AHRQ Patient Safety Network

The Collection > Device-related Complications

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Device-related Complications

•Indwelling Tubes and Catheters (30)

•Infusion Pumps (32)

•Prostheses and Implants (4)

Origin/Sponsor

•Asia (4)

•Australia and New Zealand (5)

Resource Types

•Clinical Guideline (1)

•Journal Article (116)

•Legislation/Regulation (5)

•Meeting/Conference (1)

•Newspaper/Magazine Article (35)

•Press Release/Announcement (13)

•Special or Theme Issue (2)

•Tools/Toolkit (3)

•Web Resource (7)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (40)

•Active Errors (55)

•Latent Errors (30)

•Near Miss (5)

Approach to Improving Safety

•Quality Improvement Strategies (68)

•Legal and Policy Approaches (14)

•Error Reporting and Analysis (63)

•Communication Improvement (25)

•Human Factors Engineering (111)

•Teamwork (7)

•Specialization of Care (1)

•Logistical Approaches (3)

•Culture of Safety (18)

•Technologic Approaches (24)

•Education and Training (55)

Clinical Areas

•Allied Health Services (3)

•Medicine (134)

•Nursing (18)

•Pharmacy (16)

Target Audience

•Health Care Providers (130)

•Health Care Executives and Administrators (157)

•Non-Health Care Professionals (79)

•Patients (25)

Setting of Care

•Hospitals (119)

•Psychiatric Facilities (1)

•Ambulatory Care (13)

•Outpatient Surgery (2)

•Patient Transport (2)

1 - 20 of 196

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NEWSPAPER/MAGAZINE ARTICLE

ALERT: reports of severe harm after intravenous administration of breast milk to infants.

ISMP Canada Safety Bulletin. July 31, 2011;11:1-2.

NEWSPAPER/MAGAZINE ARTICLE

Radiation offers new cures, and ways to do harm.

Bogdanich W. New York Times. January 24, 2010:A1.

COMMENTARY

MRI suites: safety outside the bore.

Gilk T. Patient Saf Qual Healthc. September/October 2006;3:16-18, 20-21.

ORGANIZATIONAL POLICY/GUIDELINES

Radiation risks of diagnostic imaging.

Sentinel Event Alert #47. August 24, 2011.

COMMENTARY

Practice advisory on anesthetic care for magnetic resonance imaging: a report by the American Society of Anesthesiologists Task Force on Anesthetic Care for Magnetic Resonance Imaging.

Anesthesiology. 2009;110:459-479.

PRESS RELEASE/ANNOUNCEMENT

Relenza (zanamivir) inhalation powder.

MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; October 9, 2009.

NEWSPAPER/MAGAZINE ARTICLE

Preventing catheter/tubing misconnections: much needed help is on the way.

ISMP Medication Safety Alert! Acute Care Edition. July 15, 2010;15:1-2.

REVIEW

Inappropriate trust in technology: implications for critical care nurses.

Browne M, Cook P. Nurs Crit Care. 2011;16:92-98.

REVIEW

An international review of patient safety measures in radiotherapy practice.

Shafiq J, Barton M, Noble D, Lemer C, Donaldson LJ. Radiother Oncol. 2009;92:15-21.

STUDY

Impact of a comprehensive safety initiative on patient-controlled analgesia errors.

Paul JE, Bertram B, Antoni K, et al. Anesthesiology. 2010;113:1427-1432.

COMMENTARY

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2010;45:191-195.

BOOK/REPORT

Hospital Bed System Dimensional and Assessment Guidance to Reduce Entrapment.

Center for Devices and Radiological Health. Bethesda, MD: Food and Drug Administration, US Dept of Health and Human Services; 2006.

STUDY

Patient safety in intensive care: results from the multinational Sentinel Events Evaluation (SEE) study.

Valentin A, Capuzzo M, Guidet B, et al. Intensive Care Med. 2006;32:1591-1598.

AUDIOVISUAL

Chasing Zero: Winning the War on Healthcare Harm.

Austin, TX: Texas Medical Institute for Technology and the Quaid Foundation; 2010.

NEWSPAPER/MAGAZINE ARTICLE

Misadministration of IV insulin associated with dose measurement and hyperkalemia treatment.

ISMP Medication Safety Alert! Acute Care Edition. August 11, 2011;16:1-3.

STUDY

Evaluation of consistency in dosing directions and measuring devices for pediatric nonprescription liquid medications.

Yin HS, Wolf MS, Dreyer BP, Sanders LM, Parker RM. JAMA. 2010;304:2595-2602.

AUDIOVISUAL

Safety Information on Alaris SE Infusion Pumps.

Food and Drug Administration (FDA) Patient Safety News. Show #57. November 2006.

NEWSPAPER/MAGAZINE ARTICLE

Medication errors: a year in review.

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

REVIEW

Enteral feeding misconnections: an update.

Guenter P, Hicks RW, Simmons D. Nutr Clin Pract. 2009;24:325-334.

PRESS RELEASE/ANNOUNCEMENT

Risk of electromagnetic interference with medical telemetry systems operating in the 460-470 MHz frequency bands.

MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; November 16, 2005.

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