AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (23)

•Diagnostic Errors (3)

•Identification Errors (6)

•Discontinuities, Gaps, and Hand-Off Problems (46)

•Medication Safety (593)

•Medical Complications (12)

•Surgical Complications (4)

•Transfusion Complications (1)

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Error Types

•Epidemiology of Errors and Adverse Events (223)

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Approach to Improving Safety

•Quality Improvement Strategies (127)

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Clinical Areas
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Pharmacy

•Hospital Pharmacy (229)

•Community Pharmacy (44)

Target Audience

•Health Care Providers (508)

•Health Care Executives and Administrators (407)

•Non-Health Care Professionals (203)

•Patients (54)

Setting of Care

•Hospitals (301)

•Psychiatric Facilities (1)

•Residential Facilities (12)

•Ambulatory Care (101)

•Outpatient Surgery (1)

1 - 20 of 609

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STUDY

The influence that electronic prescribing has on medication errors and preventable adverse drug events: an interrupted time-series study.

van Doormaal JE, van den Bemt PMLA, Zaal RJ, et al. J Am Med Inform Assoc. 2009;16:816-825.

STUDY

Identifying and reducing medication errors in psychiatry: creating a culture of safety through the use of an adverse event reporting mechanism.

Jayaram G, Doyle D, Steinwachs D, Samuels J. J Psychiatr Pract. 2011;17:81–88.

STUDY

Electronic prescribing in an ambulatory care setting: a cluster randomized trial.

Dainty KN, Adhikari NK, Kiss A, Quan S, Zwarenstein M. J Eval Clin Pract. 2012;18:761-767.

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

Pharmacists' interventions in prescribing errors at hospital discharge: an observational study in the context of an electronic prescribing system in a UK teaching hospital.

Abdel-Qader DH, Harper L, Cantrill JA, Tully MP. Drug Saf. 2010;33:1027-1044.

STUDY

The impact of a closed-loop electronic prescribing and administration system on prescribing errors, administration errors and staff time: a before-and-after study.

Franklin BD, O'Grady K, Donyai P, Jacklin A, Barber N. Qual Saf Health Care. 2007;16:279-284.

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

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.

COMMENTARY

Eptifibatide Epilogue

Churchill WW, Fiumara K. AHRQ WebM&M [serial online]. April 2009.

NEWSPAPER/MAGAZINE ARTICLE

Medication errors occurring with the use of bar-code administration technology.

PA-PSRS Patient Saf Advis. December 2008;5:122-126.

STUDY

Can an electronic prescribing system detect doctors who are more likely to make a serious prescribing error?

Coleman JJ, Hemming K, Nightingale PG, et al. J R Soc Med. 2011;104:208-218.

STUDY

Medication errors: a prospective cohort study of hand-written and computerised physician order entry in the intensive care unit.

Shulman R, Singer M, Goldstone J, Bellingan G. Crit Care. 2005;9:R516-R521.

STUDY

The impact of prescribing safety alerts for elderly persons in an electronic medical record: an interrupted time series evaluation.

Smith DH, Perrin N, Feldstein A, et al. Arch Intern Med. 2006;166:1098-1104.

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.

STUDY

Automated drug dispensing system reduces medication errors in an intensive care setting.

Chapuis C, Roustit M, Bal G, et al. Crit Care Med. 2010;38:2275-2281.

STUDY

Prescription errors and outcomes related to inconsistent information transmitted through computerized order entry: a prospective study.

Singh H, Mani S, Espadas D, Petersen N, Franklin V, Petersen LA. Arch Intern Med. 2009;169:982-989.

STUDY

Errors associated with outpatient computerized prescribing systems.

Nanji KC, Rothschild JM, Salzberg C, et al. J Am Med Inform Assoc. 2011;18:767-773.

NEWSPAPER/MAGAZINE ARTICLE

Medication errors associated with documented allergies.

PA-PSRS Patient Saf Advis. September 2008;5:75-80.

COMMENTARY

Information technology-based approaches to reducing repeat drug exposure in patients with known drug allergies.

Cresswell KM, Sheikh A. J Allergy Clin Immunol. 2008;121:1112-1117.e7.

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