AHRQ Patient Safety Network

The Collection > United States of America

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Safety Target

•Device-related Complications (113)

•Diagnostic Errors (113)

•Identification Errors (82)

•Discontinuities, Gaps, and Hand-Off Problems (357)

•Fatigue and Sleep Deprivation (91)

•Medication Safety (1045)

•Medical Complications (323)

•Nonsurgical Procedural Complications (52)

•Surgical Complications (213)

•Transfusion Complications (18)

•Psychological and Social Complications (86)

Origin/Sponsor
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United States of America

•United States Federal Government (101)

•State Governments and Agencies (13)

Resource Types

•Audiovisual (41)

•Award (28)

•Book/Report (154)

•Clinical Guideline (7)

•Journal Article (1968)

•Legislation/Regulation (42)

•Meeting/Conference (19)

•Newsletter/Journal (8)

•Newspaper/Magazine Article (469)

•Press Release/Announcement (13)

•Special or Theme Issue (29)

•Tools/Toolkit (50)

•Web Resource (62)

•Grant (3)

Error Types

•Epidemiology of Errors and Adverse Events (604)

•Active Errors (340)

•Latent Errors (184)

•Near Miss (45)

Approach to Improving Safety

•Quality Improvement Strategies (708)

•Legal and Policy Approaches (361)

•Error Reporting and Analysis (791)

•Communication Improvement (632)

•Human Factors Engineering (325)

•Teamwork (161)

•Specialization of Care (217)

•Logistical Approaches (269)

•Culture of Safety (365)

•Technologic Approaches (789)

•Education and Training (444)

Clinical Areas

•Allied Health Services (3)

Target Audience

•Health Care Providers (1802)

•Health Care Executives and Administrators (2230)

•Non-Health Care Professionals (1108)

•Patients (277)

Setting of Care

•Hospitals (2090)

•Psychiatric Facilities (8)

•Residential Facilities (57)

•Ambulatory Care (272)

•Outpatient Surgery (29)

•Patient Transport (12)

1 - 20 of 2893

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STUDY

The impact of computerized provider order entry on medication errors in a multispecialty group practice.

Devine EB, Hansen RN, Wilson-Norton JL, et al. J Am Med Inform Assoc. 2010;17:78-84.

REVIEW

Computerized physician order entry with clinical decision support in long-term care facilities: costs and benefits to stakeholders.

Subramanian S, Hoover S, Gilman B, Field TS, Mutter R, Gurwitz JH. J Am Geriatr Soc. 2007;55:1451-1457.

NEWSPAPER/MAGAZINE ARTICLE

Effective use of medication-related decision support in CPOE.

Metzger JB, Welebob E, Turisco F, Classen DC. Patient Saf Qual Healthc. Sept/Oct 2008;5:16-24.

COMMENTARY

Passing the "Yo' Mama" test.

Blair R. Health Manage Tech. June 2006;27:16.

NEWSPAPER/MAGAZINE ARTICLE

Piecing together medication administration.

Anderson HJ. Health Data Manage. May 1, 2009;17:22.

BOOK/REPORT

Saving Lives, Saving Money: The Imperative for Computerized Physician Order Entry in Massachusetts Hospitals.

Adams M, Bates D, Coffman G, Everett W. Westborough, MA: Massachusetts Technology Collaborative and New England Healthcare Institute; 2008.

STUDY

Medication-error reporting and pharmacy resident experience during implementation of computerized prescriber order entry.

Weant KA, Cook AM, Armitstead JA. Am J Health Syst Pharm. 2007;64:526-530.

STUDY

Medication safety infrastructure in critical-access hospitals in Florida.

Winterstein AG, Hartzema AG, Johns TE, et al. Am J Health Syst Pharm. 2006;63:442-450.

STUDY

Computerized prescribing alerts and group academic detailing to reduce the use of potentially inappropriate medications in older people.

Simon SR, Smith DH, Feldstein AC, et al. J Am Geriatr Soc. 2006;54:963-968.

REVIEW

Effects of computerized physician order entry and clinical decision support systems on medication safety: a systematic review.

Kaushal R, Shojania KG, Bates DW. Arch Intern Med. 2003;163:1409-1416.

STUDY

Electronic prescribing improves medication safety in community-based office practices.

Kaushal R, Kern LM, Barrón Y, Quaresimo J, Abramson EL. J Gen Intern Med. 2010;25:530-536.

STUDY

Using the ISMP Medication Safety Self-Assessment to improve medication use processes.

Lesar T, Mattis A, Anderson E, et al. Jt Comm J Qual Saf. 2003;29:211-226.

COMMENTARY

Ordering of continuous renal replacement therapy in a computerized provider order entry system.

Oh SS, Sinclair-Pingel J, Feldott CC, Hargrove FR. Hosp Pharm. 2007;42:255–257.

NEWSPAPER/MAGAZINE ARTICLE

CPOE: it don't come easy.

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

BOOK/REPORT

Improving America's Hospitals: A Report on Quality and Safety.

Oakbrook Terrace, IL: The Joint Commission; March 2007.

COMMENTARY

Lessons from "unexpected increased mortality after implementation of a commercially sold computerized physician order entry system."

Sittig DF, Ash JS, Zhang J, Osheroff JA, Shabot MM. Pediatrics. 2006;118:797-801.

STUDY

Association of a clinical knowledge support system with improved patient safety, reduced complications and shorter length of stay among Medicare beneficiaries in acute care hospitals in the United States.

Bonis PA, Pickens GT, Rind DM, Foster DA. Int J Med Inform. 2008;77:745-753.

NEWSPAPER/MAGAZINE ARTICLE

For all the right reasons.

Hagland M. Healthc Informatics. 2009;26:40-44.

STUDY

Prescribers' responses to alerts during medication ordering in the long term care setting.

Judge J, Field TS, DeFlorio M, et al. J Am Med Inform Assoc. 2006;13:385-390.

STUDY

Concept and development of a discharge alert filter for abnormal laboratory values coupled with computerized provider order entry: a tool for quality improvement and hospital risk management.

Mathew G, Kho A, Dexter P, et al. J Patient Saf. 2012;8:69-75.

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