{1}
##LOC[OK]##
{1}
##LOC[OK]##
##LOC[Cancel]##
{1}
##LOC[OK]##
##LOC[Cancel]##
Skip Navigation
www.ahrq.gov
search
home
whatsnew
collection
primers
glossary
newsletter
mypsnet
newsletter
The Collection
>
Forcing Functions
PATIENT SAFETY PRIMERS
Narrow By
clear selections
Safety Target
•
Device-related Complications (5)
•
Diagnostic Errors (2)
•
Identification Errors (4)
•
Discontinuities, Gaps, and Hand-Off Problems (3)
•
Medication Safety (14)
•
Medical Complications (4)
•
Nonsurgical Procedural Complications (1)
•
Surgical Complications (6)
•
Transfusion Complications (1)
Origin/Sponsor
•
Europe (4)
•
North America (23)
Resource Types
•
Book/Report (1)
•
Journal Article (31)
•
Meeting/Conference (1)
•
Newspaper/Magazine Article (1)
Error Types
•
Epidemiology of Errors and Adverse Events (7)
•
Active Errors (17)
•
Latent Errors (8)
•
Near Miss (3)
Approach to Improving Safety
< All
Forcing Functions
Clinical Areas
•
Allied Health Services (2)
•
Medicine (22)
•
Nursing (4)
•
Pharmacy (4)
Target Audience
•
Health Care Providers (26)
•
Health Care Executives and Administrators (26)
•
Non-Health Care Professionals (17)
•
Patients (1)
Setting of Care
•
Hospitals (23)
•
Residential Facilities (1)
•
Ambulatory Care (1)
•
Outpatient Surgery (2)
1 - 20
of 34
Show Excerpt
Don't Show Excerpt
Sort by relevance
Sort by significance
Sort by title
Sort by date
Sort by author
dropdown
STUDY
Unintended effects of a computerized physician order entry nearly hard-stop alert to prevent a drug interaction: a randomized controlled trial.
Strom BL, Schinnar R, Aberra F, et al. Arch Intern Med. 2010;170:1578-1583.
REVIEW
What have we learned about interventions to reduce medical errors?
Woodward HI, Mytton OT, Lemer C, et al. Annu Rev Public Health. 2010;31:479-497.
MEETING/CONFERENCE PROCEEDINGS
July 2011 Author in the Room Teleconference
.
Schiff GD. Institute for Healthcare Improvement; Journal of the American Medical Association. July 20, 2011.
COMMENTARY
Eptifibatide Epilogue
Churchill WW, Fiumara K. AHRQ WebM&M [serial online]. April 2009.
STUDY
Identifying opportunities for quality improvement in surgical site infection prevention.
Gagliardi AR, Eskicioglu C, McKenzie M, Fenech D, Nathens A, McLeod R. Am J Infect Control. 2009;37:398-402.
COMMENTARY
Double Dosing, by the Rules
Cohen H. AHRQ WebM&M [serial online]. February/March 2009.
COMMENTARY
The role of housestaff in implementing medication reconciliation on admission at an academic medical center.
Evans AS, Lazar EJ, Tiase VL, et al. Am J Med Qual. 2011;26:39-42.
STUDY
Errors with concentrated epinephrine in otolaryngology.
Shah RK, Hoy E, Roberson DW, Nielsen D. Laryngoscope. 2008 Nov; 118: 1928-30.
REVIEW
Requirements for the design and implementation of checklists for surgical processes.
Verdaasdonk EGG, Stassen LPS, Widhiasmara PP, Dankelman J. Surg Endosc. 2009;23:715-726.
COMMENTARY
Checklists to reduce diagnostic errors.
Ely JW, Graber ML, Croskerry P. Acad Med. 2011;86:307-313.
COMMENTARY
Organizational Change in the Face of Highly Public Errors—I. The Dana-Farber Cancer Institute Experience
Conway JB, Weingart SN. AHRQ WebM&M [serial online]. May 2005.
COMMENTARY
On O.R. Off?
Leonard M. AHRQ WebM&M [serial online]. March 2005.
STUDY
Reduction of central line infections in Veterans Administration intensive care units: an observational cohort using a central infrastructure to support learning and improvement.
Render ML, Hasselbeck R, Freyberg RW, Hofer TP, Sales AE, Almenoff PL; VA ICU Clinical Advisory Group. BMJ Qual Saf. 2011;20:725-732.
COMMENTARY
Transfusion "Slip".
Kaplan HS. AHRQ WebM&M [serial online]. February 2004.
COMMENTARY
Medication orders are written clearly and transcribed accurately – implementing Medication Management Standard 3.20 and National Patient Safety Goal 2b.
Laselle TJ,May SK. Hosp Pharm. 2006;41:82-87.
STUDY
Process changes to increase compliance with the Universal Protocol for bedside procedures.
Barsuk JH, Brake H, Caprio T, Barnard C, Anderson DY, Williams MV. Arch Intern Med. 2011;171:947-949.
BOOK/REPORT
The Design of Everyday Things.
Norman DA. New York, NY: Basic Books; 2002.
STUDY
Use of a computerized forcing function improves performance in ordering restraints.
Griffey RT, Wittels K, Gilboy N, McAfee AT. Ann Emerg Med. 2009;53:469-476.
STUDY
Can an electronic prescribing system detect doctors who are more likely to make a serious prescribing error?
Coleman JJ, Hemming K, Nightingale PG, et al. J R Soc Med. 2011;104:208-218.
REVIEW
Enteral feeding misconnections: an update.
Guenter P, Hicks RW, Simmons D. Nutr Clin Pract. 2009;24:325-334.
1
2
Next >