The AHRQ PSNet Collection comprises an extensive selection of resources relevant to the patient safety community. These resources come in a variety of formats, including literature, research, tools, and Web sites. Resources are identified using the National Library of Medicine’s Medline database, various news and content aggregators, and the expertise of the AHRQ PSNet editorial and technical teams.
This chart review study found that callbacks from retail pharmacies to a pediatric emergency department were usually related to insurance or clinically insignificant errors, but more than 10% were considered at least significant. These findings demonstrate the need for more robust decision support in electronic prescribing.
Vermaire D, Caruso MC, Lesko A, et al. BMJ Qual Saf. 2011;20:895-902.
A comprehensive quality improvement intervention resulted in a significant reduction in adverse drug events due to opioid pain medications, particularly in the immediate postoperative period.
Sharek PJ, McClead RE, Taketomo C, et al. Pediatrics. 2008;122:e861-e866.
… events (ADEs). Fourteen participating hospitals adopted a series of recommended interventions while tracking ADE rates in a pre- and postintervention study design. Investigators discovered a 67% reduction in narcotic-related ADE rates, and also noted …