AHRQ Patient Safety Network

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•Device-related Complications (34)

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•Discontinuities, Gaps, and Hand-Off Problems (35)

•Fatigue and Sleep Deprivation (5)

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•Epidemiology of Errors and Adverse Events (33)

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Approach to Improving Safety
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Practice Guidelines

Clinical Areas

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Target Audience

•Health Care Providers (277)

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1 - 20 of 313

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NEWSPAPER/MAGAZINE ARTICLE

Common cause analysis.

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

ORGANIZATIONAL POLICY/GUIDELINES

ASHP guidelines on remote medication order processing.

Thompson B, Conrad G, Gum MO, et al; ASHP Expert Panel on Remote Medication Order Processing. Am J Health Syst Pharm. 2010;67:672-677.

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.

NEWSPAPER/MAGAZINE ARTICLE

Cardiovascular drugs: linked to many errors.

Santell JP. Drug Topics. June 20, 2005;149:HSE9.

STUDY

ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2007.

Pedersen CA, Schneider PJ, Scheckelhoff DJ. Am J Health Syst Pharm. 2008;65:827-843.

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.

STUDY

Medication prescribing errors involving the route of administration.

Lesar TS. Hosp Pharm. 2006;41:1053-1066.

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.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2009;44:654-657.

COMMENTARY

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2007;42:884–888.

STUDY

Use of a standardized protocol to decrease medication errors and adverse events related to sliding scale insulin.

Donihi AC, DiNardo MM, DeVita MA, Korytkowski MT. Qual Saf Health Care. 2006;15:89-91.

BOOK/REPORT

Pharmacist Staffing and the Use of Technology in Small Rural Hospitals: Implications for Medication Safety.

Casey MM, Moscovice I, Davidson G. Upper Midwest Rural Health Research Center; December 2005.

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.

BOOK/REPORT

Proceedings from the ISMP Sterile Preparation Compounding Safety Summit: Guidelines for SAFE Preparation of Sterile Compounds.

Horsham, PA: Institute for Safe Medication Practices; 2013.

ORGANIZATIONAL POLICY/GUIDELINES

AORN Guidance Statement: Safe Medication Practices in Perioperative Settings Across the Life Span.

AORN J. 2006;84:276-278, 280-283.

NEWSPAPER/MAGAZINE ARTICLE

Paralyzed by mistakes: preventing errors with neuromuscular blocking agents.

ISMP Medication Safety Alert! Acute Care Edition. September 22, 2005;10:1-3.

CLINICAL GUIDELINE classic

classic

Medication errors in acute cardiovascular and stroke patients. A scientific statement from the American Heart Association.

Michaels AD, Spinler SA, Leeper B, et al; American Heart Association Acute Cardiac Care Committee of the Council on Clinical Cardiology, Council on Quality of Care and Outcomes Research, Council on Cardiopulmonary, Critical Care, Perioperative, and Resuscitation, Council on Cardiovascular Nursing, Stroke Council. Circulation. 2010;121:1664-1682.

STUDY

Development and pilot testing of guidelines to monitor high-risk medications in the ambulatory setting.

Tjia J, Field TS, Garber LD, et al. Am J Manag Care. 2010;16:489-496.

COMMENTARY

Implementation of standard concentrations for continuous infusions using a computerized provider order entry system.

Sinclair-Pingel J, Grisso AG, Hargrove FR, Wright L. Hosp Pharm. 2006;41:1102-1106.

ORGANIZATIONAL POLICY/GUIDELINES

Preventing pediatric medication errors.

Sentinel Event Alert. April 11, 2008;(39):1-5.

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