AHRQ Patient Safety Network

The Collection > Technologic Approaches

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Safety Target

•Device-related Complications (39)

•Diagnostic Errors (48)

•Identification Errors (43)

•Discontinuities, Gaps, and Hand-Off Problems (113)

•Fatigue and Sleep Deprivation (5)

•Medication Safety (557)

•Medical Complications (67)

•Nonsurgical Procedural Complications (6)

•Surgical Complications (70)

•Transfusion Complications (9)

•Psychological and Social Complications (12)

Origin/Sponsor

•Asia (8)

•Australia and New Zealand (27)

Resource Types

•Clinical Guideline (1)

•Journal Article (794)

•Legislation/Regulation (15)

•Meeting/Conference (11)

•Newspaper/Magazine Article (131)

•Press Release/Announcement (1)

•Special or Theme Issue (22)

•Tools/Toolkit (9)

•Web Resource (15)

•Grant (4)

Error Types

•Epidemiology of Errors and Adverse Events (276)

•Active Errors (191)

•Latent Errors (75)

•Near Miss (14)

Approach to Improving Safety
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Technologic Approaches

•Automatic drug dispensers (46)

•Bar Coding and Radiofrequency ID Tagging (122)

•Computerized Adverse Event Detection (126)

•Computer-Assisted Therapy (12)

•Telemedicine (16)

•Clinical Information Systems (575)

Clinical Areas

•Allied Health Services (2)

•Medicine (609)

•Nursing (74)

•Pharmacy (240)

Target Audience

•Health Care Providers (739)

•Health Care Executives and Administrators (839)

•Non-Health Care Professionals (701)

•Patients (62)

Setting of Care

•Hospitals (583)

•Psychiatric Facilities (1)

•Residential Facilities (16)

•Ambulatory Care (149)

•Outpatient Surgery (7)

•Patient Transport (2)

1 - 20 of 1058

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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

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.

STUDY

Analysis and prioritization of near-miss adverse events in a radiology department.

Thornton RH, Miransky J, Killen AR, Solomon SB, Brody LA. AJR Am J Roentgenol. 2011;196:1120-1124.

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.

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

Prevention of retained surgical sponges: a decision-analytic model predicting relative cost-effectiveness.

Regenbogen SE, Greenberg CC, Resch SC, et al. Surgery. 2009;145:527-535.

STUDY

Medication errors in paediatric outpatients.

Kaushal R, Goldmann DA, Keohane CA, et al. Qual Saf Health Care. 2010;19:e30.

STUDY

Development of an online morbidity, mortality, and near-miss reporting system to identify patterns of adverse events in surgical patients.

Bilimoria KY, Kmiecik TE, DaRosa DA, et al. Arch Surg. 2009;144:305-311.

STUDY

Effectiveness of an information technology intervention to improve prophylactic antibacterial use in the postoperative period.

Haynes K, Linkin DR, Fishman NO, et al. J Am Med Inform Assoc. 2011;18:164-168.

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

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.

NEWSPAPER/MAGAZINE ARTICLE

Surgical mistakes persist in Bay State: still a tiny fraction of total procedures.

Kowalczyk L. Boston Globe. October 26, 2007;Metro section:1A.

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

Did We Forget Something?

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

SPECIAL OR THEME ISSUE

Quality of Anesthesia Care.

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

STUDY

Fall prevention in acute care hospitals: a randomized trial.

Dykes PC, Carroll DL, Hurley A, et al. JAMA. 2010;304:1912-1918.

STUDY

Field test results of a new ambulatory care Medication Error and Adverse Drug Event Reporting System—MEADERS.

Hickner J, Zafar A, Kuo GM, et al. Ann Fam Med. 2010;8:517-525.

STUDY

Improving ambulatory prescribing safety with a handheld decision support system: a randomized controlled trial.

Berner ES, Houston TK, Ray MN, et al. J Am Med Inform Assoc. 2006;13:171-179.

STUDY

Effectiveness of a barcode medication administration system in reducing preventable adverse drug events in a neonatal intensive care unit: a prospective cohort study.

Morriss FH Jr, Abramowitz PW, Nelson SP, et al. J Pediatr. 2009;197:678-685.

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.

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