AHRQ Patient Safety Network

The Collection > United States of America

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Safety Target

•Device-related Complications (118)

•Diagnostic Errors (166)

•Identification Errors (89)

•Discontinuities, Gaps, and Hand-Off Problems (352)

•Fatigue and Sleep Deprivation (78)

•Medication Safety (1198)

•Medical Complications (258)

•Nonsurgical Procedural Complications (68)

•Surgical Complications (335)

•Transfusion Complications (11)

•Psychological and Social Complications (96)

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United States of America

•United States Federal Government (126)

•State Governments and Agencies (12)

Resource Types

•Audiovisual (29)

•Award (16)

•Book/Report (92)

•Clinical Guideline (9)

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•Meeting/Conference (22)

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•Newspaper/Magazine Article (357)

•Press Release/Announcement (26)

•Special or Theme Issue (33)

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Error Types

•Epidemiology of Errors and Adverse Events (690)

•Active Errors (461)

•Latent Errors (174)

•Near Miss (50)

Approach to Improving Safety

•Quality Improvement Strategies (722)

•Legal and Policy Approaches (238)

•Error Reporting and Analysis (787)

•Communication Improvement (710)

•Human Factors Engineering (405)

•Teamwork (220)

•Specialization of Care (223)

•Logistical Approaches (251)

•Culture of Safety (320)

•Technologic Approaches (862)

•Education and Training (580)

Clinical Areas

•Allied Health Services (7)

Target Audience

•Health Care Providers (2370)

•Health Care Executives and Administrators (2366)

•Non-Health Care Professionals (1163)

•Patients (172)

Setting of Care

•Hospitals (1711)

•Psychiatric Facilities (6)

•Residential Facilities (71)

•Ambulatory Care (335)

•Outpatient Surgery (29)

•Patient Transport (15)

1 - 20 of 3106

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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

Randomized trial to improve prescribing safety during pregnancy.

Raebel MA, Carroll NM, Kelleher JA, Chester EA, Berga S, Magid DJ. J Am Med Inform Assoc. 2007;14:440-450.

STUDY

Computerized decision support to reduce potentially inappropriate prescribing to older emergency department patients: a randomized, controlled trial.

Terrell KM, Perkins AJ, Dexter PR, Hui SL, Callahan CM, Miller DK. J Am Geriatr Soc. 2009;57:1388-1394.

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.

STUDY

Computerized clinical decision support during medication ordering for long-term care residents with renal insufficiency.

Field TS, Rochon P, Lee M, Gavendo L, Baril JL, Gurwitz JH. J Am Med Inform Assoc. 2009;16:480-485.

NEWSPAPER/MAGAZINE ARTICLE

Dose of technology helps Shands at UF avoid drug errors.

Chun D. Gainsville Sun. August 21, 2006.

STUDY

Alternatives to potentially inappropriate medications for use in e-prescribing software: triggers and treatment algorithms.

Hume AL, Quilliam BJ, Goldman R, Eaton C, Lapane KL. BMJ Qual Saf. 2011;20:875-884.

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

Evaluating clinical decision support systems: monitoring CPOE order check override rates in the Department of Veterans Affairs' computerized patient record system.

Lin C-P, Payne TH, Nichol WP, et al. J Am Med Inform Assoc. 2008;15:620-626.

STUDY

Retrospective evaluation of a computerized physician order entry adaptation to prevent prescribing errors in a pediatric emergency department.

Sard BE, Walsh KE, Doros G, et al. Pediatrics. 2008;122:782-787.

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.

STUDY

Transmitting and processing electronic prescriptions: experiences of physician practices and pharmacies.

Grossman JM, Cross DA, Boukus ER, Cohen GR. J Am Med Inform Assoc. 2012;19:353-359.

STUDY

Preventing potentially inappropriate medication use in hospitalized older patients with a computerized provider order entry warning system.

Mattison MLP, Afonso KA, Ngo LH, Mukamal KJ. Arch Intern Med. 2010;170:1331-1336.

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

Computerized clinical decision support for medication prescribing and utilization in pediatrics.

Stultz JS, Nahata MC. J Am Med Inform Assoc. 2012;19:942-953.

STUDY

Potentially inappropriate prescribing in elderly veterans: are we using the wrong drug, wrong dose, or wrong duration?

Pugh MJ, Fincke BG, Bierman AS, et al. J Am Geriatr Soc. 2005;53:1282-1289.

COMMENTARY

Time to sign off on signout.

Stein DM, Stetson PD. Acad Med. 2011;86:804-806.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2005;40:556-557.

COMMENTARY classic

Principles of conservative prescribing.

Schiff GD, Galanter WL, Duhig J, Lodolce AE, Koronkowski MJ, Lambert BL. Arch Intern Med. 2011;171:1433-1440.

STUDY

Pharmacovigilance using clinical notes.

LePendu P, Iyer SV, Bauer-Mehren A, et al. Clin Pharmacol Ther. 2013 Mar 4; [Epub ahead of print].

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