AHRQ Patient Safety Network

The Collection > Computerized Adverse Event Detection

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Safety Target

•Device-related Complications (4)

•Diagnostic Errors (9)

•Identification Errors (1)

•Discontinuities, Gaps, and Hand-Off Problems (11)

•Fatigue and Sleep Deprivation (1)

•Medication Safety (107)

•Medical Complications (19)

•Nonsurgical Procedural Complications (2)

•Surgical Complications (12)

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•Psychological and Social Complications (1)

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•Asia (1)

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•Book/Report (1)

•Journal Article (118)

•Legislation/Regulation (1)

•Newspaper/Magazine Article (25)

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•Special or Theme Issue (1)

•Tools/Toolkit (1)

Error Types

•Epidemiology of Errors and Adverse Events (46)

•Active Errors (36)

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Approach to Improving Safety
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Computerized Adverse Event Detection

Clinical Areas

•Medicine (108)

•Nursing (7)

•Pharmacy (47)

Target Audience

•Health Care Providers (94)

•Health Care Executives and Administrators (111)

•Non-Health Care Professionals (93)

•Patients (6)

Setting of Care

•Hospitals (95)

•Residential Facilities (2)

•Ambulatory Care (22)

•Outpatient Surgery (4)

1 - 20 of 148

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STUDY

Assessing the value of electronic prescribing in ambulatory care: A focus group study.

Weingart SN, Massagli M, Cyrulik A, et al. Int J Med Inform. 2009;78:571-578.

STUDY

Using an electronic prescribing system to ensure accurate medication lists in a large multidisciplinary medical group.

Stock R, Scott J, Gurtel S. Jt Comm J Qual Patient Saf. 2009;35:271-279.

STUDY

Alternatives to potentially inappropriate medications for use in e-prescribing software: triggers and treatment algorithms.

Hume AL, Quilliam BJ, Goldman R, Eaton C, Lapane KL. BMJ Qual Saf. 2011;20:875-884.

STUDY

The preliminary development and testing of a global trigger tool to detect error and patient harm in primary-care records.

de Wet C, Bowie P. Postgrad Med J. 2009;85:176-180.

NEWSPAPER/MAGAZINE ARTICLE

Rx for medication errors.

Friedley NJ. Med Econ. October 17, 2008;85:34-38.

STUDY

Impact of non-interruptive medication laboratory monitoring alerts in ambulatory care.

Lo HG, Matheny ME, Seger DL, Bates DW, Gandhi TK. J Am Med Inform Assoc. 2009;16:66-71.

STUDY

Impact of implementing alerts about medication black-box warnings in electronic health records.

Yu DT, Seger DL, Lasser KE, et al. Pharmacoepidemiol Drug Saf. 2011;20:192-202.

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

Electronic health record-based surveillance of diagnostic errors in primary care.

Singh H, Giardina TD, Forjuoh SN, et al. BMJ Qual Saf. 2012;22:93-100.

STUDY

Signal and noise: applying a laboratory trigger tool to identify adverse drug events among primary care patients.

Brenner S, Detz A, López A, Horton C, Sarkar U. BMJ Qual Saf. 2012;21:670-675.

STUDY

Identifying causes of adverse events detected by an automated trigger tool through in-depth analysis.

Muething SE, Conway PH, Kloppenborg E, et al. Qual Saf Health Care. 2010;19:435-439.

STUDY

Characteristics of medication errors and adverse drug events in hospitals participating in the California Pediatric Patient Safety Initiative.

Takata GS, Taketomo CK, Waite S; for the California Pediatric Patient Safety Initiative. Am J Health Syst Pharm. 2008;65:2036-2044.

COMMENTARY

ISMP medication error report analysis.

Cohen MC. Hosp Pharm. 2009;44:374-378.

STUDY

Adverse drug event rates in six community hospitals and the potential impact of computerized physician order entry for prevention.

Hug BL, Witkowski DJ, Sox CM, et al. J Gen Intern Med. 2010;25:31-38.

STUDY

Temporal trends in rates of patient harm resulting from medical care.

Landrigan CP, Parry GJ, Bones CB, Hackbarth AD, Goldmann DA, Sharek PJ. N Engl J Med. 2010;363:2124-2134.

NEWSPAPER/MAGAZINE ARTICLE

Common cause analysis.

Clapper C, Crea K. Patient Saf Qual Healthc. May/June 2010;7:30-35.

STUDY

A mixed method study of the merits of e-prescribing drug alerts in primary care.

Lapane KL, Waring ME, Schneider KL, Dubé C, Quilliam BJ. J Gen Intern Med. 2008;23:442-446.

NEWSPAPER/MAGAZINE ARTICLE

Medication errors occurring with the use of bar-code administration technology.

PA-PSRS Patient Saf Advis. December 2008;5:122-126.

STUDY

Prescribers' interactions with medication alerts at the point of prescribing: a multi-method, in situ investigation of the human–computer interaction.

Russ AL, Zillich AJ, McManus MS, Doebbeling BN, Saleem JJ. Int J Med Inform. 2012;81:232-243.

STUDY

'Global Trigger Tool' shows that adverse events in hospitals may be ten times greater than previously measured.

Classen DC, Resar R, Griffin F, et al. Health Aff (Millwood). 2011;30:581-589.

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