AHRQ Patient Safety Network

The Collection > Anticoagulants

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Anticoagulants

Origin/Sponsor

•Australia and New Zealand (2)

•Central and South America (1)

•Europe (3)

•North America (42)

Resource Types

•Audiovisual (2)

•Clinical Guideline (2)

•Journal Article (36)

•Legislation/Regulation (1)

•Newspaper/Magazine Article (10)

•Press Release/Announcement (1)

•Tools/Toolkit (1)

•Web Resource (1)

Error Types

•Epidemiology of Errors and Adverse Events (17)

•Active Errors (17)

•Latent Errors (5)

Approach to Improving Safety

•Quality Improvement Strategies (16)

•Legal and Policy Approaches (4)

•Error Reporting and Analysis (19)

•Communication Improvement (17)

•Human Factors Engineering (12)

•Teamwork (1)

•Specialization of Care (12)

•Logistical Approaches (5)

•Technologic Approaches (21)

•Education and Training (7)

Clinical Areas

•Medicine (44)

•Nursing (4)

•Pharmacy (22)

Target Audience

•Health Care Providers (45)

•Health Care Executives and Administrators (34)

•Non-Health Care Professionals (6)

•Patients (3)

Setting of Care

•Hospitals (34)

•Residential Facilities (6)

•Ambulatory Care (5)

1 - 20 of 54

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STUDY

Emergency department visits for outpatient adverse drug events: demonstration for a national surveillance system.

Budnitz DS, Pollock DA, Mendelsohn AB, Weidenbach KN, McDonald AK, Annest JL. Ann Emerg Med. 2005;45:197-206.

COMMENTARY

Around the Block.

Minichiello T. AHRQ WebM&M [serial online]. March 2005.

COMMENTARY

Crossed Coverage

Kayser SR. AHRQ WebM&M [serial online]. February 2007.

COMMENTARY

One ACE Too Many

Juurlink DN. AHRQ WebM&M [serial online]. July 2006.

STUDY

Error in body weight estimation leads to inadequate parenteral anticoagulation.

Dos Reis Macedo LG, de Oliveira L, Pintão MC, Garcia AA, Pazin-Filho A. Am J Emerg Med. 2011;29:613-617.

STUDY

Patterns in nursing home medication errors: disproportionality analysis as a novel method to identify quality improvement opportunities.

Hansen RA, Cornell PY, Ryan PB, Williams CE, Pierson S, Greene SB. Pharmacoepidemiol Drug Saf. 2010;19:1087-1094.

PRESS RELEASE/ANNOUNCEMENT

Heparin sodium injection 10,000 units/mL, and HEP-LOCK U/P 10 units/mL medication errors.

MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; February 6, 2007.

COMMENTARY

Unreported errors in the intensive care unit: a case study of the way we work.

Henneman EA. Crit Care Nurse. 2007;27:27-34.

COMMENTARY

Surprise Wire

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

STUDY

Failure to weigh patients in hospital: a medication safety risk.

Hilmer SN, Rangiah C, Bajorek BV, Shenfield GM. Intern Med J. 2007;37:647-650.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2005;40:556-557.

AUDIOVISUAL

Preventing fatal heparin overdoses.

Food and Drug Administration (FDA) Patient Safety News. Show #58. December 2006.

CLINICAL GUIDELINE

Recommendations from the British Committee for Standards in Haematology and National Patient Safety Agency.

Baglin TP, Cousins D, Keeling DM, Perry DJ, Watson HG. Br J Haematol. 2006;136:26-29.

ORGANIZATIONAL POLICY/GUIDELINES

Preventing errors relating to commonly used anticoagulants.

Sentinel Event Alert. September 24, 2008;(41):1-4.

STUDY

Relationship of incorrect dosing of fibrinolytic therapy and clinical outcomes.

Mehta RH, Alexander JH, Van de Werf F, et al. JAMA. 2005;293:1746-1750.

NEWSPAPER/MAGAZINE ARTICLE

Anticoagulant safety practices call for pharmacist supervision.

Scott A. Drug Topics (Health-System Edition). November 10, 2008.

STUDY

Excess dosing of antiplatelet and antithrombin agents in the treatment of non–ST-segment elevation acute coronary syndromes.

Alexander KP, Chen AY, Roe MT, et al; CRUSADE Investigators. JAMA. 2005;294:3108-3116.

NEWSPAPER/MAGAZINE ARTICLE

Heparin: improving treatment and reducing risk of harm.

Daner WE, Gosselin RC, Raschke R, Vanderveen T. Patient Saf Qual Healthcare. January/February 2009;6:20-25.

STUDY

Medication error reporting in nursing homes: identifying targets for patient safety improvement.

Greene SB, Williams CE, Pierson S, Hansen RA, Carey TS. Qual Saf Health Care. 2010;19:218-222.

STUDY

The safety of warfarin therapy in the nursing home setting.

Gurwitz JH, Field TS, Radford MJ, et al. Am J Med. 2007;120:539-544.

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