AHRQ Patient Safety Network

The Collection > United States of America

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Safety Target

•Device-related Complications (120)

•Diagnostic Errors (131)

•Identification Errors (74)

•Discontinuities, Gaps, and Hand-Off Problems (305)

•Fatigue and Sleep Deprivation (108)

•Medication Safety (1016)

•Medical Complications (245)

•Nonsurgical Procedural Complications (43)

•Surgical Complications (281)

•Transfusion Complications (11)

•Psychological and Social Complications (111)

Origin/Sponsor
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United States of America

•United States Federal Government (122)

•State Governments and Agencies (11)

Resource Types

•Clinical Guideline (7)

•Journal Article (2216)

•Legislation/Regulation (46)

•Meeting/Conference (27)

•Newsletter/Journal (10)

•Newspaper/Magazine Article (420)

•Press Release/Announcement (24)

•Special or Theme Issue (55)

•Tools/Toolkit (39)

•Web Resource (65)

•Grant (6)

Error Types

•Epidemiology of Errors and Adverse Events (539)

•Active Errors (364)

•Latent Errors (177)

•Near Miss (45)

Approach to Improving Safety

•Quality Improvement Strategies (776)

•Legal and Policy Approaches (365)

•Error Reporting and Analysis (797)

•Communication Improvement (639)

•Human Factors Engineering (342)

•Teamwork (213)

•Specialization of Care (201)

•Logistical Approaches (285)

•Culture of Safety (459)

•Technologic Approaches (789)

•Education and Training (566)

Clinical Areas

•Allied Health Services (6)

Target Audience

•Health Care Providers (2376)

•Health Care Executives and Administrators (2532)

•Non-Health Care Professionals (1326)

•Patients (216)

Setting of Care

•Hospitals (1767)

•Psychiatric Facilities (8)

•Residential Facilities (49)

•Ambulatory Care (249)

•Outpatient Surgery (26)

•Patient Transport (7)

1 - 20 of 3143

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STUDY

Evaluation of a Web-based education program on reducing medication dosing error: a multicenter, randomized controlled trial.

Frush K, Hohenhaus S, Luo X, Gerardi M, Wiebe RA. Pediatr Emerg Care. 2006;22:62-70.

STUDY

Excess dosing of antiplatelet and antithrombin agents in the treatment of non–ST-segment elevation acute coronary syndromes.

Alexander KP, Chen AY, Roe MT, et al; CRUSADE Investigators. JAMA. 2005;294:3108-3116.

STUDY

Errors associated with medications removed from automated dispensing machines using override functions.

Kester K, Baxter J, Freudenthal K. Hosp Pharm. 2006;41:535-537.

STUDY

Improving patient safety by identifying side effects from introducing bar coding in medication administration.

Patterson ES, Cook RI, Render ML. J Am Med Inform Assoc. 2002;9:540-553.

STUDY

Computerized clinical decision support during medication ordering for long-term care residents with renal insufficiency.

Field TS, Rochon P, Lee M, Gavendo L, Baril JL, Gurwitz JH. J Am Med Inform Assoc. 2009;16:480-485.

STUDY

Potassium and phosphorus repletion in hospitalized patients: implications for clinical practice and the potential use of healthcare information technology to improve prescribing and patient safety.

Hemstreet BA, Stolpman N, Badesch DB, May SK, McCollum M. Curr Med Res Opin. 2006;22:2449-2455.

NEWSPAPER/MAGAZINE ARTICLE

The right dose of technology helps the medicine go down.

Patton S. CIO Magazine. November 1, 2005.

STUDY

The impact of prescribing safety alerts for elderly persons in an electronic medical record: an interrupted time series evaluation.

Smith DH, Perrin N, Feldstein A, et al. Arch Intern Med. 2006;166:1098-1104.

STUDY

Effectiveness of a computerized system for intravenous heparin administration: using information technology to improve patient care and patient safety.

Oyen LJ, Nishimura RA, Ou NN, Armon JJ, Zhou M. Am Heart Hosp J. 2005;3:75-81.

STUDY

An empirical model to estimate the potential impact of medication safety alerts on patient safety, health care utilization, and cost in ambulatory care.

Weingart SN, Simchowitz B, Padolsky H, et al. Arch Intern Med. 2009;169;1465-1473.

STUDY

Designing decision support for insulin ordering in a computerized provider order entry system.

Wright L, Feldott CC, Hargrove FR. Hosp Pharm. 2007;42:158–161.

STUDY

Mixed results in the safety performance of computerized physician order entry.

Metzger J, Welebob E, Bates DW, Lipsitz S, Classen DC. Health Aff (Millwood). 2010;29:655-663.

STUDY

Chemotherapy dose limits set by users of a computer order entry system.

DuBeshter B, Griggs J, Angel C, Loughner J. Hosp Pharm. 2006;41:136-142.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2005;40:556-557.

STUDY

Medication prescribing errors involving the route of administration.

Lesar TS. Hosp Pharm. 2006;41:1053-1066.

STUDY

Retrospective evaluation of a computerized physician order entry adaptation to prevent prescribing errors in a pediatric emergency department.

Sard BE, Walsh KE, Doros G, et al. Pediatrics. 2008;122:782-787.

NEWSPAPER/MAGAZINE ARTICLE

CPOE: it don't come easy.

Anderson HJ. Health Data Manag. January 1, 2009;17:18.

STUDY

High rates of adverse drug events in a highly computerized hospital.

Nebeker JR, Hoffman JM, Weir CR, Bennett CL, Hurdle JF. Arch Intern Med. 2005;165:1111-1116.

NEWSPAPER/MAGAZINE ARTICLE

Software for symptoms.

Borzo J. Wall Street Journal. May 23, 2005:R10.

ORGANIZATIONAL POLICY/GUIDELINES

Electronic prescribing in pediatrics: toward safer and more effective medication management.

Council on Clinical Information Technology Executive Committee. Pediatrics. 2013;131:824-826.

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