PATIENT SAFETY PRIMERS
Device-related Complications (12)
Diagnostic Errors (3)
Identification Errors (4)
Discontinuities, Gaps, and Hand-Off Problems (31)
Medication Safety (350)
Medical Complications (7)
Surgical Complications (2)
Transfusion Complications (1)
Australia and New Zealand (11)
North America (288)
Journal Article (207)
Newspaper/Magazine Article (59)
Press Release/Announcement (21)
Special or Theme Issue (4)
Web Resource (9)
Epidemiology of Errors and Adverse Events (69)
Active Errors (57)
Latent Errors (30)
Near Miss (6)
Approach to Improving Safety
Quality Improvement Strategies (93)
Legal and Policy Approaches (30)
Error Reporting and Analysis (66)
Communication Improvement (106)
Human Factors Engineering (63)
Specialization of Care (53)
Logistical Approaches (16)
Culture of Safety (27)
Technologic Approaches (102)
Education and Training (64)
Hospital Pharmacy (83)
Community Pharmacy (10)
Health Care Providers (318)
Health Care Executives and Administrators (243)
Non-Health Care Professionals (113)
Setting of Care
Psychiatric Facilities (1)
Residential Facilities (8)
Ambulatory Care (63)
1 - 20
Don't Show Excerpt
Sort by relevance
Sort by significance
Sort by title
Sort by date
Sort by author
ISMP's Guidelines for Standard Order Sets.
Horsham, PA: Institute for Safe Medication Practices; March 2010.
SPECIAL OR THEME ISSUE
The safety and quality of health care: where are we now?
Med J Aust. 2006;184:S37-S72.
Patient Safety & Clinical Pharmacy Services Collaborative.
Rockville, MD: Health Resources and Services Administration.
The Role of the Patient in Improving Patient Safety
Gibson R. AHRQ WebM&M [serial online]. March 2007.
Medication-related FDA patient safety videos provided in cooperation with ISMP.
Horsham, PA: Institute for Safe Medication Practices; 2011.
Preventing Medication Errors: A $21 Billion Opportunity.
Washington, DC: National Priorities Partnership and National Quality Forum; December 2010.
Developing a medication patient safety program — infrastructure and strategy.
Mark SM, Weber RJ. Hosp Pharm. 2007;42:149-156.
Frequency of and risk factors for preventable medication-related hospital admissions in the Netherlands.
Leendertse AJ, Egberts ACG, Stoker LJ, van den Bemt PMLA, for the HARM Study Group. Arch Intern Med. 2008;168:1890-1896.
In Conversation with...Allan Frankel, MD
AHRQ WebM&M [serial online]. July 2006.
In Conversation with…Michael Cohen, RPh, MS, ScD
AHRQ WebM&M [serial online]. April 2006.
Fixing the medication reconciliation breakdown.
Starr D, West L. Most Wired Magazine. November 9, 2006.
An assessment of the quality and impact of NPSA medication safety outputs issued to the NHS in England and Wales.
Lankshear A, Lowson K, Weingart SN. BMJ Qual Saf. 2011;20:360-365.
The MacArthur Fellows Program: Michael Cohen.
The John D. and Catherine T. MacArthur Foundation. September 20, 2005.
An Introduction to the Improved FDA Prescription Drug Labeling.
US Food and Drug Administration Center for Drug Evaluation and Research, Institute for Safe Medication Practices. November 7, 2006.
The Food and Drug Administration's National Drug Code Directory.
Office of the Inspector General. Washington, DC: US Department of Health and Human Services; August 2006. Report No. OEI-06-05-00060.
Promethazine HCl (marketed as Phenergan) Information.
FDA Alert [US Food and Drug Administration Web site]. April 25, 2006.
JCAHO tightens leash on medication reconciliation.
Perry LE. Drug Topics: Health-System Edition. March 20, 2006.
The five rights: a destination without a map.
ISMP Medication Safety Alert! Acute Care Edition. January 25, 2007;12:1.
Preventing harm from high-alert medications.
Federico F. Jt Comm J Qual Patient Saf. 2007;33:537-542.
Improving the safety of intravenous admixtures: lessons learned from a Pentostam® overdose.
Just S, Schepers G, Piotrowski MM, Saint S, Kauffman CA. Jt Comm J Qual Patient Saf. 2006;32:366-372.
Produced for the
Agency for Healthcare Research and Quality
team of editors
University of California, San Francisco
with guidance from a prominent
. The AHRQ PSNet site was designed and implemented by Silverchair.
Contact AHRQ PSNet
Terms & Conditions
Freedom of Information Act
The White House
USA.gov: U.S. Government Official Web Portal
Agency for Healthcare Research and Quality • 540 Gaither Road Rockville, MD 20850 • Telephone: (301) 427-1364