AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (6)

•Diagnostic Errors (2)

•Identification Errors (2)

•Discontinuities, Gaps, and Hand-Off Problems (36)

•Medication Safety (344)

•Medical Complications (4)

•Surgical Complications (3)

•Psychological and Social Complications (1)

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•Asia (2)

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Resource Types

•Journal Article (252)

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•Newspaper/Magazine Article (50)

•Press Release/Announcement (13)

•Special or Theme Issue (4)

•Tools/Toolkit (8)

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Error Types

•Epidemiology of Errors and Adverse Events (93)

•Active Errors (53)

•Latent Errors (19)

•Near Miss (4)

Approach to Improving Safety

•Quality Improvement Strategies (78)

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•Error Reporting and Analysis (77)

•Communication Improvement (94)

•Human Factors Engineering (47)

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Clinical Areas
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Pharmacy

•Hospital Pharmacy (92)

•Community Pharmacy (30)

Target Audience

•Health Care Providers (337)

•Health Care Executives and Administrators (203)

•Non-Health Care Professionals (95)

•Patients (28)

Setting of Care

•Hospitals (142)

•Psychiatric Facilities (2)

•Residential Facilities (5)

•Ambulatory Care (74)

•Outpatient Surgery (2)

1 - 20 of 357

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COMMENTARY

Prescribing errors resulting in adverse drug events: how can they be prevented?

Thurmann PA. Expert Opin Drug Saf. 2006;5:489-493.

STUDY

Potential medication dosing errors in outpatient pediatrics.

McPhillips HA, Stille CJ, Smith D, et al. J Pediatr. 2005;147:761-767.

STUDY

Pharmacist-supported medication review training for general practitioners: feasibility and acceptability.

Krska J, Gill D, Hansford D. Med Educ. 2006;40:1217-1225.

COMMENTARY

Surprise Wire

Pearl JM, Donaldson NE. AHRQ WebM&M [serial online]. July/August 2005.

STUDY

Infant deaths associated with cough and cold medications—two states, 2005.

Centers for Disease Control and Prevention. MMWR Morb Mortal Wkly Rep. 2007;56:1-4.

STUDY

Medication prescribing errors involving the route of administration.

Lesar TS. Hosp Pharm. 2006;41:1053-1066.

PRESS RELEASE/ANNOUNCEMENT

McNeil Consumer & Specialty Pharmaceuticals announces nationwide recall of Children's Tylenol Meltaways - 80 Mg, Children's Tylenol Softchews - 80 Mg and Jr. Tylenol Meltaways - 160 Mg [press release].

Fort Washington, PA: McNeil Consumer & Specialty Pharmaceuticals; June 3, 2005.

TOOLKIT

ISMP and FDA campaign to eliminate use of error-prone abbreviations.

Huntington Valley, PA: Institute for Safe Medication Practices.

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.

STUDY

Computerized clinical decision support for medication prescribing and utilization in pediatrics.

Stultz JS, Nahata MC. J Am Med Inform Assoc. 2012;19:942-953.

STUDY

Effectiveness of a community collaborative for eliminating the use of high-risk abbreviations written by physicians.

Leonhardt KK, Botticelli J. J Patient Saf. 2006;2:147-153.

STUDY

Potentially inappropriate medication use among elderly home care patients in Europe.

Fialová D, Topinková E, Gambassi G, et al. JAMA 2005;293:1348-1358.

STUDY

Prescription errors in psychiatry - a multi-centre study.

Stubbs J, Haw C, Taylor D. J Psychopharmacol. 2006;20:553-61.

STUDY

Medication error prevention by pharmacists.

Blum KV, Abel SR, Urbanski CJ, Pierce JM. Am J Hosp Pharm. 1988;45:1902-1903.

STUDY

Effectiveness of computerized provider order entry with dose range checking on prescribing errors.

Boling B, McKibben M, Hingl J, Worth P, Jacobs BR, the Clinical Informatics Outcomes Research Group. J Patient Saf. 2005;1:190-194.

NEWSPAPER/MAGAZINE ARTICLE

Drug name confusion: preventing medication errors.

Rados C. FDA Consum. 2005;39:35-37.

COMMENTARY

Count and Be Counted: Preparing Future Pharmacists to Promote a Culture of Safety

Alldredge BK, Koda-Kimble MA. AHRQ WebM&M [serial online]. April 2006.

BOOK/REPORT

The Prescription Infrastructre: Are We Ready for ePrescribing?

Sarasohn-Kahn J, Holt M. Oakland, CA: California Healthcare Foundation; 2006. ISBN: 1933795026.

STUDY

The impact of abbreviations on patient safety.

Brunetti L, Santell JP, Hicks RW. Jt Comm J Qual Patient Saf. 2007;33:576-583.

STUDY

Improving medication management for patients: the effect of a pharmacist on post-admission ward rounds.

Fertleman M, Barnett N, Patel T. Qual Saf Health Care. 2005;14:207-211.

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