AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (1)

•Diagnostic Errors (16)

•Identification Errors (8)

•Discontinuities, Gaps, and Hand-Off Problems (52)

•Fatigue and Sleep Deprivation (1)

•Medication Safety (73)

•Medical Complications (9)

•Nonsurgical Procedural Complications (2)

•Surgical Complications (4)

•Psychological and Social Complications (1)

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•Australia and New Zealand (2)

•North America (180)

Resource Types

•Book/Report (4)

•Journal Article (163)

•Legislation/Regulation (3)

•Meeting/Conference (2)

•Newspaper/Magazine Article (26)

•Special or Theme Issue (3)

•Web Resource (2)

Error Types

•Epidemiology of Errors and Adverse Events (39)

•Active Errors (28)

•Latent Errors (19)

Approach to Improving Safety
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Electronic Health Records

Clinical Areas

•Allied Health Services (1)

•Medicine (129)

•Pharmacy (27)

Target Audience

•Health Care Providers (133)

•Health Care Executives and Administrators (158)

•Non-Health Care Professionals (141)

•Patients (13)

Setting of Care

•Hospitals (107)

•Residential Facilities (3)

•Ambulatory Care (51)

•Outpatient Surgery (3)

1 - 20 of 204

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STUDY

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Effect of bar-code technology on the safety of medication administration.

Poon EG, Keohane CA, Yoon CS, et al. N Engl J Med. 2010;362:1698-1707.

COMMENTARY

Implementation of a telepharmacy service to provide round-the-clock medication order review by pharmacists.

Wakefield DS, Ward MM, Loes JL, O'Brien J, Sperry L. Am J Health Syst Pharm. 2010;67:2052-2057.

STUDY

Medication errors with electronic prescribing (eP): two views of the same picture.

Savage I, Cornford T, Klecun E, Barber N, Clifford S, Franklin BD. BMC Health Serv Res. 2010;10:135.

STUDY

Utilising improvement science methods to optimise medication reconciliation.

White CM, Schoettker PJ, Conway PH, et al. BMJ Qual Saf. 2011;20:372-380.

STUDY

Medicines reconciliation using a shared electronic health care record.

Moore P, Armitage G, Wright J, Dobrzanski S, Ansari N, Hammond I, Scally A. J Patient Saf. 2011;7:147-153.

NEWSPAPER/MAGAZINE ARTICLE

Wrist tag 'offers drug warning.'

BBC News. August 9, 2005.

STUDY

A network collaboration implementing technology to improve medication dispensing and administration in critical access hospitals.

Wakefield DS, Ward MM, Loes JL, O'Brien J. J Am Med Inform Assoc. 2010;17:584-587.

NEWSPAPER/MAGAZINE ARTICLE

Piecing together medication administration.

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

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.

STUDY

ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2011.

Pedersen CA, Schneider PJ, Scheckelhoff DJ. Am J Health Syst Pharm. 2012;69:768-785.

STUDY

Medication administration quality and health information technology: a national study of US hospitals.

Appari A, Carian EK, Johnson ME, Anthony DL. J Am Med Inform Assoc. 2012;19:360-367.

STUDY

Effect of a weight-based prescribing method within an electronic health record on prescribing errors.

Ginzburg R, Barr WB, Harris M, Munshi S. Am J Health Syst Pharm. 2009;66:2037-2041.

STUDY

Electronic health records and adverse drug events after patient transfer.

Boockvar KS, Livote EE, Goldstein N, Nebeker JR, Siu A, Fried T. Qual Saf Health Care. 2010;19:e16.

STUDY

The use of patient pictures and verification screens to reduce computerized provider order entry errors.

Hyman D, Laire M, Redmond D, Kaplan DW. Pediatrics. 2012;130:e211-e219.

STUDY

Exploring situational awareness in diagnostic errors in primary care.

Singh H, Davis Giardina T, Petersen LA, et al. BMJ Qual Saf. 2012;21:30-38.

COMMENTARY

Implementing an electronic medical record with computerized prescriber order entry at a critical access hospital.

Horning R. Am J Health Syst Pharm. 2011;68:2288-2292.

REVIEW

Addressing postdischarge adverse events: a neglected area.

Tsilimingras D, Bates DW. Jt Comm J Qual Patient Saf. 2008;34:85-97.

STUDY

Horus meets Nightingale in the modern age: how nursing communicates with pharmacy in HCIT era.

Armstrong I, Cox MA. Stud Health Technol Inform. 2006;122:585-586.

STUDY

Matching identifiers in electronic health records: implications for duplicate records and patient safety.

McCoy AB, Wright A, Kahn MG, Shapiro JS, Bernstam EV, Sittig DF. BMJ Qual Saf. 2013;22:219-224.

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.

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