AHRQ Patient Safety Network

The Collection > United States of America

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Safety Target

•Device-related Complications (96)

•Diagnostic Errors (87)

•Identification Errors (62)

•Discontinuities, Gaps, and Hand-Off Problems (538)

•Fatigue and Sleep Deprivation (80)

•Medication Safety (1057)

•Medical Complications (255)

•Nonsurgical Procedural Complications (29)

•Surgical Complications (179)

•Transfusion Complications (9)

•Psychological and Social Complications (79)

Origin/Sponsor
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United States of America

•United States Federal Government (111)

•State Governments and Agencies (12)

Resource Types

•Clinical Guideline (3)

•Journal Article (1903)

•Legislation/Regulation (33)

•Meeting/Conference (27)

•Newsletter/Journal (5)

•Newspaper/Magazine Article (392)

•Press Release/Announcement (11)

•Special or Theme Issue (53)

•Tools/Toolkit (42)

•Web Resource (61)

•Grant (13)

Error Types

•Epidemiology of Errors and Adverse Events (546)

•Active Errors (305)

•Latent Errors (164)

•Near Miss (43)

Approach to Improving Safety

•Quality Improvement Strategies (680)

•Legal and Policy Approaches (335)

•Error Reporting and Analysis (707)

•Communication Improvement (709)

•Human Factors Engineering (308)

•Teamwork (178)

•Specialization of Care (207)

•Logistical Approaches (225)

•Culture of Safety (418)

•Technologic Approaches (801)

•Education and Training (465)

Clinical Areas

•Allied Health Services (7)

Target Audience

•Health Care Providers (1806)

•Health Care Executives and Administrators (2301)

•Non-Health Care Professionals (1250)

•Patients (231)

Setting of Care

•Hospitals (1657)

•Psychiatric Facilities (8)

•Residential Facilities (52)

•Ambulatory Care (274)

•Outpatient Surgery (22)

•Patient Transport (15)

1 - 20 of 2781

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STUDY

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

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

MULTI-USE WEBSITE

The Patient Safety Group.

Boston, MA.

STUDY

Using consumer-based kiosk technology to improve and standardize medication reconciliation in a specialty care setting.

Lesselroth B, Adams S, Felder R, et al. Jt Comm J Qual Patient Saf. 2009;35:264-271.

STUDY

Identifying causes of adverse events detected by an automated trigger tool through in-depth analysis.

Muething SE, Conway PH, Kloppenborg E, et al. Qual Saf Health Care. 2010;19:435-439.

COMMENTARY

ADEs and automation.

Kloppenborg E, Wheeler TA, Luria J. Nurs Manage. 2009;40:43-47.

STUDY

Electronic health record adoption by children's hospitals in the United States.

Nakamura MM, Ferris TG, DesRoches CM, Jha AK. Arch Pediatr Adolesc Med. 2010;164:1145-1151.

COMMENTARY

Enhancing electronic health record usability in pediatric patient care: a scenario-based approach.

Patterson ES, Zhang J, Abbott P, et al. Jt Comm J Qual Patient Saf. 2013;39:129-135.

STUDY

Effect of an electronic medication reconciliation application and process redesign on potential adverse drug events: a cluster-randomized trial.

Schnipper JL, Hamann C, Ndumele CD, et al. Arch Intern Med. 2009;169:771-780.

STUDY

Patient readmissions, emergency visits, and adverse events after software-assisted discharge from hospital: cluster randomized trial.

Graumlich JF, Novotny NL, Nace GS, et al. J Hosp Med. 2009;4:E11-E19.

NEWSPAPER/MAGAZINE ARTICLE

Can high tech save your life?

Fischman J. US News and World Report. August 1, 2005;139:45,49-50,52.

SPECIAL OR THEME ISSUE

Patient Safety.

Matlow A, Laxer RM, eds. Pediatr Clin North Am. 2006;53:1053-1267.

STUDY

Computerized surveillance for adverse drug events in a pediatric hospital.

Kilbridge PM, Noirot LA, Reichley RM, et al. J Am Med Inform Assoc. 2009;16:607-612.

STUDY

Hospital admission medication reconciliation in medically complex children: an observational study.

Stone BL, Boehme S, Mundorff MB, Maloney CG, Srivastava R. Arch Dis Child. 2010;95:250-255.

STUDY

Evaluation of a Web-based education program on reducing medication dosing error: a multicenter, randomized controlled trial.

Frush K, Hohenhaus S, Luo X, Gerardi M, Wiebe RA. Pediatr Emerg Care. 2006;22:62-70.

MEETING/CONFERENCE PROCEEDINGS

2005 Annual Patient Safety and Health Information Technology Conference: Making the Health Care System Safer through Implementation and Innovation.

Agency for Healthcare Research and Quality. June 6-10, 2005.

STUDY

Risk reduction for adverse drug events through sequential implementation of patient safety initiatives in a children's hospital.

Leonard MS, Cimino M, Shaha S, McDougal S, Pilliod J, Brodsky L. Pediatrics. 2006;118:e1124-e1129.

STUDY

Standard drug concentrations and smart-pump technology reduce continuous-medication-infusion errors in pediatric patients.

Larsen GY, Parker HB, Cash J, O'Connell M, Grant MC. Pediatrics. 2005;116:e21-25.

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.

MULTI-USE WEBSITE

Solutions for Patient Safety.

Ohio Business Roundtable. 41 S. High Street, Suite 2240, Columbus, OH, 43215.

STUDY

Early adopters of computerized physician order entry in hospitals that care for children: a picture of US health care shortly after the Institute of Medicine reports on quality.

Teufel RJ 2nd, Swanson Kazley A, Basco WT Jr. Clin Pediatr (Phila). 2009;48:389-396.

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