AHRQ Patient Safety Network

The Collection > Clinical Information Systems

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Safety Target

•Device-related Complications (9)

•Diagnostic Errors (27)

•Identification Errors (23)

•Discontinuities, Gaps, and Hand-Off Problems (85)

•Fatigue and Sleep Deprivation (1)

•Medication Safety (364)

•Medical Complications (26)

•Nonsurgical Procedural Complications (3)

•Surgical Complications (17)

•Transfusion Complications (4)

•Psychological and Social Complications (5)

Origin/Sponsor

•Asia (9)

•Australia and New Zealand (18)

Resource Types

•Clinical Guideline (1)

•Journal Article (468)

•Legislation/Regulation (9)

•Meeting/Conference (4)

•Newspaper/Magazine Article (70)

•Special or Theme Issue (5)

•Tools/Toolkit (2)

•Web Resource (4)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (134)

•Active Errors (124)

•Latent Errors (56)

•Near Miss (4)

Approach to Improving Safety
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Clinical Information Systems

•Computerized Provider Order Entry (CPOE) (280)

•Computerized Decision Support (121)

•Electronic Health Records (154)

Clinical Areas

•Allied Health Services (1)

•Medicine (364)

•Nursing (31)

•Pharmacy (161)

Target Audience

•Health Care Providers (412)

•Health Care Executives and Administrators (478)

•Non-Health Care Professionals (428)

•Patients (28)

Setting of Care

•Hospitals (351)

•Psychiatric Facilities (1)

•Residential Facilities (9)

•Ambulatory Care (97)

•Outpatient Surgery (3)

1 - 20 of 587

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COMMENTARY

Mitigating error vulnerability at the transition of care through the use of health IT applications.

Cortelyou-Ward K, Swain A, Yeung T. J Med Syst. 2012;36:3825-3831.

STUDY

Hospital rules-based system: the next generation of medical informatics for patient safety.

Wilson JW, Oyen LJ, Ou NN, et al. Am J Health Syst Pharm. 2005;62:499-505.

COMMENTARY

Right? Left? Neither!

Howell EA, Chassin MR. AHRQ WebM&M [serial online]. May 2006.

COMMENTARY

Fumbled Handoff.

Vidyarthi A. AHRQ WebM&M [serial online]. March 2004.

ORGANIZATIONAL POLICY/GUIDELINES

Safely implementing health information and converging technologies.

Sentinel Event Alert. December 11, 2008;(42):1-4.

REVIEW

Overriding of drug safety alerts in computerized physician order entry.

van der Sijs H, Aarts J, Vulto A, Berg M. J Am Med Inform Assoc. 2006;13:138-147.

COMMENTARY

Passing the "Yo' Mama" test.

Blair R. Health Manage Tech. June 2006;27:16.

COMMENTARY

Using portable digital technology for clinical care and critical incidents: a new model.

Bolsin SN, Faunce T, Colson M. Aust Health Rev. 2005;29:297-305.

BOOK/REPORT

Saving Lives, Saving Money: The Imperative for Computerized Physician Order Entry in Massachusetts Hospitals.

Adams M, Bates D, Coffman G, Everett W. Westborough, MA: Massachusetts Technology Collaborative and New England Healthcare Institute; 2008.

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.

STUDY

Understanding handling of drug safety alerts: a simulation study.

van der Sijs H, van Gelder T, Vulto A, Berg M, Aarts J. Int J Med Inform. 2010;79:361-369.

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

Electronic prescribing in an ambulatory care setting: a cluster randomized trial.

Dainty KN, Adhikari NK, Kiss A, Quan S, Zwarenstein M. J Eval Clin Pract. 2012;18:761-767.

STUDY

The development and evaluation of an integrated electronic prescribing and drug management system for primary care.

Tamblyn R, Huang A, Kawasumi Y, et al. J Am Med Inform Assoc. 2006;13:148-159.

STUDY

Evaluation of an inpatient computerized medication reconciliation system.

Turchin A, Hamann C, Schnipper JL, et al. J Am Med Inform Assoc. 2008;15:449-452.

STUDY

Evaluating the medication process in the context of CPOE use: the significance of working around the system.

Niazkhani Z, Pirnejad H, van der Sijs H, Aarts J. Int J Med Inform. 2011;80:490-506.

STUDY

Decoding laboratory test names: a major challenge to appropriate patient care.

Passiment E, Meisel JL, Fontanesi J, Fritsma G, Aleryani S, Marques M. J Gen Intern Med. 2013;28:453-458.

REGULATION

Health Information Technology Patient Safety Action & Surveillance Plan.

Washington, DC: Office of the National Coordinator for Health Information Technology; December 2012.

COMMENTARY

What Can the Rest of the Health Care System Learn from the VA’s Quality and Safety Transformation?

Jha AK. AHRQ WebM&M [serial online]. September 2006.

NEWSPAPER/MAGAZINE ARTICLE

Medication errors: a year in review.

Institute for Safe Medication Practices. Pharmacy Practice News. October 2011:7-14.

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