AHRQ Patient Safety Network

The Collection > Logistical Approaches

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•Device-related Complications (7)

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•Discontinuities, Gaps, and Hand-Off Problems (117)

•Fatigue and Sleep Deprivation (58)

•Medication Safety (118)

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Error Types

•Epidemiology of Errors and Adverse Events (99)

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Approach to Improving Safety
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Logistical Approaches

•Laboratory Result Tracking Improvement (79)

•Nurse Staffing Ratios (30)

•Scheduling Changes (18)

•Duty Hour Limitation (72)

Clinical Areas

•Medicine (246)

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Target Audience

•Health Care Providers (270)

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Setting of Care

•Hospitals (278)

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1 - 20 of 373

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STUDY

Use of electronic health records in US hospitals.

Jha AK, Desroches CM, Campbell EG, et al. N Engl J Med. 2009;360:1628-1638.

STUDY

Improving the discharge process by embedding a discharge facilitator in a resident team.

Finn KM, Heffner R, Chang Y, et al. J Hosp Med. 2011;6:494-500.

STUDY

Computerized physician order entry, a factor in medication errors: descriptive analysis of events in the intensive care unit safety reporting system.

Thompson DA, Duling L, Holzmueller CG, et al. J Clin Outcomes Manage. 2005;12:407-412.

COMMENTARY

Staggered Sensitivity Results

Guglielmo BJ. AHRQ WebM&M [serial online]. March 2007.

STUDY

Predictive value of alert triggers for identification of developing adverse drug events.

Moore C, Li J, Hung CC, Downs J, Nebeker JR. J Patient Saf. 2009;5:223-228.

COMMENTARY

Elopement

Gerardi D. AHRQ WebM&M [serial online]. December 2007.

STUDY

Association between Leapfrog safe practices score and hospital mortality in major surgery.

Qian F, Lustik SJ, Diachun CA, Wissler RN, Zollo RA, Glance LG. Med Care. 2011;49:1082-1088.

BOOK/REPORT

Back to Basics.

Gima Z, Gosselar P, Levine A, Lincoln T, Ramirez A. Washington, DC: Public Citizen; August 6, 2009.

STUDY

Nighttime and weekend medication error rates in an inpatient pediatric population.

Miller AD, Piro CC, Rudisill CN, Bookstaver PB, Bair JD, Bennett CL. Ann Pharmacother. 2010;44:1739-1746.

NEWSPAPER/MAGAZINE ARTICLE

Safe practice environment chapter proposed by USP.

ISMP Medication Safety Alert! Acute Care Edition. December 4, 2008;13:1-3.

STUDY

Outpatient adverse drug events identified by screening electronic health records.

Gandhi TK, Seger AC, Overhage JM, et al. J Patient Saf. 2010;6;91-96.

STUDY

Influence of house-staff experience on teaching-hospital mortality: the "July Phenomenon" revisited.

van Walraven C, Jennings A, Wong J, Forster AJ. J Hosp Med. 2011;6:389-394.

STUDY

Decreasing mislabeled laboratory specimens using barcode technology and bedside printers.

Brown JE, Smith N, Sherfy BR. J Nurs Care Qual. 2011;26:13-21.

STUDY

Improving follow-up of abnormal cancer screens using electronic health records: trust but verify test result communication.

Singh H, Wilson L, Petersen LA, et al. BMC Med Inform Decis Mak. 2009;9:49.

STUDY

Therapeutic errors involving adults in the community setting: nature, causes and outcomes.

Taylor DM, Robinson J, MacLeod D, MacBean CE, Braitberg G. Aust N Z J Public Health. 2009;33:388-394.

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

An extra dose of safety.

Health Manage Techol. April 2007;28:30-32, 34.

COMMENTARY

Workarounds and Resiliency on the Front Lines of Health Care

Tucker AL. AHRQ WebM&M [serial online]. August 2009.

COMMENTARY

Patient Mix-Up.

Shojania KG. AHRQ WebM&M [serial online]. February 2003.

STUDY

Learning from error: identifying contributory causes of medication errors in an Australian hospital.

Nichols P, Copeland T-S, Craib IA, Hopkins P, Bruce DG. Med J Aust. 2008;188:276-279.

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