AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (1)

•Diagnostic Errors (14)

•Identification Errors (9)

•Discontinuities, Gaps, and Hand-Off Problems (48)

•Fatigue and Sleep Deprivation (1)

•Medication Safety (71)

•Medical Complications (7)

•Nonsurgical Procedural Complications (2)

•Surgical Complications (6)

•Psychological and Social Complications (1)

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•Australia and New Zealand (2)

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•Book/Report (4)

•Journal Article (161)

•Legislation/Regulation (3)

•Meeting/Conference (1)

•Newspaper/Magazine Article (29)

•Special or Theme Issue (2)

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Error Types

•Epidemiology of Errors and Adverse Events (38)

•Active Errors (22)

•Latent Errors (20)

Approach to Improving Safety
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Electronic Health Records

Clinical Areas

•Allied Health Services (1)

•Medicine (125)

•Nursing (10)

•Pharmacy (27)

Target Audience

•Health Care Providers (129)

•Health Care Executives and Administrators (153)

•Non-Health Care Professionals (136)

•Patients (17)

Setting of Care

•Hospitals (102)

•Residential Facilities (3)

•Ambulatory Care (46)

•Outpatient Surgery (3)

1 - 20 of 203

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COMMENTARY

Health information technology is a vehicle, not a destination: a conversation with David J. Brailer.

Milstein A. Health Aff (Millwood). 2007;26:w236-w241.

STUDY

The effect of health information technology on quality in U.S. hospitals.

McCullough JS, Casey M, Moscovice I, Prasad S. Health Aff (Millwood). 2010;29:647-654.

BOOK/REPORT

Adverse Events in Hospitals: Overview of Key Issues.

Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; December 2008. Report No. OEI-06-07-00470.

COMMENTARY

Patient safety beyond the hospital.

Gandhi TK, Lee TH. N Engl J Med. 2010;363:1001-1003.

STUDY

Medication errors with electronic prescribing (eP): two views of the same picture.

Savage I, Cornford T, Klecun E, Barber N, Clifford S, Franklin BD. BMC Health Serv Res. 2010;10:135.

BOOK/REPORT

Health Information Technology in the United States: The Information Base for Progress.

Blumenthal D, DesRoches C, Donelan K, et al. Washington, DC: Robert Wood Johnson Foundation; 2006.

STUDY

A network collaboration implementing technology to improve medication dispensing and administration in critical access hospitals.

Wakefield DS, Ward MM, Loes JL, O'Brien J. J Am Med Inform Assoc. 2010;17:584-587.

STUDY

Use of electronic health records in US hospitals.

Jha AK, Desroches CM, Campbell EG, et al. N Engl J Med. 2009;360:1628-1638.

STUDY

Physicians' beliefs about using EMR and CPOE: in pursuit of a contextualized understanding of health IT use behavior.

Holden RJ. Int J Med Inform. 2010;79:71-80.

COMMENTARY

In Conversation with...James P. Bagian, MD

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

STUDY

Early cost and safety benefits of an inpatient electronic health record.

Zlabek JA, Wickus JW, Mathiason MA. J Am Med Inform Assoc. 2011;18:169-172.

NEWSPAPER/MAGAZINE ARTICLE

Empowered to improve.

Gardner E. Mod Healthc. May 18, 2009;39:28-31.

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.

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.

NEWSPAPER/MAGAZINE ARTICLE

Catching deadly drug mistakes.

Landro L. Wall Street Journal. January 18, 2010;D5.

COMMENTARY

El Camino Hospital: using health information technology to promote patient safety.

Bukunt S, Hunter C, Perkins S, Russell D, Domanico L. Jt Comm J Qual Saf. 2005;31:561-565.

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.

COMMENTARY

SNOMED CT: electronic health record enhances anesthesia patient safety.

Elevitch FR. AANA J. 2005;73:361-366.

STUDY

classic

High rates of adverse drug events in a highly computerized hospital.

Nebeker JR, Hoffman JM, Weir CR, Bennett CL, Hurdle JF. Arch Intern Med. 2005;165:1111-1116.

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