AHRQ Patient Safety Network

The Collection > Technologic Approaches

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Safety Target

•Device-related Complications (25)

•Diagnostic Errors (38)

•Identification Errors (30)

•Discontinuities, Gaps, and Hand-Off Problems (80)

•Fatigue and Sleep Deprivation (5)

•Medication Safety (309)

•Medical Complications (63)

•Nonsurgical Procedural Complications (7)

•Surgical Complications (74)

•Transfusion Complications (6)

•Psychological and Social Complications (7)

Origin/Sponsor

•Asia (5)

•Australia and New Zealand (19)

Resource Types

•Clinical Guideline (1)

•Journal Article (441)

•Legislation/Regulation (11)

•Meeting/Conference (9)

•Newspaper/Magazine Article (66)

•Press Release/Announcement (1)

•Special or Theme Issue (21)

•Tools/Toolkit (4)

•Web Resource (13)

•Grant (5)

Error Types

•Epidemiology of Errors and Adverse Events (161)

•Active Errors (189)

•Latent Errors (57)

•Near Miss (14)

Approach to Improving Safety
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Technologic Approaches

•Automatic drug dispensers (25)

•Bar Coding and Radiofrequency ID Tagging (65)

•Computerized Adverse Event Detection (70)

•Computer-Assisted Therapy (6)

•Telemedicine (7)

•Clinical Information Systems (276)

Clinical Areas

•Allied Health Services (2)

•Medicine (385)

•Nursing (44)

•Pharmacy (120)

Target Audience

•Health Care Providers (476)

•Health Care Executives and Administrators (535)

•Non-Health Care Professionals (368)

•Patients (32)

Setting of Care

•Hospitals (364)

•Psychiatric Facilities (1)

•Residential Facilities (11)

•Ambulatory Care (76)

•Outpatient Surgery (6)

•Patient Transport (2)

1 - 20 of 612

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REVIEW

Nature of human error: implications for surgical practice.

Cuschieri A. Ann Surg. 2006;244:642-648.

SPECIAL OR THEME ISSUE

Quality of Anesthesia Care.

Neuman MD, Martinez EA, eds. Anesthesiol Clin. 2011;29:1-178.

STUDY

An evaluation of information transfer through the continuum of surgical care: a feasibility study.

Nagpal K, Vats A, Ahmed K, Vincent C, Moorthy K. Ann Surg. 2010;252:402-407.

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.

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.

REVIEW

Communication devices in the operating room.

Ruskin KJ. Curr Opin Anaesthesiol. 2006;19:655-659.

STUDY

Surgical case listing accuracy: failure analysis at a high-volume academic medical center.

Cima RR, Hale C, Kollengode A, Rogers JC, Cassivi SD, Deschamps C. Arch Surg. 2010;145:641-646.

BOOK/REPORT

External Inquiry into the adverse incident that occurred at Queen's Medical Centre, Nottingham, 4th January 2001.

Toft B. London, England: Department of Health; 2001.

REVIEW

Information transfer and communication in surgery: a systematic review.

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

COMMENTARY

Staggered Sensitivity Results

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

NEWSPAPER/MAGAZINE ARTICLE

Beyond the count: preventing the retention of foreign objects.

PA-PSRS Patient Saf Advis. June 2009;6:39-45.

STUDY

What ring tone should be used for patient safety? Early results with a Blackberry-based telementoring safety solution.

Parker A, Rubinfeld I, Azuh O, et al. Am J Surg. 2010;199:336-341.

STUDY

Using a data-matrix–coded sponge counting system across a surgical practice: impact after 18 months.

Cima RR, Kollengode A, Clark J, et al. Jt Comm J Qual Patient Saf. 2011;37:51-58.

NEWSPAPER/MAGAZINE ARTICLE

Entire UPMC transplant team missed hepatitis alert.

Hamill SD. Pittsburgh Post-Gazette. July 10, 2011:A6.

STUDY

Computerized physician order entry of injectable antineoplastic drugs: an epidemiologic study of prescribing medication errors.

Nerich V, Limat S, Demarchi M, et al. Int J Med Inform. 2010;79:699-706.

STUDY

Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: are they preventable?

Seiden SC, Barach P. Arch Surg. 2006;141:931-939.

COMMENTARY

Organizational Change in the Face of Highly Public Errors—II. The Duke Experience

Frush K. AHRQ WebM&M [serial online]. May 2005.

BOOK/REPORT

Critical Care Safety: Essentials for ICU Patient Care and Technology.

Plymouth Meeting, PA: ECRI Institute; 2007. ISBN 0977914259.

COMMENTARY

Did We Forget Something?

Gibbs VC. AHRQ WebM&M [serial online]. September 2003.

NEWSPAPER/MAGAZINE ARTICLE

Trends influencing the cost of care and patient safety.

Clark R. Health Manage Tech. July 2006:18, 20-21.

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