AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (5)

•Diagnostic Errors (13)

•Discontinuities, Gaps, and Hand-Off Problems (9)

•Medication Safety (38)

•Medical Complications (5)

•Nonsurgical Procedural Complications (4)

•Surgical Complications (21)

•Transfusion Complications (1)

•Psychological and Social Complications (2)

Origin/Sponsor
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The Netherlands

Resource Types

•Book/Report (4)

•Journal Article (120)

•Newsletter/Journal (1)

•Special or Theme Issue (2)

•Web Resource (1)

Error Types

•Epidemiology of Errors and Adverse Events (57)

•Active Errors (25)

•Latent Errors (8)

•Near Miss (3)

Approach to Improving Safety

•Quality Improvement Strategies (23)

•Legal and Policy Approaches (6)

•Error Reporting and Analysis (45)

•Communication Improvement (19)

•Human Factors Engineering (20)

•Teamwork (17)

•Specialization of Care (4)

•Logistical Approaches (2)

•Culture of Safety (19)

•Technologic Approaches (31)

•Education and Training (17)

Clinical Areas

•Allied Health Services (1)

•Medicine (88)

•Pharmacy (18)

Target Audience

•Health Care Providers (85)

•Health Care Executives and Administrators (110)

•Non-Health Care Professionals (69)

•Patients (1)

Setting of Care

•Hospitals (88)

•Residential Facilities (4)

•Ambulatory Care (12)

1 - 20 of 128

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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

The influence that electronic prescribing has on medication errors and preventable adverse drug events: an interrupted time-series study.

van Doormaal JE, van den Bemt PMLA, Zaal RJ, et al. J Am Med Inform Assoc. 2009;16:816-825.

STUDY

Preventable and non-preventable adverse drug events in hospitalized patients: a prospective chart review in the Netherlands.

Dequito AB, Mol PG, van Doormaal JE, et al. Drug Saf. 2011;34:1089-1100.

STUDY

Clinicians' satisfaction with CPOE ease of use and effect on clinicians' workflow, efficiency and medication safety.

Khajouei R, Wierenga PC, Hasman A, Jaspers MW. Int J Med Inform. 2011;80:297-309.

STUDY

Medication reconciliation performed by pharmacy technicians at the time of preoperative screening.

van den Bemt PM, van den Broek S, van Nunen AK, Harbers JB, Lenderink AW. Ann Pharmacother. 2009;43:868-874.

STUDY

Clinical pharmacy interventions in paediatric electronic prescriptions.

Maat B, Au YS, Bollen CW, van Vught AJ, Egberts TC, Rademaker CM. Arch Dis Child. 2013;98:222-227.

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

Comparison of potential risk factors for medication errors with and without patient harm.

Zaal RJ, van Doormaal JE, Lenderink AW, et al. Pharmacoepidemiol Drug Saf. 2010;19:825-833.

REVIEW

The effect of computerized physician order entry on medication prescription errors and clinical outcome in pediatric and intensive care: a systematic review.

van Rosse F, Maat B, Rademaker CMA, van Vught AJ, Egberts ACG, Bollen CW. Pediatrics. 2009;123:1184-1190.

STUDY

Specialty-based, voluntary incident reporting in neonatal intensive care: description of 4846 incident reports.

Snijders C, van Lingen RA, Klip H, Fetter WP, van der Schaaf TW, Molendijk HA, NEOSAFE study group. Arch Dis Child Fetal Neonatal Ed. 2009;94:F210-F215.

STUDY

Design of a retrospective patient record study on the occurrence of adverse events among patients in Dutch hospitals.

Zegers M, de Bruijne MC, Wagner C, Groenewegen PP, Waaijman R, van der Wal G. BMC Health Serv Res. 2007;7:27.

STUDY

Risk-sensitive events during laparoscopic cholecystectomy: the influence of the integrated operating room and a preoperative checklist tool.

Buzink SN, van Lier L, de Hingh IHJT, Jakimowicz JJ. Surg Endosc. 2010;24:1990-1995.

STUDY

Same system, different outcomes: comparing the transitions from two paper-based systems to the same computerized physician order entry system.

Niazkhani Z, van der Sijs H, Pirnejad H, Redekop WK, Aarts J. Int J Med Inform. 2008;78:170-181.

STUDY

Medication errors: the impact of prescribing and transcribing errors on preventable harm in hospitalised patients.

van Doormaal JE, van den Bemt PM, Mol PG, et al. Qual Saf Health Care. 2009;18:22-27.

STUDY

If only...: failed, missed and absent error recovery opportunities in medication errors.

Habraken MMP, van der Schaaf TW. Qual Saf Health Care. 2010;19:37-41.

STUDY

Impact of a computerized physician order entry system on nurse-physician collaboration in the medication process.

Pirnejad H, Niazkhani Z, van der Sijs H, Berg M, Bal R. Int J Med Inform. 2008;77:735-744.

STUDY

Equipment-related incidents in the operating room: an analysis of occurrence, underlying causes and consequences for the clinical process.

Wubben I, van Manen JG, van den Akker BJ, Vaartjes SR, van Harten WH. Qual Saf Health Care. 2010;19:e64.

STUDY

Patient safety in out-of-hours primary care: a review of patient records.

Smits M, Huibers L, Kerssemeijer B, de Feijter E, Wensing M, Giesen P. BMC Health Serv Res. 2010;10:335.

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.

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