AHRQ Patient Safety Network

The Collection > United States of America

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Safety Target

•Device-related Complications (191)

•Diagnostic Errors (165)

•Identification Errors (115)

•Discontinuities, Gaps, and Hand-Off Problems (460)

•Fatigue and Sleep Deprivation (101)

•Medication Safety (1192)

•Medical Complications (472)

•Nonsurgical Procedural Complications (93)

•Surgical Complications (368)

•Transfusion Complications (19)

•Psychological and Social Complications (139)

Origin/Sponsor
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United States of America

•United States Federal Government (298)

•State Governments and Agencies (37)

Resource Types

•Clinical Guideline (12)

•Journal Article (2660)

•Legislation/Regulation (70)

•Meeting/Conference (36)

•Newsletter/Journal (11)

•Newspaper/Magazine Article (549)

•Press Release/Announcement (39)

•Special or Theme Issue (54)

•Tools/Toolkit (78)

•Web Resource (112)

•Grant (8)

Error Types

•Epidemiology of Errors and Adverse Events (753)

•Active Errors (588)

•Latent Errors (266)

•Near Miss (70)

Approach to Improving Safety

•Quality Improvement Strategies (1031)

•Legal and Policy Approaches (440)

•Error Reporting and Analysis (1023)

•Communication Improvement (954)

•Human Factors Engineering (619)

•Teamwork (291)

•Specialization of Care (269)

•Logistical Approaches (342)

•Culture of Safety (553)

•Technologic Approaches (712)

•Education and Training (767)

Clinical Areas

•Allied Health Services (6)

Target Audience

•Health Care Providers (3014)

•Health Care Executives and Administrators (2936)

•Non-Health Care Professionals (1408)

•Patients (400)

Setting of Care

•Hospitals (2675)

•Psychiatric Facilities (17)

•Residential Facilities (73)

•Ambulatory Care (388)

•Outpatient Surgery (40)

•Patient Transport (21)

1 - 20 of 3986

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STUDY

Medication safety initiative in reducing medication errors.

Nguyen EE, Connolly PM, Wong V. J Nurs Care Qual. 2010;25:224-230.

STUDY

Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station.

Colligan L, Guerlain S, Steck SE, Hoke TR. BMJ Qual Saf. 2012;21:939-947.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2008;43:696–698.

STUDY

Spreading a medication administration intervention organizationwide in six hospitals.

Kliger J, Singer S, Hoffman F, O'Neil E. Jt Comm J Qual Patient Saf. 2012;38:51-60.

COMMENTARY

ISMP medication error report analysis.

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

NEWSPAPER/MAGAZINE ARTICLE

A clinical reminder about the safe use of insulin vials.

ISMP Medication Safety Alert! Acute Care Edition. February 21, 2013;18:1-3.

COMMENTARY

Smart pumps: implications for nurse leaders.

Kirkbride G, Vermace B. Nurs Adm Q. 2011;35:110-118.

STUDY

Using Lean to improve medication administration safety: in search of the "perfect dose."

Ching JM, Long C, Williams BL, Blackmore CC. Jt Comm J Qual Patient Saf. 2013;39:195-204.

NEWSPAPER/MAGAZINE ARTICLE

Ingestion or aspiration of foreign objects or toxic substances is not just a safety concern with children.

ISMP Medication Safety Alert! Acute Care Edition. November 3, 2011;16:1-2.

STUDY

A multiple-drawer medication layout problem in automated dispensing cabinets.

Pazour JA, Meller RD. Health Care Manag Sci. 2012;15:339-354.

NEWSPAPER/MAGAZINE ARTICLE

Proper positioning of pharmacy label on Hospira PCA vials will avoid interference with scanning.

ISMP Medication Safety Alert! Acute Care Edition. August 14, 2008;13:1-3.

NEWSPAPER/MAGAZINE ARTICLE

Events associated with the prescribing, dispensing, and administering of medication loading doses.

Carson SL, Gaunt MJ. PA-PSRS Patient Saf Advis. 2012;9:82-88.

BOOK/REPORT

Patient Safety: An Engineering Approach.

Dhillon BS. New York, NY: CRC Press; 2011. ISBN: 9781439873861.

NEWSPAPER/MAGAZINE ARTICLE

Anticoagulant safety practices call for pharmacist supervision.

Scott A. Drug Topics (Health-System Edition). November 10, 2008.

NEWSPAPER/MAGAZINE ARTICLE

The best medicine for fixing the modern hospital.

Mitchell R. Kaiser Health News and Fast Company. November 26, 2012.

BOOK/REPORT classic

The Silent Treatment: Why Safety Tools and Checklists Aren't Enough to Save Lives.

Maxfield D, Grenny J, Lavandero R, Groah L. Provo, UT: VitalSmarts; 2011.

COMMENTARY

Check the Bags.

Caldwell M, Dracup KA. AHRQ WebM&M [serial online]. September 2003.

COMMENTARY

Keeping an eye on patient safety using human factors engineering (HFE): a family affair for the hospitalized child.

Wilson BL. J Spec Pediatr Nurs. 2010;15:84-87.

STUDY

Vital sign abnormalities, rapid response, and adverse outcomes in hospitalized patients.

Fagan K, Sabel A, Mehler PS, MacKenzie TD. Am J Med Qual. 2012;27:480-486.

STUDY

Anticoagulation-associated adverse drug events.

Piazza G, Nguyen TN, Cios D, et al. Am J Med. 2011;124:1136-1142.

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