AHRQ Patient Safety Network

The Collection > United States of America

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Safety Target

•Device-related Complications (125)

•Diagnostic Errors (118)

•Identification Errors (101)

•Discontinuities, Gaps, and Hand-Off Problems (285)

•Fatigue and Sleep Deprivation (48)

•Medication Safety (756)

•Medical Complications (297)

•Nonsurgical Procedural Complications (48)

•Surgical Complications (253)

•Transfusion Complications (17)

•Psychological and Social Complications (98)

Origin/Sponsor
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United States of America

•United States Federal Government (155)

•State Governments and Agencies (20)

Resource Types

•Audiovisual (72)

•Award (14)

•Book/Report (145)

•Clinical Guideline (3)

•Journal Article (1384)

•Legislation/Regulation (23)

•Meeting/Conference (8)

•Newsletter/Journal (4)

•Newspaper/Magazine Article (530)

•Press Release/Announcement (18)

•Special or Theme Issue (13)

•Tools/Toolkit (55)

•Web Resource (67)

•Grant (3)

Error Types

•Epidemiology of Errors and Adverse Events (487)

•Active Errors (587)

•Latent Errors (163)

•Near Miss (44)

Approach to Improving Safety

•Quality Improvement Strategies (558)

•Legal and Policy Approaches (393)

•Error Reporting and Analysis (634)

•Communication Improvement (613)

•Human Factors Engineering (309)

•Teamwork (131)

•Specialization of Care (155)

•Logistical Approaches (186)

•Culture of Safety (290)

•Technologic Approaches (425)

•Education and Training (443)

Clinical Areas

•Allied Health Services (5)

Target Audience

•Health Care Providers (1488)

•Health Care Executives and Administrators (1624)

•Non-Health Care Professionals (812)

•Patients (611)

Setting of Care

•Hospitals (1663)

•Psychiatric Facilities (7)

•Residential Facilities (30)

•Ambulatory Care (228)

•Outpatient Surgery (28)

•Patient Transport (14)

1 - 20 of 2339

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STUDY

Bar code medication administration technology: characterization of high-alert medication triggers and clinician workarounds.

Miller DF, Fortier CR, Garrison KL. Ann Pharmacother. 2011;45:162-168.

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.

COMMENTARY

Dealing honestly with an honest mistake.

Liang NL, Herring ME, Bush RL. J Vasc Surg. 2010;51:494-495.

NEWSPAPER/MAGAZINE ARTICLE

Nearly 90 major medical mistakes logged at Utah hospitals in 2008.

May H. Salt Lake Tribune. June 26, 2009.

NEWSPAPER/MAGAZINE ARTICLE

Parents sue over babies' heparin overdoses: infants were given too much heparin at Methodist Hospital.

Higgins W. Indianapolis Star. September 13, 2008;News section:A1

STUDY

Unintended effects of a computerized physician order entry nearly hard-stop alert to prevent a drug interaction: a randomized controlled trial.

Strom BL, Schinnar R, Aberra F, et al. Arch Intern Med. 2010;170:1578-1583.

STUDY

Clinical and safety impact of an inpatient pharmacist-directed anticoagulation service.

Schillig J, Kaatz S, Hudson M, Krol GD, Szandzik EG, Kalus JS. J Hosp Med. 2011;6:322-328.

NEWSPAPER/MAGAZINE ARTICLE

Dennis Quaid's Quest.

Grant M. AARP The Magazine. September/October 2010;53:48-51,90-91.

COMMENTARY

Anticoagulation patient safety goal compliance at a university health system: methods for achieving the goal.

Franco AC, Maxwell P, Green K, Barthol C. Hosp Pharm. 2009;44:776-780, 784.

STUDY

Harmful medication errors involving unfractionated and low-molecular-weight heparin in three patient safety reporting programs.

Grissinger MC, Hicks RW, Keroack MA, Marella WM, Vaida A. Jt Comm J Qual Patient Saf. 2010;36:195-202.

STUDY

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.

NEWSPAPER/MAGAZINE ARTICLE

Officials investigate infants' heparin OD at Texas hospital.

Vonfremd M, Ibanga I. ABC News.com. July 10, 2008.

NEWSPAPER/MAGAZINE ARTICLE

Hospitals leery of reporting serious errors.

Bernhard B, Kohler J. St. Louis Post-Dispatch. February 27, 2011:A1.

STUDY

Effect of bar-code–assisted medication administration on medication administration errors and accuracy in multiple patient care areas.

Helmons PJ, Wargel LN, Daniels CE. Am J Health Syst Pharm. 2009;66:1202-1210.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2008;43:696–698.

NEWSPAPER/MAGAZINE ARTICLE

Don't let a hospital make you sick.

Mishori R. Parade Magazine. February 8, 2009.

COMMENTARY

Medication administration process assessment: applying lessons learned from commercial aviation.

Donahue M, Brown JP, Fitzpatrick JJ. J Nurs Adm. 2009;39:77-83.

NEWSPAPER/MAGAZINE ARTICLE

Why don't doctors wash their hands more?

Chen PW. New York Times. September 17, 2009.

AUDIOVISUAL

Nebraska Medical Center investigates staff after girl's death.

Luby R. KETV. Omaha, NE. March 31, 2010.

STUDY

Disclosure-and-resolution programs that include generous compensation offers may prompt a complex patient response.

Murtagh L, Gallagher TH, Andrew P, Mello MM. Health Aff (Millwood). 2012;31:2681-2689.

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