AHRQ Patient Safety Network

The Collection > United States of America

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Safety Target

•Device-related Complications (157)

•Diagnostic Errors (177)

•Identification Errors (96)

•Discontinuities, Gaps, and Hand-Off Problems (566)

•Fatigue and Sleep Deprivation (129)

•Medication Safety (1197)

•Medical Complications (349)

•Nonsurgical Procedural Complications (59)

•Surgical Complications (374)

•Transfusion Complications (12)

•Psychological and Social Complications (153)

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United States of America

•United States Federal Government (212)

•State Governments and Agencies (25)

Resource Types

•Clinical Guideline (9)

•Journal Article (2324)

•Legislation/Regulation (61)

•Meeting/Conference (32)

•Newsletter/Journal (14)

•Newspaper/Magazine Article (677)

•Press Release/Announcement (39)

•Special or Theme Issue (62)

•Tools/Toolkit (91)

•Web Resource (125)

•Grant (10)

Error Types

•Epidemiology of Errors and Adverse Events (579)

•Active Errors (458)

•Latent Errors (212)

•Near Miss (50)

Approach to Improving Safety

•Quality Improvement Strategies (952)

•Legal and Policy Approaches (518)

•Error Reporting and Analysis (926)

•Communication Improvement (1012)

•Human Factors Engineering (385)

•Teamwork (249)

•Specialization of Care (243)

•Logistical Approaches (310)

•Culture of Safety (509)

•Technologic Approaches (641)

•Education and Training (770)

Clinical Areas

•Allied Health Services (9)

Target Audience

•Health Care Providers (2721)

•Health Care Executives and Administrators (2655)

•Non-Health Care Professionals (1265)

•Patients (663)

Setting of Care

•Hospitals (2135)

•Psychiatric Facilities (13)

•Residential Facilities (56)

•Ambulatory Care (369)

•Outpatient Surgery (35)

•Patient Transport (17)

1 - 20 of 3787

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NEWSPAPER/MAGAZINE ARTICLE

Practitioners agree on medication reconciliation value, but frustration and difficulties abound.

ISMP Medication Safety Alert! Acute Care Edition. July 13, 2006;11:1-2.

COMMENTARY

Medication reconciliation physician order form.

Lacy JL, Wilkinson ST. Hosp Pharm. 2006;41:1117-1120.

NEWSPAPER/MAGAZINE ARTICLE

The consumer: and now, a warning about labels.

Franklin D. New York Times. October 25, 2005:F1.

NEWSPAPER/MAGAZINE ARTICLE

Building a case for medication reconciliation.

Nurse Advise-ERR. April 2006;4:1-3.

BOOK/REPORT

Recommendations for Safe Use of Insulin in Hospitals.

Bethesda, MD: American Society of Health-System Pharmacists; 2006.

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.

COMMENTARY

Improving safety throughout the medication use process in a neonatal intensive care unit.

Asdigha MN. Hosp Pharm. 2006;41:1067-1075.

NEWSPAPER/MAGAZINE ARTICLE

To be safe, keep track of pills.

Foreman J. Los Angeles Times. September 4, 2006:F3.

NEWSPAPER/MAGAZINE ARTICLE

Five hospitals release data on inspections.

Kowalczyk L. Boston Globe. April 21, 2007:B1.

STUDY

Engaging patients and family members in patient safety—the experience of the New York City Health and Hospitals Corporation.

Wale JB, Moon RR. Psychiatr Q. Spring 2005;76:85-95.

NEWSPAPER/MAGAZINE ARTICLE

Tablet splitting: Do it only if you "half" to, and then do it safely.

ISMP Medication Safety Alert! Acute Care Edition. May 18, 2006;11:1-2.

ORGANIZATIONAL POLICY/GUIDELINES

Using medication reconciliation to prevent errors.

Sentinel Event Alert. January 25, 2006;(35):1-4.

TOOLKIT

Looking Collectively at Risk.

Pathways for Medication Safety Tool #2. Chicago, IL: American Hospital Association; 2003.

BOOK/REPORT

Medication Reconciliation Handbook.

Oakbrook Terrace, IL: Joint Commission Resources and the American Society of Health-System Pharmacists; 2006. ISBN: 0866889566.

NEWSPAPER/MAGAZINE ARTICLE

JCAHO tightens leash on medication reconciliation.

Perry LE. Drug Topics: Health-System Edition. March 20, 2006.

STUDY

Availability of Spanish prescription labels.

Sharif I, Lo S, Ozuah PO. J Health Care Poor Underserved. 2006;17:65-69.

COMMENTARY

Preventing vincristine administration errors: does evidence support minibag infusions?

Schulmeister L. Clin J Oncol Nurs. 2006;10:271-273.

NEWSPAPER/MAGAZINE ARTICLE

JCAHO views medication reconciliation as adverse-event prevention.

Thompson CA. Am J Health Syst Pharm. 2005;62:1528-1532.

COMMENTARY

Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge.

Rodehaver C. Jt Comm J Qual Patient Saf. 2005;31:406-413.

FACT SHEET/FAQS

Oral Dosage Forms that Should Not Be Crushed.

Mitchell JF. Institute for Safe Medication Practices.

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