AHRQ Patient Safety Network

The Collection > United States of America

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Safety Target

•Device-related Complications (86)

•Diagnostic Errors (64)

•Identification Errors (73)

•Discontinuities, Gaps, and Hand-Off Problems (147)

•Fatigue and Sleep Deprivation (16)

•Medication Safety (1125)

•Medical Complications (137)

•Nonsurgical Procedural Complications (34)

•Surgical Complications (152)

•Transfusion Complications (6)

•Psychological and Social Complications (31)

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United States of America

•United States Federal Government (66)

•State Governments and Agencies (10)

Resource Types

•Audiovisual (35)

•Award (9)

•Book/Report (63)

•Clinical Guideline (4)

•Journal Article (1086)

•Legislation/Regulation (26)

•Meeting/Conference (12)

•Newsletter/Journal (4)

•Newspaper/Magazine Article (316)

•Press Release/Announcement (25)

•Special or Theme Issue (26)

•Tools/Toolkit (36)

•Web Resource (25)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (396)

•Active Errors (526)

•Latent Errors (131)

•Near Miss (39)

Approach to Improving Safety

•Quality Improvement Strategies (359)

•Legal and Policy Approaches (148)

•Error Reporting and Analysis (447)

•Communication Improvement (382)

•Human Factors Engineering (444)

•Teamwork (67)

•Specialization of Care (119)

•Logistical Approaches (199)

•Culture of Safety (139)

•Technologic Approaches (434)

•Education and Training (242)

Clinical Areas

•Allied Health Services (5)

Target Audience

•Health Care Providers (1223)

•Health Care Executives and Administrators (1131)

•Non-Health Care Professionals (500)

•Patients (184)

Setting of Care

•Hospitals (914)

•Psychiatric Facilities (4)

•Residential Facilities (39)

•Ambulatory Care (241)

•Outpatient Surgery (16)

•Patient Transport (13)

1 - 20 of 1669

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NEWSPAPER/MAGAZINE ARTICLE

Don't underestimate the impact of change on risk potential.

ISMP Medication Safety Alert! Acute Care Edition. September 11, 2008;13:1-3.

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.

NEWSPAPER/MAGAZINE ARTICLE

Your attention please... designing effective warnings.

ISMP Medication Safety Alert! Acute Care Edition. August 24, 2006;11:1-3.

COMMENTARY

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2007;42:396–399.

STUDY

Laboratory session to improve first-year pharmacy students' knowledge and confidence concerning the prevention of medication errors.

Kiersma ME, Darbishire PL, Plake KS, Oswald C, Walters BM. Am J Pharm Edu. 2009;73:article 99.

NEWSPAPER/MAGAZINE ARTICLE

ISMP updates its list of drug name pairs with Tall man letters.

ISMP Medication Safety Alert! Acute Care Edition. November 18, 2010;15:1-3.

NEWSPAPER/MAGAZINE ARTICLE

Medication errors: a year in review.

Institute for Safe Medication Practices. Pharmacy Practice News. October 2011:7-14.

NEWSPAPER/MAGAZINE ARTICLE

Keeping patients safe from iatrogenic methadone overdoses.

ISMP Medication Safety Alert! Acute Care Edition. February 14, 2008;13:1-3.

PRESS RELEASE/ANNOUNCEMENT

Heparin sodium injection 10,000 units/mL, and HEP-LOCK U/P 10 units/mL medication errors.

MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; February 6, 2007.

NEWSPAPER/MAGAZINE ARTICLE

To protect against drug errors, ask questions.

Brody JE. New York Times. January 2, 2007:F7.

COMMENTARY

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2008;43:10-12.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2008;43:547-550, 554.

COMMENTARY

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:18-21.

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.

NEWSPAPER/MAGAZINE ARTICLE

Action needed to prevent dangerous heparin-insulin confusion.

ISMP Medication Safety Alert! Acute Care Edition. May 3, 2007;12:1-2.

COMMENTARY

Applying Lean Sigma solutions to mistake-proof the chemotherapy preparation process.

Aboumatar HJ, Winner L, Davis R, et al. Jt Comm J Qual Patient Saf. 2010;36:79-86, AP1-AP4.

NEWSPAPER/MAGAZINE ARTICLE

Neuromuscular blocking agents: reducing associated wrong-drug errors.

PA-PSRS Patient Saf Advis. December 2009;6:109-114.

NEWSPAPER/MAGAZINE ARTICLE

Fatal 1,000-fold overdoses can occur, particularly in neonates, by transposing mcg and mg.

ISMP Medication Safety Alert! Acute Care Edition. September 6, 2007;12:1-4.

COMMENTARY

Improving care transitions: current practice and future opportunities for pharmacists.

American College of Clinical Pharmacy, Hume AL, Kirwin J, et al. Pharmacotherapy. 2012;32:e326-e337.

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.

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