AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (62)

•Diagnostic Errors (59)

•Identification Errors (26)

•Discontinuities, Gaps, and Hand-Off Problems (152)

•Fatigue and Sleep Deprivation (58)

•Medication Safety (264)

•Medical Complications (126)

•Nonsurgical Procedural Complications (41)

•Surgical Complications (145)

•Transfusion Complications (4)

•Psychological and Social Complications (60)

Origin/Sponsor

•Africa (3)

•Asia (19)

•Australia and New Zealand (35)

•Central and South America (4)

Resource Types

•Clinical Guideline (1)

•Journal Article (813)

•Legislation/Regulation (11)

•Meeting/Conference (25)

•Newsletter/Journal (2)

•Newspaper/Magazine Article (108)

•Press Release/Announcement (13)

•Special or Theme Issue (27)

•Tools/Toolkit (22)

•Web Resource (62)

•Grant (4)

Error Types

•Epidemiology of Errors and Adverse Events (177)

•Active Errors (214)

•Latent Errors (78)

•Near Miss (22)

Approach to Improving Safety
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Education and Training

•Students (51)

•Residents and Fellows (219)

•Continuing Education (53)

•Online Education (42)

•Simulators (124)

•Teamwork Training (133)

•Patient Education (121)

Clinical Areas

•Allied Health Services (8)

•Complementary and Alternative Medicine (1)

Target Audience

•Health Care Providers (861)

•Health Care Executives and Administrators (879)

•Non-Health Care Professionals (623)

•Patients (96)

Setting of Care

•Hospitals (769)

•Psychiatric Facilities (2)

•Residential Facilities (18)

•Ambulatory Care (78)

•Outpatient Surgery (7)

•Patient Transport (7)

1 - 20 of 1179

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COMMENTARY

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2010;45:282-287.

PRESS RELEASE/ANNOUNCEMENT

Relenza (zanamivir) inhalation powder.

MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; October 9, 2009.

STUDY

Reducing potentially fatal errors associated with high doses of insulin: a successful multifaceted multidisciplinary prevention strategy.

Dooley MJ, Wiseman M, McRae A, et al. BMJ Qual Saf. 2011;20:637-644.

COMMENTARY

Addressing safety concerns about U-500 insulin in a hospital setting.

Samaan KH, Dahlke M, Stover J. Am J Health Syst Pharm. 2011;68:63-68.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2008;43:696–698.

PRESS RELEASE/ANNOUNCEMENT

Information for healthcare professionals: risk of transmission of blood-borne pathogens from shared use of insulin pens.

FDA Alert [US Food and Drug Administration Web site]. March 19, 2009.

COMMENTARY

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:847-853.

NEWSPAPER/MAGAZINE ARTICLE

Oral syringes: a crucial and economical risk-reduction strategy that has not been fully utilized.

ISMP Medication Safety Alert! Acute Care Edition. October 22, 2009;14:1-3.

COMMENTARY

Resuscitation Errors: A Shocking Problem

Abella BS, Edelson DP. AHRQ WebM&M [serial online]. July 2007.

COMMENTARY

A Mid-Summer Fog

Braddock CH. AHRQ WebM&M [serial online]. November 2008.

MULTI-USE WEBSITE

ASPEN Patient Safety Initiatives.

American Society for Parenteral and Enteral Nutrition; 8630 Fenton Street, Suite 412, Silver Spring, MD 20910.

COMMENTARY

Practice advisory on anesthetic care for magnetic resonance imaging: a report by the American Society of Anesthesiologists Task Force on Anesthetic Care for Magnetic Resonance Imaging.

Anesthesiology. 2009;110:459-479.

STUDY

Ambulance personnel perceptions of near misses and adverse events in pediatric patients.

Cushman JT, Fairbanks RJ, O'Gara KG, et al. Prehosp Emerg Care. 2010;14:477-484.

COMMENTARY

ISMP medication error report analysis.

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

STUDY

Revisiting old slides—how worthwhile is it?

Agarwal S, Wadhwa N. Pathol Res Pract. 2010;206:368-371.

REVIEW

Enteral feeding misconnections: an update.

Guenter P, Hicks RW, Simmons D. Nutr Clin Pract. 2009;24:325-334.

COMMENTARY

Clinical supervisors: are they the key to making care safer?

Walton M, Barraclough B. BMJ Qual Saf. 2013 May 25; [Epub ahead of print].

STUDY

Medication errors recovered by emergency department pharmacists.

Rothschild JM, Churchill W, Erickson A, et al. Ann Emerg Med. 2010;55:513-521.

STUDY

A prevalence study of errors in opioid prescribing in a large teaching hospital.

Davies ED, Schneider F, Childs S, et al. Int J Clin Pract. 2011;65:923-929.

REVIEW

Year in review: medication mishaps in the elderly.

Peron EP, Marcum ZA, Boyce R, Hanlon JT, Handler SM. Am J Geriatr Pharmacother. 2011;9:1-10.

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