AHRQ Patient Safety Network

The Collection > Medicine

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Safety Target

•Device-related Complications (87)

•Diagnostic Errors (110)

•Identification Errors (72)

•Discontinuities, Gaps, and Hand-Off Problems (250)

•Fatigue and Sleep Deprivation (30)

•Medication Safety (812)

•Medical Complications (255)

•Nonsurgical Procedural Complications (37)

•Surgical Complications (236)

•Transfusion Complications (16)

•Psychological and Social Complications (51)

Origin/Sponsor

•Africa (6)

•Asia (32)

•Australia and New Zealand (77)

•Central and South America (9)

•Europe (284)

•North America (1477)

Resource Types

•Audiovisual (16)

•Award (9)

•Book/Report (107)

•Clinical Guideline (2)

•Journal Article (1520)

•Legislation/Regulation (18)

•Meeting/Conference (13)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (145)

•Press Release/Announcement (14)

•Special or Theme Issue (30)

•Tools/Toolkit (15)

•Web Resource (34)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (927)

•Active Errors (327)

•Latent Errors (136)

•Near Miss (44)

Approach to Improving Safety

•Quality Improvement Strategies (446)

•Legal and Policy Approaches (135)

•Error Reporting and Analysis (566)

•Communication Improvement (444)

•Human Factors Engineering (243)

•Teamwork (114)

•Specialization of Care (156)

•Logistical Approaches (120)

•Culture of Safety (202)

•Technologic Approaches (535)

•Education and Training (299)

Target Audience

•Health Care Providers (1565)

•Health Care Executives and Administrators (1622)

•Non-Health Care Professionals (762)

•Patients (118)

Setting of Care

•Hospitals (1345)

•Psychiatric Facilities (12)

•Residential Facilities (57)

•Ambulatory Care (222)

•Outpatient Surgery (24)

•Patient Transport (25)

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COMMENTARY

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

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

STUDY

Medication reconciliation during internal hospital transfer and impact of computerized prescriber order entry.

Lee JY, Leblanc K, Fernandes OA, et al. Ann Pharmacother. 2010;44:1887-1895.

AUDIOVISUAL

Health agency: drug errors still common.

Knox R. "All Things Considered." National Public Radio. July 20, 2006.

STUDY

Effect of computerized provider order entry with clinical decision support on adverse drug events in the long-term care setting.

Gurwitz JH, Field TS, Rochon P, et al. J Am Geriatr Soc. 2008;56:2225-2233.

STUDY

A systematic review to evaluate the accuracy of electronic adverse drug event detection.

Forster AJ, Jennings A, Chow C, Leeder C, van Walraven C. J Am Med Inform Assoc. 2012;19:31-38.

REVIEW

Year in review: medication mishaps in the elderly.

Peron EP, Marcum ZA, Boyce R, Hanlon JT, Handler SM. Am J Geriatr Pharmacother. 2011;9:1-10.

STUDY

Effects of computer-based clinical decision support systems on physician performance and patient outcomes: a systematic review.

Hunt DL, Haynes RB, Hanna SE, Smith K. JAMA. 1998;280:1339-1346.

STUDY

National study on the frequency, types, causes, and consequences of voluntarily reported emergency department medication errors.

Pham JC, Story JL, Hicks RW, et al. J Emerg Med. 2011;40:485-492.

STUDY

Computerized physician order entry, a factor in medication errors: descriptive analysis of events in the intensive care unit safety reporting system.

Thompson DA, Duling L, Holzmueller CG, et al. J Clin Outcomes Manage. 2005;12:407-412.

STUDY

Computerized decision support for medication dosing in renal insufficiency: a randomized, controlled trial.

Terrell KM, Perkins AJ, Hui SL, Callahan CM, Dexter PR, Miller DK. Ann Emerg Med. 2010;56:623-629.

STUDY

Intravenous infusion safety technology: return on investment.

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

REVIEW

The efficacy of computer-enabled discharge communication interventions: a systematic review.

Motamedi SM, Posadas-Calleja J, Straus S, et al. BMJ Qual Saf. 2011;20:403-415.

STUDY

Prevention of potential errors in resuscitation medications orders by means of a computerised physician order entry in paediatric critical care.

Vardi A, Efrati O, Levin I, et al. Resuscitation. 2007;73:400-406.

COMMENTARY

A Mid-Summer Fog

Braddock CH. AHRQ WebM&M [serial online]. November 2008.

ORGANIZATIONAL POLICY/GUIDELINES

ACOG Committee opinion #531: improving medication safety.

ACOG Committee on Patient Safety and Quality Improvement of American College of Obstetricians-Gynecologists. Obstet Gynecol. 2012;120:406-410.

STUDY

Communication errors in dispatch of air medical transport.

Vilensky D, Macdonald RD. Prehosp Emerg Care. 2011;15:39-43.

SPECIAL OR THEME ISSUE

Patient Safety Papers 6.

Baker GR, ed. Healthc Q. 2012;15:1-72.

STUDY

Physician order entry or nurse order entry? Comparison of two implementation strategies for a computerized order entry system aimed at reducing dosing medication errors.

Kazemi A, Fors UG, Tofighi S, Tessma M, Ellenius J. J Med Internet Res. 2010;12:e5.

STUDY

Reported medication errors after introducing an electronic medication management system.

Redley B, Botti M. J Clin Nurs. 2013;22:579-589.

COMMENTARY

Medication Overdose.

Kaushal R. AHRQ WebM&M [serial online]. April 2003.

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