AHRQ Patient Safety Network

The Collection > United States of America

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Safety Target

•Device-related Complications (170)

•Diagnostic Errors (173)

•Identification Errors (114)

•Discontinuities, Gaps, and Hand-Off Problems (500)

•Fatigue and Sleep Deprivation (100)

•Medication Safety (1241)

•Medical Complications (465)

•Nonsurgical Procedural Complications (90)

•Surgical Complications (385)

•Transfusion Complications (20)

•Psychological and Social Complications (166)

Origin/Sponsor
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United States of America

•United States Federal Government (263)

•State Governments and Agencies (42)

Resource Types

•Audiovisual (51)

•Award (32)

•Book/Report (219)

•Clinical Guideline (8)

•Journal Article (2788)

•Legislation/Regulation (56)

•Meeting/Conference (28)

•Newsletter/Journal (9)

•Newspaper/Magazine Article (574)

•Press Release/Announcement (19)

•Special or Theme Issue (49)

•Tools/Toolkit (63)

•Web Resource (91)

•Grant (10)

Error Types

•Epidemiology of Errors and Adverse Events (810)

•Active Errors (546)

•Latent Errors (261)

•Near Miss (68)

Approach to Improving Safety

•Quality Improvement Strategies (978)

•Legal and Policy Approaches (414)

•Error Reporting and Analysis (1044)

•Communication Improvement (1009)

•Human Factors Engineering (501)

•Teamwork (353)

•Specialization of Care (298)

•Logistical Approaches (376)

•Culture of Safety (573)

•Technologic Approaches (859)

•Education and Training (854)

Clinical Areas

•Allied Health Services (10)

Target Audience

•Health Care Providers (2587)

•Health Care Executives and Administrators (3096)

•Non-Health Care Professionals (1641)

•Patients (345)

Setting of Care

•Hospitals (2757)

•Psychiatric Facilities (13)

•Residential Facilities (69)

•Ambulatory Care (380)

•Outpatient Surgery (38)

•Patient Transport (21)

1 - 20 of 3997

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STUDY

Work-arounds and artifacts during transition to a computer physician order entry: what they are and what they mean.

Schoville RR. J Nurs Care Qual. 2009;24:316-324.

COMMENTARY

Critical conversations: a call for a nonprocedural "time out."

Sehgal NL, Fox M, Sharpe BA, Vidyarthi AR, Blegen M, Wachter RM. J Hosp Med. 2011;6:157-162.

STUDY

The unintended consequences of computerized provider order entry: findings from a mixed methods exploration.

Ash JS, Sittig DF, Dykstra R, Campbell E, Guappone K. Int J Med Inform. 2009;78(suppl 1): S69-S76.

STUDY

Computerized provider order entry adoption: implications for clinical workflow.

Campbell EM, Guappone KP, Sittig DF, Dykstra RH, Ash JS. J Gen Intern Med. 2009;24:21-26.

NEWSPAPER/MAGAZINE ARTICLE

Effective use of medication-related decision support in CPOE.

Metzger JB, Welebob E, Turisco F, Classen DC. Patient Saf Qual Healthc. Sept/Oct 2008;5:16-24.

NEWSPAPER/MAGAZINE ARTICLE

For all the right reasons.

Hagland M. Healthc Informatics. 2009;26:40-44.

NEWSPAPER/MAGAZINE ARTICLE

Safe practice environment chapter proposed by USP.

ISMP Medication Safety Alert! Acute Care Edition. December 4, 2008;13:1-3.

COMMENTARY

Making inpatient medication reconciliation patient centered, clinically relevant and implementable: a consensus statement on key principles and necessary first steps.

Greenwald JL, Halasyamani L, Greene J, et al. J Hosp Med. 2010;5:477-485.

NEWSPAPER/MAGAZINE ARTICLE

Survey shows recession has weakened patient safety net.

ISMP Medication Safety Alert! Acute Care Edition. January 14, 2010;15:1-4.

REVIEW

What is patient safety culture? A review of the literature.

Sammer CE, Lykens K, Singh KP, Mains DA, Lackan NA. J Nurs Scholarsh. 2010;42:156-165.

REVIEW

Bar code technology and medication administration error.

Young J, Slebodnik M, Sands L. J Patient Saf. 2010;6;115-120.

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.

NEWSPAPER/MAGAZINE ARTICLE

Anticoagulant safety practices call for pharmacist supervision.

Scott A. Drug Topics (Health-System Edition). November 10, 2008.

STUDY

A survey of the impact of disruptive behaviors and communication defects on patient safety.

Rosenstein AH, O'Daniel M. Jt Comm J Qual Patient Saf. 2008;34:464-471.

BOOK/REPORT

Using Workforce Practices to Drive Quality Improvement: A Guide for Hospitals.

McHugh M, Garman A, McAlearney A, Song P, Harrison M. Chicago, IL: Health Research & Educational Trust; June 2010.

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.

COMMENTARY

Utilizing information technology to mitigate the handoff risks caused by resident work hour restrictions.

Bernstein J, MacCourt DC, Jacob DM, Mehta S. Clin Orthop Relat Res. 2010;468:2627-2732.

STUDY

Collaboration between pharmacists, physicians and nurse practitioners: a qualitative investigation of working relationships in the inpatient medical setting.

Makowsky MJ, Schindel TJ, Rosenthal M, Campbell K, Tsuyuki RT, Madill HM. J Interprof Care. 2009;23:169-84.

AUDIOVISUAL PRESENTATION

When things go wrong.

Institute for Healthcare Improvement. Campaign Live. August 18, 2008.

NEWSPAPER/MAGAZINE ARTICLE

Shakespeare was on target—don't be a borrower or lender.

ISMP Medication Safety Alert! Acute Care Edition. November 19, 2009;14:1-3.

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