AHRQ Patient Safety Network

The Collection > Technologic Approaches

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Safety Target

•Device-related Complications (36)

•Diagnostic Errors (50)

•Identification Errors (40)

•Discontinuities, Gaps, and Hand-Off Problems (126)

•Fatigue and Sleep Deprivation (5)

•Medication Safety (520)

•Medical Complications (69)

•Nonsurgical Procedural Complications (7)

•Surgical Complications (58)

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Error Types

•Epidemiology of Errors and Adverse Events (237)

•Active Errors (212)

•Latent Errors (78)

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Approach to Improving Safety
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Technologic Approaches

•Automatic drug dispensers (46)

•Bar Coding and Radiofrequency ID Tagging (126)

•Computerized Adverse Event Detection (114)

•Computer-Assisted Therapy (10)

•Telemedicine (15)

•Clinical Information Systems (509)

Clinical Areas

•Allied Health Services (1)

•Medicine (574)

•Nursing (74)

•Pharmacy (230)

Target Audience

•Health Care Providers (693)

•Health Care Executives and Administrators (772)

•Non-Health Care Professionals (572)

•Patients (75)

Setting of Care

•Hospitals (634)

•Psychiatric Facilities (1)

•Residential Facilities (15)

•Ambulatory Care (129)

•Outpatient Surgery (7)

•Patient Transport (2)

1 - 20 of 989

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COMMENTARY

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:1062-1065.

STUDY

The computerized rounding report: implementation of a model system to support transitions of care.

Wohlauer MV, Rove KO, Pshak TJ, et al. J Surg Res. 2012;172:11-17.

COMMENTARY

Patient safety event reporting in a large radiology department.

Schultz SR, Watson RE Jr, Prescott SL, et al. AJR Am J Roentgenol. 2011;197:684-688.

STUDY

Patient safety issues in advanced practice nursing students' care settings.

Schnall R, Cook S, John RM, et al. J Nurs Care Qual. 2012;27:132-138.

REVIEW

Hospitalist handoffs: a systematic review and task force recommendations.

Arora VM, Manjarrez E, Dressler DD, Basaviah P, Halasyamani L, Kripalani S. J Hosp Med. 2009;4:433-440.

COMMENTARY

Diagnostic errors—The next frontier for patient safety.

Newman-Toker DE, Pronovost PJ. JAMA. 2009;301:1060-1062.

STUDY

Improving the usability of intravenous medication labels to support safe medication delivery.

Bauer DT, Guerlain S. Int J Ind Ergon. 2011;41:394-399.

COMMENTARY

Is the Admission Drug Dose Too Low?

Kaushal R, Abramson E. AHRQ WebM&M [serial online]. August 2009.

STUDY

Medication errors in paediatric outpatients.

Kaushal R, Goldmann DA, Keohane CA, et al. Qual Saf Health Care. 2010;19:e30.

STUDY

Clinically missed cancer: how effectively can radiologists use computer-aided detection?

Nishikawa RM, Schmidt RA, Linver MN, Edwards AV, Papaioannou J, Stull MA. AJR Am J Roentgenol. 2012;198:708-716.

COMMENTARY

ISMP medication error report analysis.

Smetzer JL, Cohen MR. Hosp Pharm. 2008;43:869-872.

STUDY

New technologies in radiation therapy: ensuring patient safety, radiation safety and regulatory issues in radiation oncology.

Amols HI. Health Phys. 2008;95:658-665.

STUDY

Analysis and prioritization of near-miss adverse events in a radiology department.

Thornton RH, Miransky J, Killen AR, Solomon SB, Brody LA. AJR Am J Roentgenol. 2011;196:1120-1124.

COMMENTARY classic

Five years after 'To Err is Human': what have we learned?

Leape LL, Berwick DM. JAMA. 2005;293:2384-2390.

REVIEW

Improving safety in the operating room: a systematic literature review of retained surgical sponges.

Wan W, Le T, Riskin L, Macario A. Curr Opin Anaesthesiol. 2009;22:207-214.

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.

STUDY

Dropping the baton during the handoff from emergency department to primary care: pediatric asthma continuity errors.

Hsiao AL, Shiffman RN. Jt Comm J Qual Patient Saf. 2009;35:467-474.

NEWSPAPER/MAGAZINE ARTICLE

Oops, sorry, wrong patient! A patient verification process is needed everywhere, not just at the bedside.

ISMP Medication Safety Alert! Acute Care Edition. March 10, 2011;16:1-4.

STUDY

Characteristics and predictors of missed opportunities in lung cancer diagnosis: an electronic health record-based study.

Singh H, Hirani K, Kadiyala H, et al. J Clin Oncol. 2010;28:3307-3315.

NEWSPAPER/MAGAZINE ARTICLE

Common cause analysis.

Clapper C, Crea K. Patient Saf Qual Healthc. May/June 2010;7:30-35.

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