AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (2)

•Diagnostic Errors (22)

•Identification Errors (3)

•Discontinuities, Gaps, and Hand-Off Problems (16)

•Medication Safety (114)

•Medical Complications (12)

•Surgical Complications (5)

•Transfusion Complications (2)

•Psychological and Social Complications (1)

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•Australia and New Zealand (4)

•North America (134)

Resource Types

•Audiovisual (1)

•Book/Report (2)

•Journal Article (152)

•Newspaper/Magazine Article (15)

•Special or Theme Issue (3)

Error Types

•Epidemiology of Errors and Adverse Events (37)

•Active Errors (43)

•Latent Errors (9)

Approach to Improving Safety
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Computerized Decision Support

Clinical Areas

•Medicine (111)

•Pharmacy (38)

Target Audience

•Health Care Providers (116)

•Health Care Executives and Administrators (123)

•Non-Health Care Professionals (124)

•Patients (8)

Setting of Care

•Hospitals (82)

•Residential Facilities (7)

•Ambulatory Care (25)

1 - 20 of 174

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STUDY

Concept and development of a discharge alert filter for abnormal laboratory values coupled with computerized provider order entry: a tool for quality improvement and hospital risk management.

Mathew G, Kho A, Dexter P, et al. J Patient Saf. 2012;8:69-75.

STUDY

Systematically improving physician assignment during in-hospital transitions of care by enhancing a preexisting hospital electronic health record.

Zsenits B, Polashenski WA, Sterns RH, Brown DR IV, Moheet A. J Hosp Med. 2009;4:308-312.

NEWSPAPER/MAGAZINE ARTICLE

Piecing together medication administration.

Anderson HJ. Health Data Manage. May 1, 2009;17:22.

NEWSPAPER/MAGAZINE ARTICLE

As industry automates, adverse events continue to haunt caregivers.

Wetzel TG. Health Data Manage. 2011 Feb;19:86, 88, 90 passim.

STUDY

Using computerized provider order entry and clinical decision support to improve referring physicians' implementation of consultants' medical recommendations.

Were MC, Abernathy G, Hui SL, Kempf C, Weiner M. J Am Med Inform Assoc. 2009;16:196-202.

STUDY

Preventability of adverse drug events involving multiple drugs using publicly available clinical decision support tools.

Wright A, Feblowitz J, Phansalkar S, et al. Am J Health Syst Pharm. 2012;69:221-227.

STUDY

classic

Electronic alerts to prevent venous thromboembolism among hospitalized patients.

Kucher N, Koo S, Quiroz R, et al. N Engl J Med. 2005;352:969-977.

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.

STUDY

Use of electronic health records in US hospitals.

Jha AK, Desroches CM, Campbell EG, et al. N Engl J Med. 2009;360:1628-1638.

STUDY

The impact of prescribing safety alerts for elderly persons in an electronic medical record: an interrupted time series evaluation.

Smith DH, Perrin N, Feldstein A, et al. Arch Intern Med. 2006;166:1098-1104.

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.

STUDY

A survey of factors affecting clinician acceptance of clinical decision support.

Sittig DF, Krall MA, Dykstra RH, Russell A, Chin HL. BMC Med Inform Decis Mak. 2006;6:6.

NEWSPAPER/MAGAZINE ARTICLE

CPOE: it don't come easy.

Anderson HJ. Health Data Manag. January 1, 2009;17:18.

STUDY

Standard practices for computerized clinical decision support in community hospitals: a national survey.

Ash JS, McCormack JL, Sittig DF, Wright A, McMullen C, Bates DW. J Am Med Inform Assoc. 2012;19:980-987.

BOOK/REPORT

Inpatient Computerized Provider Order Entry: Findings from the AHRQ Health IT Portfolio.

Dixon BE, Zafar A, for AHRQ National Resource Center for Health IT. Rockville, MD: Agency for Healthcare Research and Quality; January 2009. AHRQ Publication No. 09-0031-EF.

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.

STUDY

Association of a clinical knowledge support system with improved patient safety, reduced complications and shorter length of stay among Medicare beneficiaries in acute care hospitals in the United States.

Bonis PA, Pickens GT, Rind DM, Foster DA. Int J Med Inform. 2008;77:745-753.

STUDY

Retrospective evaluation of a computerized physician order entry adaptation to prevent prescribing errors in a pediatric emergency department.

Sard BE, Walsh KE, Doros G, et al. Pediatrics. 2008;122:782-787.

STUDY

The development and evaluation of an integrated electronic prescribing and drug management system for primary care.

Tamblyn R, Huang A, Kawasumi Y, et al. J Am Med Inform Assoc. 2006;13:148-159.

STUDY

Computerized prescribing alerts and group academic detailing to reduce the use of potentially inappropriate medications in older people.

Simon SR, Smith DH, Feldstein AC, et al. J Am Geriatr Soc. 2006;54:963-968.

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