AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (18)

•Identification Errors (3)

•Discontinuities, Gaps, and Hand-Off Problems (34)

•Medication Safety (352)

•Medical Complications (8)

•Nonsurgical Procedural Complications (1)

•Surgical Complications (4)

Origin/Sponsor

•Australia and New Zealand (11)

•Central and South America (3)

•North America (289)

Resource Types

•Audiovisual (5)

•Book/Report (7)

•Clinical Guideline (1)

•Journal Article (260)

•Legislation/Regulation (9)

•Newspaper/Magazine Article (64)

•Press Release/Announcement (2)

•Special or Theme Issue (1)

•Tools/Toolkit (5)

•Web Resource (2)

Error Types

•Epidemiology of Errors and Adverse Events (129)

•Active Errors (80)

•Latent Errors (25)

•Near Miss (6)

Approach to Improving Safety

•Quality Improvement Strategies (58)

•Legal and Policy Approaches (17)

•Error Reporting and Analysis (65)

•Communication Improvement (86)

•Human Factors Engineering (71)

•Teamwork (3)

•Specialization of Care (86)

•Logistical Approaches (24)

•Culture of Safety (16)

•Technologic Approaches (175)

•Education and Training (45)

Clinical Areas
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Hospital Pharmacy

Target Audience

•Health Care Providers (274)

•Health Care Executives and Administrators (253)

•Non-Health Care Professionals (99)

•Patients (12)

Setting of Care

•Hospitals (339)

•Psychiatric Facilities (1)

•Ambulatory Care (6)

•Outpatient Surgery (2)

1 - 20 of 357

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STUDY

ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2011.

Pedersen CA, Schneider PJ, Scheckelhoff DJ. Am J Health Syst Pharm. 2012;69:768-785.

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

Frequency of HIV-related medication errors and associated risk factors in hospitalized patients.

Pastakia SD, Corbett AH, Raasch RH, Napravnik S, Correll TA. Ann Pharmacother. 2008;42:491-497.

COMMENTARY

Ordering of continuous renal replacement therapy in a computerized provider order entry system.

Oh SS, Sinclair-Pingel J, Feldott CC, Hargrove FR. Hosp Pharm. 2007;42:255–257.

REVIEW

Systematic review of medication safety assessment methods.

Meyer-Massetti C, Cheng CM, Schwappach DL, et al. Am J Health Syst Pharm. 2011;68:227-240.

REVIEW

classic

Hospital-based medication reconciliation practices: a systematic review.

Mueller SK, Sponsler KC, Kripalani S, Schnipper JL. Arch Intern Med. 2012;172:1057-1069.

STUDY

Inter-rater reliability of a classification system for hospital adverse drug event reports.

Haynes K, Hennessy S, Morales KH, et al. Clin Pharmacol Ther. 2008;83:485-488.

STUDY

Drug errors and related interventions reported by United States clinical pharmacists: The American College of Clinical Pharmacy Practice-Based Research Network medication error detection, amelioration and prevention study.

Kuo GM, Touchette DR, Marinac JS; American College of Clinical Pharmacy Practice-Based Research Network Collaborative. Pharmacotherapy. 2013;33:253-265.

STUDY

Medication errors in a pharmacy-based bar-code-repackaging center.

Cina J, Fanikos J, Mitton P, McCrea M, Churchill W. Am J Health Syst Pharm. 2006;63:165-168.

STUDY

Impact of a pharmacotherapy alerting system on medication errors.

Natali BJ, Varkey AC, Garey KW, Liebl M. Am J Health Syst Pharm. 2013;70:48-52.

STUDY

classic

Effect of a pharmacist intervention on clinically important medication errors after hospital discharge: a randomized trial.

Kripalani S, Roumie CL, Dalal AK, et al; PILL-CVD (Pharmacist Intervention for Low Literacy in Cardiovascular Disease) Study Group. Ann Intern Med. 2012;157:1-10.

STUDY

Rural inpatient telepharmacy consultation demonstration for after-hours medication review.

Cole SL, Grubbs JH, Din C, Nesbitt TS. Telemed E Health. 2012;18:530-537.

REVIEW

"Tech-check-tech": a review of the evidence on its safety and benefits.

Adams AJ, Martin SJ, Stolpe SF. Am J Health Syst Pharm. 2011;68:1824-1833.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2007;42:284–287.

NEWSPAPER/MAGAZINE ARTICLE

Point-of-care medication error prevention: best practices in action.

Swenson D. Patient Saf Qual Healthc. May/June 2007;4:18-25.

STUDY

The risk of adverse drug events and hospital-related morbidity and mortality among older adults with potentially inappropriate medication use.

Page RL 2nd, Ruscin JM. Am J Geriatr Pharmacother. 2006;4:297-305.

COMMENTARY

Implementing an electronic medical record with computerized prescriber order entry at a critical access hospital.

Horning R. Am J Health Syst Pharm. 2011;68:2288-2292.

NEWSPAPER/MAGAZINE ARTICLE

Medication errors: a year in review.

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

NEWSPAPER/MAGAZINE ARTICLE

Collaboration focused on priority issues promotes safety.

ISMP Medication Safety Alert! Acute Care Edition. October 10, 2008;13:1-3.

FACT SHEET/FAQS

Medication safety issue brief. Small and rural hospitals—unique challenges, unique solutions.

American Hospital Association, American Society of Health-System Pharmacists, Hospitals and Health Networks. Hosp Health Netw. 2005;79:45-46.

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