AHRQ Patient Safety Network

The Collection > United States of America

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Safety Target

•Device-related Complications (136)

•Diagnostic Errors (112)

•Identification Errors (80)

•Discontinuities, Gaps, and Hand-Off Problems (404)

•Fatigue and Sleep Deprivation (94)

•Medication Safety (1166)

•Medical Complications (404)

•Nonsurgical Procedural Complications (53)

•Surgical Complications (227)

•Transfusion Complications (17)

•Psychological and Social Complications (113)

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United States of America

•United States Federal Government (235)

•State Governments and Agencies (37)

Resource Types

•Clinical Guideline (6)

•Journal Article (2255)

•Legislation/Regulation (47)

•Meeting/Conference (31)

•Newsletter/Journal (11)

•Newspaper/Magazine Article (553)

•Press Release/Announcement (21)

•Special or Theme Issue (55)

•Tools/Toolkit (66)

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•Grant (11)

Error Types

•Epidemiology of Errors and Adverse Events (633)

•Active Errors (395)

•Latent Errors (216)

•Near Miss (43)

Approach to Improving Safety

•Quality Improvement Strategies (881)

•Legal and Policy Approaches (460)

•Error Reporting and Analysis (902)

•Communication Improvement (777)

•Human Factors Engineering (499)

•Teamwork (234)

•Specialization of Care (271)

•Logistical Approaches (302)

•Culture of Safety (533)

•Technologic Approaches (850)

•Education and Training (592)

Clinical Areas

•Allied Health Services (7)

Target Audience

•Health Care Providers (2207)

•Health Care Executives and Administrators (2721)

•Non-Health Care Professionals (1446)

•Patients (354)

Setting of Care

•Hospitals (2385)

•Psychiatric Facilities (11)

•Residential Facilities (53)

•Ambulatory Care (329)

•Outpatient Surgery (31)

•Patient Transport (11)

1 - 20 of 3493

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NEWSPAPER/MAGAZINE ARTICLE

Effective use of medication-related decision support in CPOE.

Metzger JB, Welebob E, Turisco F, Classen DC. Patient Saf Qual Healthc. Sept/Oct 2008;5:16-24.

NEWSPAPER/MAGAZINE ARTICLE

Safe practice environment chapter proposed by USP.

ISMP Medication Safety Alert! Acute Care Edition. December 4, 2008;13:1-3.

STUDY

Assessing the anticipated consequences of computer-based provider order entry at three community hospitals using an open-ended, semi-structured survey instrument.

Sittig DF, Ash JS, Guappone KP, Campbell EM, Dykstra RH. Int J Med Inform. 2008;77:440-447.

NEWSPAPER/MAGAZINE ARTICLE

Piecing together medication administration.

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

STUDY

Intravenous infusion safety technology: return on investment.

Danello SH, Maddox RR, Schaack GJ. Hosp Pharm. 2009;44:680-687, 696.

STUDY

Impact of electronic prescribing in a hospital setting: a process-focused evaluation.

Cunningham TR, Geller ES, Clarke SW. Int J Med Inform. 2008;77:546-554.

STUDY

The unintended consequences of computerized provider order entry: findings from a mixed methods exploration.

Ash JS, Sittig DF, Dykstra R, Campbell E, Guappone K. Int J Med Inform. 2009;78(suppl 1): S69-S76.

NEWSPAPER/MAGAZINE ARTICLE

Anticoagulant safety practices call for pharmacist supervision.

Scott A. Drug Topics (Health-System Edition). November 10, 2008.

NEWSPAPER/MAGAZINE ARTICLE

Cause for concern: drug shortages disrupt operations, tax hospitalists' treatment patterns.

Collins TR. The Hospitalist. July 2011.

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.

STUDY

Computerized provider order entry adoption: implications for clinical workflow.

Campbell EM, Guappone KP, Sittig DF, Dykstra RH, Ash JS. J Gen Intern Med. 2009;24:21-26.

NEWSPAPER/MAGAZINE ARTICLE

The Leapfrog Group's CPOE standard and evaluation tool.

Metzger JB, Welebob E, Turisco F, Classen DC. Patient Saf Qual Healthc. July/August 2008;5:22-25.

STUDY

Description of inpatient medication management using cognitive work analysis.

Pingenot AA, Shanteau J, Sengstacke DN. Comput Inform Nurs. 2009;27:379-392.

MEASUREMENT TOOL/INDICATOR

Medication Safety Self Assessment for Automated Dispensing Cabinets.

Horsham, PA: Institute for Safe Medication Practices; 2009.

ORGANIZATIONAL POLICY/GUIDELINES

Safely implementing health information and converging technologies.

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

COMMENTARY

Making inpatient medication reconciliation patient centered, clinically relevant and implementable: a consensus statement on key principles and necessary first steps.

Greenwald JL, Halasyamani L, Greene J, et al. J Hosp Med. 2010;5:477-485.

COMMENTARY

Preparing your hospital for compliance with The Joint Commission's National Patient Safety Goals.

Murdaugh L, Jordin R. Hosp Pharm. 2008;43:728-733.

STUDY

Relationship between medication event rates and the Leapfrog computerized physician order entry evaluation tool.

Leung AA, Keohane C, Lipsitz S, et al. J Am Med Inform Assoc. 2013 Apr 18; [Epub ahead of print].

ORGANIZATIONAL POLICY/GUIDELINES

Preventing errors relating to commonly used anticoagulants.

Sentinel Event Alert. September 24, 2008;(41):1-4.

NEWSPAPER/MAGAZINE ARTICLE

Shakespeare was on target—don't be a borrower or lender.

ISMP Medication Safety Alert! Acute Care Edition. November 19, 2009;14:1-3.

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