AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (1)

•Diagnostic Errors (17)

•Identification Errors (9)

•Discontinuities, Gaps, and Hand-Off Problems (54)

•Fatigue and Sleep Deprivation (1)

•Medication Safety (75)

•Medical Complications (9)

•Nonsurgical Procedural Complications (2)

•Surgical Complications (6)

•Psychological and Social Complications (1)

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•Australia and New Zealand (2)

•North America (191)

Resource Types

•Book/Report (4)

•Journal Article (172)

•Legislation/Regulation (3)

•Meeting/Conference (2)

•Newspaper/Magazine Article (29)

•Special or Theme Issue (3)

•Web Resource (2)

Error Types

•Epidemiology of Errors and Adverse Events (40)

•Active Errors (30)

•Latent Errors (20)

Approach to Improving Safety
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Electronic Health Records

Clinical Areas

•Allied Health Services (1)

•Medicine (136)

•Nursing (10)

•Pharmacy (27)

Target Audience

•Health Care Providers (140)

•Health Care Executives and Administrators (161)

•Non-Health Care Professionals (142)

•Patients (17)

Setting of Care

•Hospitals (109)

•Residential Facilities (3)

•Ambulatory Care (53)

•Outpatient Surgery (3)

1 - 20 of 216

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STUDY

The impact of a closed-loop electronic prescribing and administration system on prescribing errors, administration errors and staff time: a before-and-after study.

Franklin BD, O'Grady K, Donyai P, Jacklin A, Barber N. Qual Saf Health Care. 2007;16:279-284.

STUDY

classic

Effect of bar-code technology on the safety of medication administration.

Poon EG, Keohane CA, Yoon CS, et al. N Engl J Med. 2010;362:1698-1707.

STUDY

Utilising improvement science methods to optimise medication reconciliation.

White CM, Schoettker PJ, Conway PH, et al. BMJ Qual Saf. 2011;20:372-380.

COMMENTARY

Implementing an electronic medical record with computerized prescriber order entry at a critical access hospital.

Horning R. Am J Health Syst Pharm. 2011;68:2288-2292.

NEWSPAPER/MAGAZINE ARTICLE

Wherry R. Forbes Magazine. June 20, 2005.

STUDY

Effect of a weight-based prescribing method within an electronic health record on prescribing errors.

Ginzburg R, Barr WB, Harris M, Munshi S. Am J Health Syst Pharm. 2009;66:2037-2041.

STUDY

The impact of prescribing safety alerts for elderly persons in an electronic medical record: an interrupted time series evaluation.

Smith DH, Perrin N, Feldstein A, et al. Arch Intern Med. 2006;166:1098-1104.

STUDY

The use of patient pictures and verification screens to reduce computerized provider order entry errors.

Hyman D, Laire M, Redmond D, Kaplan DW. Pediatrics. 2012;130:e211-e219.

STUDY

The effect of hospital electronic health record adoption on nurse-assessed quality of care and patient safety.

Kutney-Lee A, Kelly D. J Nurs Adm. 2011;41:466-472.

STUDY

Assessing the accuracy of drug profiles in an electronic medical record system of a Washington State hospital.

Platte B, Akinci F, Güç Y. Am J Manag Care. 2010;16:e245-e250.

NEWSPAPER/MAGAZINE ARTICLE

Piecing together medication administration.

Anderson HJ. Health Data Manage. May 1, 2009;17:22.

COMMENTARY

Time to sign off on signout.

Stein DM, Stetson PD. Acad Med. 2011;86:804-806.

BOOK/REPORT

Inpatient Computerized Provider Order Entry: Findings from the AHRQ Health IT Portfolio.

Dixon BE, Zafar A, for AHRQ National Resource Center for Health IT. Rockville, MD: Agency for Healthcare Research and Quality; January 2009. AHRQ Publication No. 09-0031-EF.

STUDY

Errors of diagnosis in pediatric practice: a multisite survey.

Singh H, Thomas EJ, Wilson L, et al. Pediatrics. 2010;126:70-79.

NEWSPAPER/MAGAZINE ARTICLE

Medication reconciliation only as good as the IT allows.

Page D. Hosp Health Networks. March 2011.

STUDY

ICU nurses' acceptance of electronic health records.

Carayon P, Cartmill R, Blosky MA, et al. J Am Med Inform Assoc. 2011;18:812-819.

STUDY

Design and implementation of an application and associated services to support interdisciplinary medication reconciliation efforts at an integrated healthcare delivery network.

Poon EG, Blumenfeld B, Hamann C, et al. J Am Med Inform Assoc. 2006;13:581-592.

STUDY

ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2011.

Pedersen CA, Schneider PJ, Scheckelhoff DJ. Am J Health Syst Pharm. 2012;69:768-785.

STUDY

Creating a better discharge summary: improvement in quality and timeliness using an electronic discharge summary.

O'Leary KJ, Liebovitz SM, Feinglass J, et al. J Hosp Med. 2009;4:219-225.

REVIEW

Addressing postdischarge adverse events: a neglected area.

Tsilimingras D, Bates DW. Jt Comm J Qual Patient Saf. 2008;34:85-97.

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