AHRQ Patient Safety Network

The Collection > United States of America

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Safety Target

•Device-related Complications (174)

•Diagnostic Errors (206)

•Identification Errors (128)

•Discontinuities, Gaps, and Hand-Off Problems (438)

•Fatigue and Sleep Deprivation (116)

•Medication Safety (1204)

•Medical Complications (438)

•Nonsurgical Procedural Complications (100)

•Surgical Complications (453)

•Transfusion Complications (19)

•Psychological and Social Complications (150)

Origin/Sponsor
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United States of America

•United States Federal Government (241)

•State Governments and Agencies (41)

Resource Types

•Clinical Guideline (9)

•Journal Article (2838)

•Legislation/Regulation (67)

•Meeting/Conference (28)

•Newsletter/Journal (11)

•Newspaper/Magazine Article (487)

•Press Release/Announcement (37)

•Special or Theme Issue (58)

•Tools/Toolkit (60)

•Web Resource (115)

•Grant (12)

Error Types

•Epidemiology of Errors and Adverse Events (1046)

•Active Errors (676)

•Latent Errors (242)

•Near Miss (75)

Approach to Improving Safety

•Quality Improvement Strategies (917)

•Legal and Policy Approaches (473)

•Error Reporting and Analysis (1163)

•Communication Improvement (938)

•Human Factors Engineering (506)

•Teamwork (308)

•Specialization of Care (245)

•Logistical Approaches (316)

•Culture of Safety (504)

•Technologic Approaches (694)

•Education and Training (965)

Clinical Areas

•Allied Health Services (11)

Target Audience

•Health Care Providers (3049)

•Health Care Executives and Administrators (3081)

•Non-Health Care Professionals (1602)

•Patients (389)

Setting of Care

•Hospitals (2345)

•Psychiatric Facilities (14)

•Residential Facilities (102)

•Ambulatory Care (387)

•Outpatient Surgery (54)

•Patient Transport (27)

1 - 20 of 4045

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REVIEW

Year in review: medication mishaps in the elderly.

Peron EP, Marcum ZA, Boyce R, Hanlon JT, Handler SM. Am J Geriatr Pharmacother. 2011;9:1-10.

STUDY

Parents' medication administration errors: role of dosing instruments and health literacy.

Yin HS, Mendelsohn AL, Wolf MS, et al. Arch Pediatr Adolesc Med. 2010;164:181-186.

STUDY

Repeat medication errors in nursing homes: contributing factors and their association with patient harm.

Crespin DJ, Modi AV, Wei D, et al. Am J Geriatr Pharmacother. 2010;8:258-270.

STUDY

Medication error reporting in nursing homes: identifying targets for patient safety improvement.

Greene SB, Williams CE, Pierson S, Hansen RA, Carey TS. Qual Saf Health Care. 2010;19:218-222.

STUDY

A "back to basics" approach to reduce ED medication errors.

Blank FSJ, Tobin J, Macomber S, Jaouen M, Dinoia M, Visintainer P. J Emerg Nurs. 2011;37:141-147.

STUDY

Medication safety initiative in reducing medication errors.

Nguyen EE, Connolly PM, Wong V. J Nurs Care Qual. 2010;25:224-230.

STUDY

Medication discrepancies upon hospital to skilled nursing facility transitions.

Tjia J, Bonner A, Briesacher BA, McGee S, Terrill E, Miller K. J Gen Intern Med. 2009;24:630-635.

STUDY

Cardiovascular medication errors in children.

Alexander DC, Bundy DG, Shore AD, Morlock L, Hicks RW, Miller MR. Pediatrics. 2009;124:324-332.

STUDY

Potential unintended consequences due to Medicare's "No Pay for Errors Rule"? A randomized controlled trial of an educational intervention with internal medicine residents.

Mookherjee S, Vidyarthi AR, Ranji SR, Maselli J, Wachter RM, Baron RB. J Gen Intern Med. 2010;25:1097-1101.

STUDY

Improving medication error reporting in hospice care.

Boyer R, McPherson ML, Deshpande G, Smith SW. Am J Hosp Palliat Care. 2009;26:361-367.

STUDY

Inadequate health literacy among paid caregivers of seniors.

Lindquist LA, Jain N, Tam K, Martin GJ, Baker DW. J Gen Intern Med. 2011;26:474-479.

STUDY

Assessing the impact of an educational program on decreasing prescribing errors at a university hospital.

Peeters MJ, Pinto SL. J Hosp Med. 2009;4:97-101.

PRESS RELEASE/ANNOUNCEMENT

Serious medication errors from intravenous administration of nimodipine oral capsules.

MedWatch Safety Alert, FDA Drug Safety Communication. Silver Spring, MD: US Food and Drug Administration; August 2, 2010.

STUDY

Preventing potentially inappropriate medication use in hospitalized older patients with a computerized provider order entry warning system.

Mattison MLP, Afonso KA, Ngo LH, Mukamal KJ. Arch Intern Med. 2010;170:1331-1336.

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.

STUDY

Psychiatry morbidity and mortality rounds: implementation and impact.

Goldman S, Demaso DR, Kemler B. Acad Psychiatry. 2009;33:383-388.

STUDY

Medication errors in paediatric outpatients.

Kaushal R, Goldmann DA, Keohane CA, et al. Qual Saf Health Care. 2010;19:e30.

STUDY

Structured interdisciplinary rounds in a medical teaching unit: improving patient safety.

O’Leary KJ, Buck R, Fligiel HM, et al. Arch Intern Med. 2011;171:678-684.

STUDY

Consistency between coded poison center data and fatality abstract narratives for therapeutic error deaths in older adults.

Hayes BD, Klein-Schwartz W. Clin Toxicol (Phila). 2010;48:68-71.

STUDY

Reducing clinical errors in cancer education: interpreter training.

Gany FM, Gonzalez CJ, Basu G, et al. J Cancer Educ. 2010;25:560-564.

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