AHRQ Patient Safety Network

The Collection > United States of America

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Safety Target

•Device-related Complications (65)

•Diagnostic Errors (108)

•Identification Errors (52)

•Discontinuities, Gaps, and Hand-Off Problems (204)

•Fatigue and Sleep Deprivation (29)

•Medication Safety (845)

•Medical Complications (187)

•Nonsurgical Procedural Complications (21)

•Surgical Complications (183)

•Transfusion Complications (11)

•Psychological and Social Complications (41)

Origin/Sponsor
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United States of America

•United States Federal Government (37)

•State Governments and Agencies (4)

Resource Types

•Audiovisual (22)

•Award (9)

•Book/Report (66)

•Clinical Guideline (3)

•Journal Article (1299)

•Legislation/Regulation (14)

•Meeting/Conference (7)

•Newsletter/Journal (8)

•Newspaper/Magazine Article (164)

•Press Release/Announcement (5)

•Special or Theme Issue (11)

•Tools/Toolkit (25)

•Web Resource (27)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (982)

•Active Errors (216)

•Latent Errors (80)

•Near Miss (35)

Approach to Improving Safety

•Quality Improvement Strategies (342)

•Legal and Policy Approaches (128)

•Error Reporting and Analysis (723)

•Communication Improvement (344)

•Human Factors Engineering (151)

•Teamwork (66)

•Specialization of Care (106)

•Logistical Approaches (120)

•Culture of Safety (141)

•Technologic Approaches (331)

•Education and Training (215)

Clinical Areas

•Allied Health Services (4)

Target Audience

•Health Care Providers (1154)

•Health Care Executives and Administrators (1176)

•Non-Health Care Professionals (497)

•Patients (134)

Setting of Care

•Hospitals (993)

•Psychiatric Facilities (5)

•Residential Facilities (62)

•Ambulatory Care (266)

•Outpatient Surgery (20)

•Patient Transport (15)

1 - 20 of 1662

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STUDY

Primary medication non-adherence: analysis of 195,930 electronic prescriptions.

Fischer MA, Stedman MR, Lii J, et al. J Gen Intern Med. 2010;25:284-290.

STUDY

Differences in medication errors between central and remote site telepharmacies.

Scott DM, Friesner DL, Rathke AM, Peterson CD, Anderson HC. J Am Pharm Assoc. 2012;52:e97-e104.

AUDIOVISUAL PRESENTATION

Can you read this drug label?

Gill L. Consumer Reports Health. June 2011.

STUDY

Ambulatory prescribing errors among community-based providers in two states.

Abramson EL, Bates DW, Jenter C, et al. J Am Med Inform Assoc. 2012;19:644-648.

STUDY

Medication reconciliation in a community pharmacy setting.

Johnson CM, Marcy TR, Harrison DL, Young RE, Stevens EL, Shadid J. J Am Pharm Assoc. 2010;50:523-526.

STUDY

The risk of adverse drug events and hospital-related morbidity and mortality among older adults with potentially inappropriate medication use.

Page RL 2nd, Ruscin JM. Am J Geriatr Pharmacother. 2006;4:297-305.

STUDY

In-home medication reviews: a novel approach to improving patient care through coordination of care.

Willis JS, Hoy RH, Jenkins WD. J Community Health. 2011;36:1027-1031.

NEWSPAPER/MAGAZINE ARTICLE

USA Today news series: clarifying the issues and embracing community pharmacy safety.

ISMP Medication Safety Alert! Acute Care Edition. February 28, 2008;13:1-2.

STUDY

Risk models to improve safety of dispensing high-alert medications in community pharmacies.

Cohen MR, Smetzer JL, Westphal JE, Comden SC, Horn DM. J Am Pharm Assoc. 2012;52:584-602.

NEWSPAPER/MAGAZINE ARTICLE

System breakdown: 4 med errors, 250 scripts/day.

Mulligan M. Drug Topics. July 1, 2009;153:22-24,26.

STUDY

Dispensing errors in community pharmacy: perceived influence of sociotechnical factors.

Szeinbach S, Seoane-Vazquez E, Parekh A, Herderick M. Int J Qual Health Care. 2007;19:203-09.

REVIEW

Epidemiology of medication-related adverse events in nursing homes.

Handler SM, Wright RM, Ruby CM, Hanlon JT. Am J Geriatr Pharmacother. 2006;4:264-272.

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

Results of ISMP survey on high-alert medications: differences between nursing, pharmacy, and risk/quality/safety perspectives.

ISMP Medication Safety Alert! Acute Care Edition. February 9, 2012;17:1-4.

STUDY

Potentially inappropriate medication use in hospitalized elders.

Rothberg MB, Pekow PS, Liu F, et al. J Hosp Med. 2008;3:91-102.

NEWSPAPER/MAGAZINE ARTICLE

"20/20" captures community pharmacy errors, but vision seems to be shortsighted.

ISMP Medication Safety Alert! Acute Care Edition. April 5, 2007;12:1, 3.

NEWSPAPER/MAGAZINE ARTICLE

Medication mistakes that can kill.

Haiken M. Caring.com. August 17, 2009.

STUDY

Nursing home error and level of staff credentials.

Scott-Cawiezell J, Pepper GA, Madsen RW, Petroski G, Vogelsmeier A, Zellmer D. Clin Nurs Res. 2007;16:72-78.

STUDY

Adverse drug reactions and therapeutic errors in older adults: a hazard factor analysis of poison center data.

Cobaugh DJ, Krenzelok EP. Am J Health Syst Pharm. 2006;63:2228-2234.

NEWSPAPER/MAGAZINE ARTICLE

Results of our survey on drug storage, stability, compatibility, and beyond use dating.

ISMP Medication Safety Alert! Acute Care Edition. March 22, 2012;17:1-4.

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