AHRQ Patient Safety Network

The Collection > Clinical Information Systems

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Safety Target

•Device-related Complications (4)

•Diagnostic Errors (7)

•Identification Errors (13)

•Discontinuities, Gaps, and Hand-Off Problems (31)

•Medication Safety (123)

•Medical Complications (11)

•Nonsurgical Procedural Complications (1)

•Surgical Complications (2)

•Transfusion Complications (2)

•Psychological and Social Complications (1)

Origin/Sponsor

•Asia (2)

•Australia and New Zealand (11)

Resource Types

•Journal Article (174)

•Legislation/Regulation (5)

•Meeting/Conference (2)

•Newspaper/Magazine Article (46)

•Special or Theme Issue (2)

•Tools/Toolkit (1)

•Web Resource (1)

Error Types

•Epidemiology of Errors and Adverse Events (48)

•Active Errors (27)

•Latent Errors (21)

•Near Miss (1)

Approach to Improving Safety
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Clinical Information Systems

•Computerized Provider Order Entry (CPOE) (76)

•Computerized Decision Support (47)

•Electronic Health Records (45)

Clinical Areas

•Medicine (156)

•Nursing (12)

•Pharmacy (53)

Target Audience

•Health Care Providers (133)

•Health Care Executives and Administrators (191)

•Non-Health Care Professionals (207)

•Patients (19)

Setting of Care

•Hospitals (172)

•Residential Facilities (1)

•Ambulatory Care (31)

•Outpatient Surgery (1)

1 - 20 of 245

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COMMENTARY

Glucose Roller Coaster.

Sharpe BA. AHRQ WebM&M [serial online]. July 2004.

STUDY

Results of a survey on medical error reporting systems in Korean hospitals.

Kim J, Bates DW. Int J Med Inform. 2006;75:148-155.

REGULATION

Health Information Technology Patient Safety Action & Surveillance Plan.

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

COMMENTARY

In Conversation with...Allan Frankel, MD

AHRQ WebM&M [serial online]. July 2006.

STUDY

Enhanced detection of blood bank sample collection errors with a centralized patient database.

MacIvor D, Triulzi DJ, Yazer MH. Transfusion. 2009;49:40-43.

COMMENTARY

Implementing computerized physician order management at a community hospital.

Kraus S, Barber TR, Briggs B, et al. Jt Comm J Qual Patient Saf. 2008;34:74-84.

STUDY

Medication-error reporting and pharmacy resident experience during implementation of computerized prescriber order entry.

Weant KA, Cook AM, Armitstead JA. Am J Health Syst Pharm. 2007;64:526-530.

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

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.

BOOK/REPORT

Findings and Lessons From the Enabling Patient-Centered Care Through Health IT Grant Initiative.

Rockville, MD: Agency for Healthcare Research and Quality; January 2013. AHRQ Publication No. 13-0011-EF.

STUDY

Active surveillance using electronic triggers to detect adverse events in hospitalized patients.

Szekendi MK, Sullivan C, Bobb A, et al. Qual Saf Health Care. 2006;15:184-190.

STUDY

Anatomic pathology databases and patient safety.

Raab SS, Grzybicki DM, Zarbo RJ, Meier FA, Geyer SJ, Jensen C. Arch Pathol Lab Med. 2005;129:1246-1251.

NEWSPAPER/MAGAZINE ARTICLE

For second opinion, consult a computer?

Hafner K. New York Times. December 3, 2012.

COMMENTARY

The Triangle Model for evaluating the effect of health information technology on healthcare quality and safety.

Ancker JS, Kern LM, Abramson E, Kaushal R. J Am Med Inform Assoc. 2012;19:61-65.

NEWSPAPER/MAGAZINE ARTICLE

Supplementary Advisory: Results of the PA-PSRS Workgroup on Pharmacy Computer System Safety.

PA-PSRS Patient Saf Advis. May 2007;4(suppl 2):1-8.

COMMENTARY

Utilizing information technology to mitigate the handoff risks caused by resident work hour restrictions.

Bernstein J, MacCourt DC, Jacob DM, Mehta S. Clin Orthop Relat Res. 2010;468:2627-2732.

STUDY

Using FDA reports to inform a classification for health information technology safety problems.

Magrabi F, Ong MS, Runciman W, Coiera E. J Am Med Inform Assoc. 2012;19:45-53.

REVIEW

Frequency, type and clinical importance of medication history errors at admission to hospital: a systematic review.

Tam VC, Knowles SR, Cornish PL, Fine N, Marchesano R, Etchells EE. CMAJ. 2005;173:510-515.

STUDY

The use of computers for clinical care: a case series of advanced US sites.

Doolan DF, Bates DW, James BC. J Am Med Inform Assoc. 2003;10:94-107.

AUDIOVISUAL

Avoiding medical error.

Colvin G. "The Colvin Interview." CNN. February 5, 2007.

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