AHRQ Patient Safety Network

The Collection > United States of America

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Safety Target

•Device-related Complications (157)

•Diagnostic Errors (173)

•Identification Errors (114)

•Discontinuities, Gaps, and Hand-Off Problems (427)

•Fatigue and Sleep Deprivation (84)

•Medication Safety (1401)

•Medical Complications (433)

•Nonsurgical Procedural Complications (87)

•Surgical Complications (390)

•Transfusion Complications (20)

•Psychological and Social Complications (126)

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United States of America

•United States Federal Government (254)

•State Governments and Agencies (31)

Resource Types

•Clinical Guideline (8)

•Journal Article (2793)

•Legislation/Regulation (58)

•Meeting/Conference (36)

•Newsletter/Journal (12)

•Newspaper/Magazine Article (441)

•Press Release/Announcement (40)

•Special or Theme Issue (55)

•Tools/Toolkit (64)

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•Grant (10)

Error Types

•Epidemiology of Errors and Adverse Events (1045)

•Active Errors (523)

•Latent Errors (221)

•Near Miss (66)

Approach to Improving Safety

•Quality Improvement Strategies (908)

•Legal and Policy Approaches (363)

•Error Reporting and Analysis (1085)

•Communication Improvement (904)

•Human Factors Engineering (508)

•Teamwork (281)

•Specialization of Care (275)

•Logistical Approaches (283)

•Culture of Safety (458)

•Technologic Approaches (859)

•Education and Training (707)

Clinical Areas

•Allied Health Services (10)

Target Audience

•Health Care Providers (3030)

•Health Care Executives and Administrators (3033)

•Non-Health Care Professionals (1498)

•Patients (325)

Setting of Care

•Hospitals (2242)

•Psychiatric Facilities (15)

•Residential Facilities (101)

•Ambulatory Care (422)

•Outpatient Surgery (47)

•Patient Transport (24)

1 - 20 of 3937

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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

Effect of computerized provider order entry with clinical decision support on adverse drug events in the long-term care setting.

Gurwitz JH, Field TS, Rochon P, et al. J Am Geriatr Soc. 2008;56:2225-2233.

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

Fall prevention in acute care hospitals: a randomized trial.

Dykes PC, Carroll DL, Hurley A, et al. JAMA. 2010;304:1912-1918.

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

Medication errors resulting from computer entry by nonprescribers.

Santell JP, Kowiatek JG, Weber RJ, Hicks RW, Sirio CA. Am J Health Syst Pharm. 2009;66:843-853.

STUDY

Medication reconciliation for reducing drug-discrepancy adverse events.

Boockvar KS, Carlson Lacorte H, Giambanco V, Fridman B, Siu A. Am J Geriatr Pharmacother. 2006;4:236-243.

COMMENTARY

Beyond the prescription: medication monitoring and adverse drug events in older adults.

Steinman MA, Handler SM, Gurwitz JH, Schiff GD, Covinsky KE. J Am Geriatr Soc. 2011;59:1513-1520.

STUDY

Adverse drug events in the outpatient setting: an 11-year national analysis.

Bourgeois FT, Shannon MW, Valim C, Mandl KD. Pharmacoepidemiol Drug Saf. 2010;19:901-910.

STUDY

In-home medication reviews: a novel approach to improving patient care through coordination of care.

Willis JS, Hoy RH, Jenkins WD. J Community Health. 2011;36:1027-1031.

STUDY

Using an enhanced oral chemotherapy computerized provider order entry system to reduce prescribing errors and improve safety.

Collins CM, Elsaid KA. Int J Qual Health Care. 2011;23:36-43.

STUDY

Impact of implementing alerts about medication black-box warnings in electronic health records.

Yu DT, Seger DL, Lasser KE, et al. Pharmacoepidemiol Drug Saf. 2011;20:192-202.

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

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

Nursing home error and level of staff credentials.

Scott-Cawiezell J, Pepper GA, Madsen RW, Petroski G, Vogelsmeier A, Zellmer D. Clin Nurs Res. 2007;16:72-78.

STUDY

The relationship between computerized physician order entry and pediatric adverse drug events: a nested matched case-control study.

Yu F, Salas M, Kim YI, Menachemi N. Pharmacoepidemiol Drug Saf. 2009;18:751-755.

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.

REVIEW

Medication errors in paediatric care: a systematic review of epidemiology and an evaluation of evidence supporting reduction strategy recommendations.

Miller MR, Robinson KA, Lubomski LH, Rinke ML, Pronovost PJ. Qual Saf Health Care. 2007;16:116-126.

STUDY

Outpatient adverse drug events identified by screening electronic health records.

Gandhi TK, Seger AC, Overhage JM, et al. J Patient Saf. 2010;6;91-96.

STUDY

Transitioning between electronic health records: effects on ambulatory prescribing safety.

Abramson EL, Malhotra S, Fischer K, et al. J Gen Intern Med. 2011;26:868-874.

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