AHRQ Patient Safety Network

The Collection > United States of America

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Safety Target

•Device-related Complications (169)

•Diagnostic Errors (168)

•Identification Errors (122)

•Discontinuities, Gaps, and Hand-Off Problems (468)

•Fatigue and Sleep Deprivation (106)

•Medication Safety (1349)

•Medical Complications (513)

•Nonsurgical Procedural Complications (102)

•Surgical Complications (413)

•Transfusion Complications (24)

•Psychological and Social Complications (147)

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United States of America

•United States Federal Government (259)

•State Governments and Agencies (42)

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•Clinical Guideline (8)

•Journal Article (2915)

•Legislation/Regulation (63)

•Meeting/Conference (38)

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•Newspaper/Magazine Article (577)

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Error Types

•Epidemiology of Errors and Adverse Events (869)

•Active Errors (573)

•Latent Errors (267)

•Near Miss (69)

Approach to Improving Safety

•Quality Improvement Strategies (1018)

•Legal and Policy Approaches (463)

•Error Reporting and Analysis (1155)

•Communication Improvement (976)

•Human Factors Engineering (540)

•Teamwork (318)

•Specialization of Care (302)

•Logistical Approaches (338)

•Culture of Safety (557)

•Technologic Approaches (895)

•Education and Training (813)

Clinical Areas

•Allied Health Services (10)

Target Audience

•Health Care Providers (3059)

•Health Care Executives and Administrators (3251)

•Non-Health Care Professionals (1621)

•Patients (417)

Setting of Care

•Hospitals (2756)

•Psychiatric Facilities (13)

•Residential Facilities (79)

•Ambulatory Care (398)

•Outpatient Surgery (47)

•Patient Transport (24)

1 - 20 of 4266

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NEWSPAPER/MAGAZINE ARTICLE

Medication errors occurring with the use of bar-code administration technology.

PA-PSRS Patient Saf Advis. December 2008;5:122-126.

STUDY

Critical drug–drug interactions for use in electronic health records systems with computerized physician order entry: review of leading approaches.

Classen DC, Phansalkar S, Bates DW. J Patient Saf. 2011;7:61-65.

STUDY

Impact of health information technology on detection of potential adverse drug events at the ordering stage.

Roberts LL, Ward MM, Brokel JM, Wakefield DS, Crandall DK, Conlon P. Am J Health Syst Pharm. 2010;67:1838-1846.

STUDY

From research to practice: factors affecting implementation of prospective targeted injury-detection systems.

Sorensen AV, Harrison MI, Kane HL, Roussel AE, Halpern MT, Bernard SL. BMJ Qual Saf. 2011;20:527-533.

NEWSPAPER/MAGAZINE ARTICLE

As industry automates, adverse events continue to haunt caregivers.

Wetzel TG. Health Data Manage. 2011 Feb;19:86, 88, 90 passim.

STUDY

Adverse drug event rates in six community hospitals and the potential impact of computerized physician order entry for prevention.

Hug BL, Witkowski DJ, Sox CM, et al. J Gen Intern Med. 2010;25:31-38.

STUDY

Developing indicators of inpatient adverse drug events through nonlinear analysis using administrative data.

Nebeker JR, Yarnold PR, Soltysik RC, et al. Med Care. 2007;45(suppl 2):S81-S88.

STUDY

Computerized decision support for medication dosing in renal insufficiency: a randomized, controlled trial.

Terrell KM, Perkins AJ, Hui SL, Callahan CM, Dexter PR, Miller DK. Ann Emerg Med. 2010;56:623-629.

STUDY

Prevalence of adverse events in pediatric intensive care units in the United States.

Agarwal S, Classen D, Larsen G, et al. Pediatr Crit Care Med. 2010;11:568-578.

STUDY

An unintended consequence of electronic prescriptions: prevalence and impact of internal discrepancies.

Palchuk MB, Fang EA, Cygielnik JM, et al. J Am Med Inform Assoc. 2010;17:472-476.

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.

NEWSPAPER/MAGAZINE ARTICLE

Scanner beep only means the barcode has been scanned.

ISMP Medication Safety Alert! Acute Care Edition. June 30, 2011;16:1-2.

STUDY

Predictive value of alert triggers for identification of developing adverse drug events.

Moore C, Li J, Hung CC, Downs J, Nebeker JR. J Patient Saf. 2009;5:223-228.

STUDY

Identifying causes of adverse events detected by an automated trigger tool through in-depth analysis.

Muething SE, Conway PH, Kloppenborg E, et al. Qual Saf Health Care. 2010;19:435-439.

REVIEW

A review of current and emerging approaches to address failure-to-rescue.

Taenzer AH, Pyke JB, McGrath SP. Anesthesiology. 2011;115:421-431.

STUDY

Overrides of medication alerts in ambulatory care.

Isaac T, Weissman JS, Davis RB, et al. Arch Intern Med. 2009;169:305-311.

COMMENTARY

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:1062-1065.

STUDY

Supratherapeutic dosing of acetaminophen among hospitalized patients.

Zhou L, Maviglia SM, Mahoney LM, et al. Arch Intern Med. 2012;172:1721-1728.

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

Adopting real-time surveillance dashboards as a component of an enterprisewide medication safety strategy.

Waitman LR, Phillips IE, McCoy AB, et al. Jt Comm J Qual Patient Saf. 2011;37:326-332.

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