AHRQ Patient Safety Network

The Collection > Technologic Approaches

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Safety Target

•Device-related Complications (31)

•Diagnostic Errors (51)

•Identification Errors (33)

•Discontinuities, Gaps, and Hand-Off Problems (139)

•Fatigue and Sleep Deprivation (5)

•Medication Safety (420)

•Medical Complications (66)

•Nonsurgical Procedural Complications (6)

•Surgical Complications (55)

•Transfusion Complications (7)

•Psychological and Social Complications (9)

Origin/Sponsor

•Asia (3)

•Australia and New Zealand (19)

Resource Types

•Clinical Guideline (1)

•Journal Article (616)

•Legislation/Regulation (14)

•Meeting/Conference (9)

•Newspaper/Magazine Article (103)

•Press Release/Announcement (1)

•Special or Theme Issue (23)

•Tools/Toolkit (8)

•Web Resource (13)

•Grant (5)

Error Types

•Epidemiology of Errors and Adverse Events (187)

•Active Errors (175)

•Latent Errors (67)

•Near Miss (14)

Approach to Improving Safety
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Technologic Approaches

•Automatic drug dispensers (35)

•Bar Coding and Radiofrequency ID Tagging (82)

•Computerized Adverse Event Detection (93)

•Computer-Assisted Therapy (5)

•Telemedicine (15)

•Clinical Information Systems (421)

Clinical Areas

•Allied Health Services (2)

•Medicine (491)

•Nursing (67)

•Pharmacy (172)

Target Audience

•Health Care Providers (625)

•Health Care Executives and Administrators (690)

•Non-Health Care Professionals (517)

•Patients (56)

Setting of Care

•Hospitals (476)

•Psychiatric Facilities (1)

•Residential Facilities (12)

•Ambulatory Care (121)

•Outpatient Surgery (7)

•Patient Transport (2)

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STUDY

The computerized rounding report: implementation of a model system to support transitions of care.

Wohlauer MV, Rove KO, Pshak TJ, et al. J Surg Res. 2012;172:11-17.

STUDY

Safety of using a computerized rounding and sign-out system to reduce resident duty hours.

Van Eaton EG, McDonough K, Lober WB, Johnson EA, Pellegrini CA, Horvath KD. Acad Med. 2010;85:1189-1195.

BOOK/REPORT

Coordination Between Emergency and Primary Care Physicians.

Carrier E, Yee T, Holtzwart RA. Washington, DC: National Institute for Health Care Reform; 2011.

STUDY

Effect of a comprehensive obstetric patient safety program on compensation payments and sentinel events.

Grunebaum A, Chervenak F, Skupski D. Am J Obstet Gynecol. 2011;204:97-105.

NEWSPAPER/MAGAZINE ARTICLE

Patient safety: the synergy of technology and behavior.

Yarbrough C, Rypkema S. Patient Safety & Quality Healthcare. January-February 2008;5:32-35.

COMMENTARY classic

Shaping systems for better behavioral choices: lessons learned from a fatal medication error.

Smetzer J, Baker C, Byrne FD, Cohen MR. Jt Comm J Qual Patient Saf. 2010;36:152-163, 1AP-2AP.

COMMENTARY

Delay in Initiating Antibiotics Leads to Fatal Error.

Bellini LM. AHRQ WebM&M [serial online]. February 2004.

REVIEW

Information transfer and communication in surgery: a systematic review.

Nagpal K, Vats A, Lamb B, et al. Ann Surg. 2010;252:225-239.

ORGANIZATIONAL POLICY/GUIDELINES

ACOG Committee Opinion #472: patient safety and the electronic health record.

ACOG Committee on Patient Safety and Quality Improvement. Obstet Gynecol. 2010;116:1245-1247.

COMMENTARY

Video technology to advance safety in the operating room and perioperative environment.

Xiao Y, Schimpff S, Mackenzie C, et al. Surg Innov. 2007;14:52-61.

STUDY

Patient readmissions, emergency visits, and adverse events after software-assisted discharge from hospital: cluster randomized trial.

Graumlich JF, Novotny NL, Nace GS, et al. J Hosp Med. 2009;4:E11-E19.

NEWSPAPER/MAGAZINE ARTICLE

Team-based care.

Weinstock M. Hosp Health Netw. March 2010;84:6p following 28,2.

REVIEW

Improving safety in the operating room: a systematic literature review of retained surgical sponges.

Wan W, Le T, Riskin L, Macario A. Curr Opin Anaesthesiol. 2009;22:207-214.

STUDY

Dropping the baton during the handoff from emergency department to primary care: pediatric asthma continuity errors.

Hsiao AL, Shiffman RN. Jt Comm J Qual Patient Saf. 2009;35:467-474.

COMMENTARY

In Conversation with...Dean Schillinger, MD

AHRQ WebM&M [serial online]. February/March 2009.

GRANT RECIPIENT

Improving Patient Safety Through Simulation Research.

Rockville, MD: Agency for Healthcare Research and Quality; June 2008.

COMMENTARY classic

Refocusing the lens: patient safety in ambulatory chronic disease care.

Sarkar U, Wachter RM, Schroeder SA, Schillinger D. Jt Comm J Qual Patient Saf. 2009;35:377-383.

REVIEW

Hospitalist handoffs: a systematic review and task force recommendations.

Arora VM, Manjarrez E, Dressler DD, Basaviah P, Halasyamani L, Kripalani S. J Hosp Med. 2009;4:433-440.

STUDY

The multitasking clinician: decision-making and cognitive demand during and after team handoffs in emergency care.

Laxmisan A, Hakimzada F, Sayan OR, et al. Int J Med Inform. 2007;76:801-811.

SPECIAL OR THEME ISSUE

Health Literacy Research: Current Status and Future Directions.

Paasche-Orlow MK, Wilson EAH, McCormack L, eds. J Health Comm. 2010;15(suppl 2):1-225.

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