AHRQ Patient Safety Network

The Collection > Practice Guidelines

Narrow By

clear selections

Safety Target

•Device-related Complications (39)

•Diagnostic Errors (33)

•Identification Errors (18)

•Discontinuities, Gaps, and Hand-Off Problems (49)

•Fatigue and Sleep Deprivation (7)

•Medication Safety (171)

•Medical Complications (60)

•Nonsurgical Procedural Complications (16)

•Surgical Complications (52)

•Transfusion Complications (1)

•Psychological and Social Complications (11)

Origin/Sponsor

•Africa (1)

•Asia (3)

•Australia and New Zealand (8)

•Central and South America (1)

Resource Types

•Clinical Guideline (9)

•Journal Article (216)

•Legislation/Regulation (31)

•Meeting/Conference (2)

•Newsletter/Journal (2)

•Newspaper/Magazine Article (61)

•Press Release/Announcement (9)

•Special or Theme Issue (5)

•Tools/Toolkit (15)

•Web Resource (7)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (41)

•Active Errors (71)

•Latent Errors (38)

•Near Miss (3)

Approach to Improving Safety
< All

Practice Guidelines

Clinical Areas

•Allied Health Services (2)

Target Audience

•Health Care Providers (344)

•Health Care Executives and Administrators (262)

•Non-Health Care Professionals (67)

•Patients (28)

Setting of Care

•Hospitals (210)

•Psychiatric Facilities (3)

•Residential Facilities (3)

•Ambulatory Care (45)

•Outpatient Surgery (7)

•Patient Transport (1)

1 - 20 of 382

Show ExcerptDon't Show Excerpt

dropdown

COMMENTARY

Morphine overdose from error propagation on an acute pain service: [Une surdose de morphine resultant de multiples erreurs dans un service de douleur aigue].

Syed S, Paul JE, Hueftlein M, Kampf M, McLean RF. Can J Anaesth. 2006;53:586-590.

NEWSPAPER/MAGAZINE ARTICLE

Double key bounce and double keying errors.

ISMP Medication Safety Alert! Acute Care Edition. January 12, 2006;11:1-2.

ORGANIZATIONAL POLICY/GUIDELINES

Tubing misconnections—a persistent and potentially deadly occurrence.

Sentinel Event Alert. April 3, 2006;(36):1-3.

COMMENTARY

Improving safety throughout the medication use process in a neonatal intensive care unit.

Asdigha MN. Hosp Pharm. 2006;41:1067-1075.

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.

REVIEW

Adverse events associated with sedatives, analgesics, and other drugs that provide patient comfort in the intensive care unit.

Riker RR, Fraser GL. Pharmacotherapy. 2005;25:8S-18S.

NEWSPAPER/MAGAZINE ARTICLE

Promethazine conundrum: IV can hurt more than IM injection!

ISMP Medication Safety Alert! Acute Care Edition. November 2, 2006;11:1-3.

COMMENTARY

Preventing vincristine administration errors: does evidence support minibag infusions?

Schulmeister L. Clin J Oncol Nurs. 2006;10:271-273.

FACT SHEET/FAQS

Oral Dosage Forms that Should Not Be Crushed.

Mitchell JF. Institute for Safe Medication Practices.

NEWSPAPER/MAGAZINE ARTICLE

Loud wake-up call: unlabeled containers lead to patient’s death.

ISMP Medication Safety Alert! Acute Care Edition. December 1, 2004;9:1-3.

COMMENTARY

SNOMED CT: electronic health record enhances anesthesia patient safety.

Elevitch FR. AANA J. 2005;73:361-366.

NEWSPAPER/MAGAZINE ARTICLE

Clear liquids may place patients at risk.

PA-PSRS Patient Saf Advis. December 2005;2:29-31.

TOOLKIT

Checklist/Action Plan for the Management of High-Alert Medications.

Appendix 1G In: Leading a Strategic Planning Effort: Pathways for Medication Safety. Chicago, IL: American Hospital Association; 2002.

STUDY

Risk factors for adverse drug events: a 10-year analysis.

Evans RS, Lloyd JF, Stoddard GJ, Nebeker JR, Samore MH. Ann Pharmacother. 2005;39:1161-1168.

NEWSPAPER/MAGAZINE ARTICLE

Bringing surgeons down to earth.

Landro L. Wall Street Journal (Eastern edition). November 16, 2005:D1.

STUDY

Potentially inappropriate prescribing in elderly veterans: are we using the wrong drug, wrong dose, or wrong duration?

Pugh MJ, Fincke BG, Bierman AS, et al. J Am Geriatr Soc. 2005;53:1282-1289.

CLINICAL GUIDELINE

Practice Advisory on Intraoperative Awareness and Brain Function Monitoring.

ASA Task Force on Intraoperative Awareness and Brain Function Monitoring. Park Ridge, IL: American Society of Anesthesiologists; July 2005.

NEWSPAPER/MAGAZINE ARTICLE

M.R.I.'s strong magnets cited in accidents.

McNeil DG Jr. New York Times. August 19, 2005;National Desk section:1.

NEWSPAPER/MAGAZINE ARTICLE

New practices reduce childbirth risks.

Landro L. Wall Street Journal. July 12, 2006:D1. [Reprinted on Post-gazette.com].

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.

1 2 3 4 5 6 7 8 9 10 11 Next >