AHRQ Patient Safety Network

The Collection > United States of America

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Safety Target

•Device-related Complications (213)

•Diagnostic Errors (164)

•Identification Errors (139)

•Discontinuities, Gaps, and Hand-Off Problems (472)

•Fatigue and Sleep Deprivation (95)

•Medication Safety (1457)

•Medical Complications (450)

•Nonsurgical Procedural Complications (96)

•Surgical Complications (415)

•Transfusion Complications (25)

•Psychological and Social Complications (135)

Origin/Sponsor
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United States of America

•United States Federal Government (268)

•State Governments and Agencies (34)

Resource Types

•Audiovisual (70)

•Award (24)

•Book/Report (202)

•Clinical Guideline (6)

•Journal Article (2804)

•Legislation/Regulation (65)

•Meeting/Conference (35)

•Newsletter/Journal (7)

•Newspaper/Magazine Article (623)

•Press Release/Announcement (34)

•Special or Theme Issue (50)

•Tools/Toolkit (79)

•Web Resource (95)

•Grant (9)

Error Types

•Epidemiology of Errors and Adverse Events (834)

•Active Errors (676)

•Latent Errors (326)

•Near Miss (75)

Approach to Improving Safety

•Quality Improvement Strategies (973)

•Legal and Policy Approaches (427)

•Error Reporting and Analysis (1076)

•Communication Improvement (969)

•Human Factors Engineering (642)

•Teamwork (359)

•Specialization of Care (297)

•Logistical Approaches (351)

•Culture of Safety (536)

•Technologic Approaches (928)

•Education and Training (800)

Clinical Areas

•Allied Health Services (9)

Target Audience

•Health Care Providers (2693)

•Health Care Executives and Administrators (3050)

•Non-Health Care Professionals (1520)

•Patients (428)

Setting of Care

•Hospitals (2699)

•Psychiatric Facilities (14)

•Residential Facilities (68)

•Ambulatory Care (468)

•Outpatient Surgery (47)

•Patient Transport (23)

1 - 20 of 4103

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COMMENTARY

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2010;45:191-195.

NEWSPAPER/MAGAZINE ARTICLE

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

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

COMMENTARY

Preventing medication errors in hospitals through a systems approach and technological innovation: a prescription for 2010.

Crane J, Crane FG. Hosp Top. Fall 2006;84:3-8.

NEWSPAPER/MAGAZINE ARTICLE

Misprogramming PCA concentration leads to dosing errors.

ISMP Medication Safety Alert! Acute Care Edition. August 28, 2008;13:1-3.

COMMENTARY

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2010;45:13-17.

NEWSPAPER/MAGAZINE ARTICLE

Dose of technology helps Shands at UF avoid drug errors.

Chun D. Gainsville Sun. August 21, 2006.

STUDY

Intravenous infusion safety technology: return on investment.

Danello SH, Maddox RR, Schaack GJ. Hosp Pharm. 2009;44:680-687, 696.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2009;44:654-657.

STUDY

Improving the usability of intravenous medication labels to support safe medication delivery.

Bauer DT, Guerlain S. Int J Ind Ergon. 2011;41:394-399.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2008;43:618-621.

ORGANIZATIONAL POLICY/GUIDELINES

Preventing errors relating to commonly used anticoagulants.

Sentinel Event Alert. September 24, 2008;(41):1-4.

COMMENTARY

ISMP medication error report analysis.

Smetzer JL, Cohen MR. Hosp Pharm. 2008;43:869-872.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2008;43:960-964.

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

Novel analysis of clinically relevant diagnostic errors in point-of-care devices.

Shermock KM, Streiff MB, Pinto BL, Kraus P, Pronovost PJ. J Thromb Haemost. 2011;9:1769-1775.

STUDY

Evaluation of consistency in dosing directions and measuring devices for pediatric nonprescription liquid medications.

Yin HS, Wolf MS, Dreyer BP, Sanders LM, Parker RM. JAMA. 2010;304:2595-2602.

NEWSPAPER/MAGAZINE ARTICLE

Design for reliability: barcoded medication administration.

Hayden AC, Lanoue ET, Still CJ. Patient Saf Qual Healthc. July/August 2011;8:12-20.

NEWSPAPER/MAGAZINE ARTICLE

Medication errors associated with documented allergies.

PA-PSRS Patient Saf Advis. September 2008;5:75-80.

STUDY

ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2011.

Pedersen CA, Schneider PJ, Scheckelhoff DJ. Am J Health Syst Pharm. 2012;69:768-785.

REVIEW

Bar code technology and medication administration error.

Young J, Slebodnik M, Sands L. J Patient Saf. 2010;6;115-120.

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