AHRQ Patient Safety Network

The Collection > Computerized Adverse Event Detection

Narrow By

clear selections

Safety Target

•Device-related Complications (5)

•Diagnostic Errors (8)

•Identification Errors (1)

•Discontinuities, Gaps, and Hand-Off Problems (12)

•Fatigue and Sleep Deprivation (1)

•Medication Safety (105)

•Medical Complications (19)

•Nonsurgical Procedural Complications (2)

•Surgical Complications (12)

•Transfusion Complications (1)

•Psychological and Social Complications (1)

Origin/Sponsor

•Asia (1)

•Australia and New Zealand (5)

•Europe (15)

•North America (117)

Resource Types

•Book/Report (1)

•Journal Article (116)

•Legislation/Regulation (1)

•Meeting/Conference (1)

•Newspaper/Magazine Article (23)

•Press Release/Announcement (1)

•Special or Theme Issue (1)

•Tools/Toolkit (1)

Error Types

•Epidemiology of Errors and Adverse Events (47)

•Active Errors (37)

•Latent Errors (13)

Approach to Improving Safety
< All

Computerized Adverse Event Detection

Clinical Areas

•Medicine (103)

•Nursing (8)

•Pharmacy (47)

Target Audience

•Health Care Providers (92)

•Health Care Executives and Administrators (113)

•Non-Health Care Professionals (91)

•Patients (5)

Setting of Care

•Hospitals (92)

•Residential Facilities (1)

•Ambulatory Care (21)

•Outpatient Surgery (3)

1 - 20 of 145

Show ExcerptDon't Show Excerpt

dropdown

STUDY

Time-dependent drug–drug interaction alerts in care provider order entry: software may inhibit medication error reductions.

van der Sijs H, Lammers L, van den Tweel A, et al. J Am Med Inform Assoc. 2009;16:864-868.

NEWSPAPER/MAGAZINE ARTICLE

Baby's death spotlights safety risks linked to computerized systems.

Graham J, Dizikes C. Chicago Tribune. June 27, 2011.

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

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.

COMMENTARY

Sick and Pregnant

El-Ibiary S. AHRQ WebM&M [serial online]. November 2008.

STUDY

Patient record review of the incidence, consequences, and causes of diagnostic adverse events.

Zwaan L, de Bruijne M, Wagner C, et al. Arch Intern Med. 2010;170:1015-1021.

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.

PRESS RELEASE/ANNOUNCEMENT

Potentially fatal errors with GDH-PQQ [glucose dehydrogenase pyrroloquinoline quinone] glucose monitoring technology.

MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; August 13, 2009.

COMMENTARY

The 2-Week Itch.

Cohen MR. AHRQ WebM&M [serial online]. April 2003.

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.

STUDY

A multifaceted approach to safety: the synergistic detection of adverse drug events in adult inpatients.

Ferranti J, Horvath MM, Cozart H, et al. J Patient Saf. 2008;4:184-190.

COMMENTARY

Medication Overdose.

Kaushal R. AHRQ WebM&M [serial online]. April 2003.

STUDY

Sustaining and spreading the reduction of adverse drug events in a multicenter collaborative.

Tham E, Calmes HM, Poppy A, et al. Pediatrics. 2011;128:e438-e445.

COMMENTARY

A clinical case of electronic health record drug alert fatigue: consequences for patient outcome.

Carspecken CW, Sharek PJ, Longhurst C, Pageler NM. Pediatrics. 2013;131:e1970-e1973.

STUDY

Critical drug–drug interactions for use in electronic health records systems with computerized physician order entry: review of leading approaches.

Classen DC, Phansalkar S, Bates DW. J Patient Saf. 2011;7:61-65.

COMMENTARY

Eptifibatide Epilogue

Churchill WW, Fiumara K. AHRQ WebM&M [serial online]. April 2009.

SPECIAL OR THEME ISSUE

Patient safety and quality in the pediatric intensive care unit.

Pediatr Crit Care Med. 2007;8(suppl):S1-S43.

COMMENTARY

A model for medication safety event detection.

Snyder RA, Fields W. Int J Qual Health Care. 2010;22:179-186.

NEWSPAPER/MAGAZINE ARTICLE

Multiple latent failures align to allow a serious drug interaction to harm a patient.

ISMP Medication Safety Alert! Acute Care Edition. May 5, 2011;16:1-3.

STUDY

Reducing medication errors and improving systems reliability using an electronic medication reconciliation system.

Agrawal A, Wu WY. Jt Comm J Qual Patient Saf. 2009;35:106-114.

1 2 3 4 5 6 7 8 Next >