AHRQ Patient Safety Network

The Collection > United States of America

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Safety Target

•Device-related Complications (125)

•Diagnostic Errors (98)

•Identification Errors (85)

•Discontinuities, Gaps, and Hand-Off Problems (301)

•Fatigue and Sleep Deprivation (61)

•Medication Safety (1305)

•Medical Complications (285)

•Nonsurgical Procedural Complications (69)

•Surgical Complications (276)

•Transfusion Complications (12)

•Psychological and Social Complications (76)

Origin/Sponsor
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United States of America

•United States Federal Government (129)

•State Governments and Agencies (18)

Resource Types

•Audiovisual (33)

•Award (17)

•Book/Report (94)

•Clinical Guideline (10)

•Journal Article (2081)

•Legislation/Regulation (56)

•Meeting/Conference (18)

•Newsletter/Journal (9)

•Newspaper/Magazine Article (326)

•Press Release/Announcement (29)

•Special or Theme Issue (27)

•Tools/Toolkit (46)

•Web Resource (52)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (661)

•Active Errors (422)

•Latent Errors (161)

•Near Miss (55)

Approach to Improving Safety

•Quality Improvement Strategies (763)

•Legal and Policy Approaches (196)

•Error Reporting and Analysis (727)

•Communication Improvement (652)

•Human Factors Engineering (405)

•Teamwork (198)

•Specialization of Care (223)

•Logistical Approaches (217)

•Culture of Safety (312)

•Technologic Approaches (663)

•Education and Training (493)

Clinical Areas

•Allied Health Services (5)

Target Audience

•Health Care Providers (2039)

•Health Care Executives and Administrators (2300)

•Non-Health Care Professionals (940)

•Patients (179)

Setting of Care

•Hospitals (1649)

•Psychiatric Facilities (7)

•Residential Facilities (59)

•Ambulatory Care (308)

•Outpatient Surgery (30)

•Patient Transport (15)

1 - 20 of 2800

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STUDY

Prevention of pediatric medication errors by hospital pharmacists and the potential benefit of computerized physician order entry.

Wang JK, Herzog NS, Kaushal R, et al. Pediatrics. 2007;119:e77-85.

STUDY

Effects of CPOE on provider cognitive workload: a randomized crossover trial.

Avansino J, Leu MG. Pediatrics. 2012;130:e547-e552.

FACT SHEET/FAQS

Medication safety issue brief. Counterfeit drug prevention and identification.

American Hospital Association, American Society of Health-System Pharmacists, Hospitals and Health Networks. Hosp Health Netw. August 2005;79.29-30.

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.

FACT SHEET/FAQS

Medication safety issue brief. Bar code implementation strategies.

American Hospital Association, American Society of Health-System Pharmacists, Hospitals and Health Networks. Hosp Health Netw. July 2005;79:65-66.

BOOK/REPORT

Proceedings from the ISMP Sterile Preparation Compounding Safety Summit: Guidelines for SAFE Preparation of Sterile Compounds.

Horsham, PA: Institute for Safe Medication Practices; 2013.

STUDY

Medication errors and adverse drug events in pediatric inpatients.

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

STUDY

The relationship between computerized physician order entry and pediatric adverse drug events: a nested matched case-control study.

Yu F, Salas M, Kim YI, Menachemi N. Pharmacoepidemiol Drug Saf. 2009;18:751-755.

REVIEW

Clinical pharmacists and inpatient medical care: a systematic review.

Kaboli PJ, Hoth AB, McClimon BJ, Schnipper JL. Arch Intern Med. 2006;166:955-964.

STUDY

Electronic prescribing within an electronic health record reduces ambulatory prescribing errors.

Abramson EL, Barrón Y, Quaresimo J, Kaushal R. Jt Comm J Qual Patient Saf. 2011;37:470-478.

NEWSPAPER/MAGAZINE ARTICLE

Fatal error sparks debate over punitive measures.

Fernandez J. Drug Topics. May 7, 2007.

STUDY

Medication prescribing errors involving the route of administration.

Lesar TS. Hosp Pharm. 2006;41:1053-1066.

ORGANIZATIONAL POLICY/GUIDELINES

Electronic prescribing systems in pediatrics: the rationale and functionality requirements.

American Academy of Pediatrics Council on Clinical Information Technology. Pediatrics. 2007;119:1229-1231.

STUDY

Risk of medication errors at hospital discharge and barriers to problem resolution.

Enguidanos SM, Brumley RD. Home Health Care Serv Q. 2005;24:123-135.

STUDY

Decrease in hospital-wide mortality rate after implementation of a commercially sold computerized physician order entry system.

Longhurst CA, Parast L, Sandborg CI, et al. Pediatrics. 2010;126:14-21.

STUDY

Nighttime and weekend medication error rates in an inpatient pediatric population.

Miller AD, Piro CC, Rudisill CN, Bookstaver PB, Bair JD, Bennett CL. Ann Pharmacother. 2010;44:1739-1746.

STUDY

The safety culture in a children's hospital.

Grant MJC, Donaldson AE, Larsen GY. J Nurs Care Qual. 2006;21:223-229.

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.

REVIEW

Medication errors in paediatric care: a systematic review of epidemiology and an evaluation of evidence supporting reduction strategy recommendations.

Miller MR, Robinson KA, Lubomski LH, Rinke ML, Pronovost PJ. Qual Saf Health Care. 2007;16:116-126.

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.

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