AHRQ Patient Safety Network

The Collection > United States of America

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Safety Target

•Device-related Complications (137)

•Diagnostic Errors (201)

•Identification Errors (96)

•Discontinuities, Gaps, and Hand-Off Problems (320)

•Fatigue and Sleep Deprivation (85)

•Medication Safety (1242)

•Medical Complications (242)

•Nonsurgical Procedural Complications (60)

•Surgical Complications (314)

•Transfusion Complications (15)

•Psychological and Social Complications (97)

Origin/Sponsor
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United States of America

•United States Federal Government (186)

•State Governments and Agencies (18)

Resource Types

•Audiovisual (44)

•Award (12)

•Book/Report (97)

•Clinical Guideline (9)

•Journal Article (2137)

•Legislation/Regulation (55)

•Meeting/Conference (19)

•Newsletter/Journal (7)

•Newspaper/Magazine Article (401)

•Press Release/Announcement (39)

•Special or Theme Issue (28)

•Tools/Toolkit (37)

•Web Resource (43)

•Grant (3)

Error Types

•Epidemiology of Errors and Adverse Events (1000)

•Active Errors (558)

•Latent Errors (184)

•Near Miss (59)

Approach to Improving Safety

•Quality Improvement Strategies (691)

•Legal and Policy Approaches (278)

•Error Reporting and Analysis (864)

•Communication Improvement (635)

•Human Factors Engineering (372)

•Teamwork (135)

•Specialization of Care (198)

•Logistical Approaches (241)

•Culture of Safety (224)

•Technologic Approaches (648)

•Education and Training (518)

Clinical Areas

•Allied Health Services (8)

Target Audience

•Health Care Providers (2276)

•Health Care Executives and Administrators (1970)

•Non-Health Care Professionals (912)

•Patients (241)

Setting of Care

•Hospitals (1633)

•Psychiatric Facilities (7)

•Residential Facilities (51)

•Ambulatory Care (334)

•Outpatient Surgery (35)

•Patient Transport (15)

1 - 20 of 2931

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STUDY

Potassium and phosphorus repletion in hospitalized patients: implications for clinical practice and the potential use of healthcare information technology to improve prescribing and patient safety.

Hemstreet BA, Stolpman N, Badesch DB, May SK, McCollum M. Curr Med Res Opin. 2006;22:2449-2455.

NEWSPAPER/MAGAZINE ARTICLE

Promethazine conundrum: IV can hurt more than IM injection!

ISMP Medication Safety Alert! Acute Care Edition. November 2, 2006;11:1-3.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2006;41:725-728.

STUDY

Overnight and postcall errors in medication orders.

Hendey GW, Barth BE, Soliz T. Acad Emerg Med. 2005;12:629-634.

NEWSPAPER/MAGAZINE ARTICLE

Cardiovascular drugs: linked to many errors.

Santell JP. Drug Topics. June 20, 2005;149:HSE9.

ORGANIZATIONAL POLICY/GUIDELINES

Preventing vincristine administration errors.

The Joint Commission. Sentinel Event Alert. July 14, 2005;(34):1-3.

COMMENTARY

ISMP medication error report analysis.

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

STUDY

Oral outpatient chemotherapy medication errors in children with acute lymphoblastic leukemia.

Taylor JA, Winter L, Geyer LJ, Hawkins DS. Cancer. 2006;107:1400-1406.

STUDY

Effectiveness of a community collaborative for eliminating the use of high-risk abbreviations written by physicians.

Leonhardt KK, Botticelli J. J Patient Saf. 2006;2:147-153.

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

The impact of abbreviations on patient safety.

Brunetti L, Santell JP, Hicks RW. Jt Comm J Qual Patient Saf. 2007;33:576-583.

TOOLKIT

ISMP and FDA campaign to eliminate use of error-prone abbreviations.

Huntington Valley, PA: Institute for Safe Medication Practices.

STUDY

Medication errors and adverse drug events in pediatric inpatients.

Kaushal R, Bates DW, Landrigan C, et al. JAMA. 2001;285:2114-2120.

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.

NEWSPAPER/MAGAZINE ARTICLE

Rx for a better prescription. Hospital bans doctors from using confusing medical abbreviations.

Hall J. The Free Lance-Star. September 25, 2005.

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.

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.

COMMENTARY

Appropriate prescribing of medications: an eight-step approach.

Pollock M, Bazaldua OV, Dobbie AE. Am Fam Physician. 2007;75:231-236, 239-240.

STUDY

Medication reconciliation for reducing drug-discrepancy adverse events.

Boockvar KS, Carlson Lacorte H, Giambanco V, Fridman B, Siu A. Am J Geriatr Pharmacother. 2006;4:236-243.

AUDIOVISUAL

Preventing dosage errors with Diastat AcuDial.

Food and Drug Administration (FDA) Patient Safety News. Show #59. January 2007.

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