•Psychological and Social Complications (9)

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•Asia (12)

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•Journal Article (563)

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•Newspaper/Magazine Article (61)

•Special or Theme Issue (9)

•Tools/Toolkit (4)

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Error Types

•Epidemiology of Errors and Adverse Events (165)

•Active Errors (101)

•Latent Errors (48)

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Approach to Improving Safety

•Quality Improvement Strategies (112)

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•Error Reporting and Analysis (120)

•Communication Improvement (94)

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•Logistical Approaches (38)

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•Technologic Approaches (603)

•Education and Training (53)

Clinical Areas

•Allied Health Services (2)

•Medicine (364)

•Nursing (45)

•Pharmacy (143)

Target Audience
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Information Professionals

Setting of Care

•Hospitals (357)

•Residential Facilities (7)

•Ambulatory Care (85)

•Outpatient Surgery (3)

1 - 20 of 683

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STUDY

Identifying causes of adverse events detected by an automated trigger tool through in-depth analysis.

Muething SE, Conway PH, Kloppenborg E, et al. Qual Saf Health Care. 2010;19:435-439.

REVIEW

Bar code technology and medication administration error.

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

STUDY

Does the implementation of an electronic prescribing system create unintended medication errors? A study of the sociotechnical context through the analysis of reported medication incidents.

Redwood S, Rajakumar A, Hodson J, Coleman JJ. BMC Med Inform Decis Mak. 2011;11:29.

STUDY

Effect of bar-code technology on the safety of medication administration.

Poon EG, Keohane CA, Yoon CS, et al. N Engl J Med. 2010;362:1698-1707.

STUDY

Preventing potentially inappropriate medication use in hospitalized older patients with a computerized provider order entry warning system.

Mattison MLP, Afonso KA, Ngo LH, Mukamal KJ. Arch Intern Med. 2010;170:1331-1336.

NEWSPAPER/MAGAZINE ARTICLE

Medication errors: a year in review.

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

STUDY

Developing a programme for medication reconciliation at the time of admission into hospital.

Manzorro AG, Zoni AC, Rieiro CR, et al. Int J Clin Pharm. 2011;33:603-609.

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

Medicines reconciliation using a shared electronic health care record.

Moore P, Armitage G, Wright J, Dobrzanski S, Ansari N, Hammond I, Scally A. J Patient Saf. 2011;7:147-153.

STUDY

Intravenous infusion safety technology: return on investment.

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

STUDY

Supratherapeutic dosing of acetaminophen among hospitalized patients.

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

STUDY

Sustaining and spreading the reduction of adverse drug events in a multicenter collaborative.

Tham E, Calmes HM, Poppy A, et al. Pediatrics. 2011;128:e438-e445.

STUDY

Critical drug–drug interactions for use in electronic health records systems with computerized physician order entry: review of leading approaches.

Classen DC, Phansalkar S, Bates DW. J Patient Saf. 2011;7:61-65.

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

Can surveillance systems identify and avert adverse drug events? A prospective evaluation of a commercial application.

Jha AK, Laguette J, Seger A, Bates DW. J Am Med Inform Assoc. 2008;15:647-653.

COMMENTARY

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:1062-1065.

STUDY

Impact of health information technology on detection of potential adverse drug events at the ordering stage.

Roberts LL, Ward MM, Brokel JM, Wakefield DS, Crandall DK, Conlon P. Am J Health Syst Pharm. 2010;67:1838-1846.

STUDY

Medication errors resulting from computer entry by nonprescribers.

Santell JP, Kowiatek JG, Weber RJ, Hicks RW, Sirio CA. Am J Health Syst Pharm. 2009;66:843-853.

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.

STUDY

Predictive value of alert triggers for identification of developing adverse drug events.

Moore C, Li J, Hung CC, Downs J, Nebeker JR. J Patient Saf. 2009;5:223-228.

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