AHRQ Patient Safety Network

The Collection > Anticoagulants

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Anticoagulants

Origin/Sponsor

•Australia and New Zealand (2)

•Central and South America (1)

Resource Types

•Clinical Guideline (1)

•Journal Article (49)

•Legislation/Regulation (2)

•Newspaper/Magazine Article (17)

•Press Release/Announcement (3)

•Tools/Toolkit (1)

•Web Resource (2)

Error Types

•Epidemiology of Errors and Adverse Events (23)

•Active Errors (25)

•Latent Errors (8)

•Near Miss (1)

Approach to Improving Safety

•Quality Improvement Strategies (21)

•Legal and Policy Approaches (7)

•Error Reporting and Analysis (27)

•Communication Improvement (16)

•Human Factors Engineering (22)

•Teamwork (1)

•Specialization of Care (16)

•Logistical Approaches (6)

•Technologic Approaches (28)

•Education and Training (11)

Clinical Areas

•Medicine (63)

•Nursing (6)

•Pharmacy (31)

Target Audience

•Health Care Providers (61)

•Health Care Executives and Administrators (49)

•Non-Health Care Professionals (10)

•Patients (11)

Setting of Care

•Hospitals (59)

•Residential Facilities (6)

•Ambulatory Care (7)

•Outpatient Surgery (1)

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ORGANIZATIONAL POLICY/GUIDELINES

Preventing errors relating to commonly used anticoagulants.

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

COMMENTARY

Improving heparin safety: a multidisciplinary invited conference.

Peterson C, Ham CW, Vanderveen T. Hosp Pharm. 2008;43:491-497.

COMMENTARY

Preparing your hospital for compliance with The Joint Commission's National Patient Safety Goals.

Murdaugh L, Jordin R. Hosp Pharm. 2008;43:728-733.

NEWSPAPER/MAGAZINE ARTICLE

Heparin overdose in three infants revisits hospital error issues.

Phend C. MedPage Today. November 26, 2007.

STUDY

Adopting real-time surveillance dashboards as a component of an enterprisewide medication safety strategy.

Waitman LR, Phillips IE, McCoy AB, et al. Jt Comm J Qual Patient Saf. 2011;37:326-332.

COMMENTARY

Anticoagulation patient safety goal compliance at a university health system: methods for achieving the goal.

Franco AC, Maxwell P, Green K, Barthol C. Hosp Pharm. 2009;44:776-780, 784.

STUDY

Impact of a standard medication chart on prescribing errors: a before-and-after audit.

Coombes ID, Stowasser DA, Reid C, Mitchell CA. Qual Saf Health Care. 2009;18:478-485.

NEWSPAPER/MAGAZINE ARTICLE

Officials investigate infants' heparin OD at Texas hospital.

Vonfremd M, Ibanga I. ABC News.com. July 10, 2008.

NEWSPAPER/MAGAZINE ARTICLE

Collaboration focused on priority issues promotes safety.

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

STUDY

Racial disparities in the frequency of patient safety events: results from the National Medicare Patient Safety Monitoring System.

Metersky ML, Hunt DR, Kliman R, et al. Med Care. 2011;49:504-510.

STUDY

Adverse drug events among hospitalized Medicare patients: epidemiology and national estimates from a new approach to surveillance.

Classen DC, Jaser L, Budnitz DS. Jt Comm J Qual Patient Saf. 2010;36:12-21, AP1-AP9.

STUDY

Anticoagulation-associated adverse drug events.

Piazza G, Nguyen TN, Cios D, et al. Am J Med. 2011;124:1136-1142.

NEWSPAPER/MAGAZINE ARTICLE

Common cause analysis.

Clapper C, Crea K. Patient Saf Qual Healthc. May/June 2010;7:30-35.

STUDY

Clinical and safety impact of an inpatient pharmacist-directed anticoagulation service.

Schillig J, Kaatz S, Hudson M, Krol GD, Szandzik EG, Kalus JS. J Hosp Med. 2011;6:322-328.

NEWSPAPER/MAGAZINE ARTICLE

Action needed to prevent dangerous heparin-insulin confusion.

ISMP Medication Safety Alert! Acute Care Edition. May 3, 2007;12:1-2.

STUDY

Use of specific indicators to detect warfarin-related adverse events.

Hartis CE, Gum MO, Lederer JW Jr. Am J Health Syst Pharm. 2005;62:1683-1688.

COMMENTARY

The Role of Bar Coding and Smart Pumps in Safety

Jeffrey M. Rothschild, MD, MPH; Carol Keohane, RN, BSN AHRQ WebM&M [serial online]. September 2008.

NEWSPAPER/MAGAZINE ARTICLE

Hospital drug errors far from uncommon.

Lin R-G II, Watanabe T. Los Angeles Times. November 22, 2007;A1.

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.

NEWSPAPER/MAGAZINE ARTICLE

Heparin errors continue despite prior, high-profile, fatal events.

ISMP Medication Safety Alert! Acute Care Edition. July 17, 2008;13:1-2.

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