AHRQ Patient Safety Network

The Collection > United States of America

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Safety Target

•Device-related Complications (134)

•Diagnostic Errors (149)

•Identification Errors (89)

•Discontinuities, Gaps, and Hand-Off Problems (399)

•Fatigue and Sleep Deprivation (107)

•Medication Safety (1232)

•Medical Complications (354)

•Nonsurgical Procedural Complications (52)

•Surgical Complications (297)

•Transfusion Complications (16)

•Psychological and Social Complications (123)

Origin/Sponsor
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United States of America

•United States Federal Government (231)

•State Governments and Agencies (26)

Resource Types

•Clinical Guideline (8)

•Journal Article (2387)

•Legislation/Regulation (47)

•Meeting/Conference (30)

•Newsletter/Journal (13)

•Newspaper/Magazine Article (558)

•Press Release/Announcement (29)

•Special or Theme Issue (55)

•Tools/Toolkit (63)

•Web Resource (95)

•Grant (8)

Error Types

•Epidemiology of Errors and Adverse Events (667)

•Active Errors (406)

•Latent Errors (208)

•Near Miss (47)

Approach to Improving Safety

•Quality Improvement Strategies (902)

•Legal and Policy Approaches (469)

•Error Reporting and Analysis (966)

•Communication Improvement (807)

•Human Factors Engineering (378)

•Teamwork (228)

•Specialization of Care (256)

•Logistical Approaches (298)

•Culture of Safety (513)

•Technologic Approaches (853)

•Education and Training (642)

Clinical Areas

•Allied Health Services (7)

Target Audience

•Health Care Providers (2513)

•Health Care Executives and Administrators (2698)

•Non-Health Care Professionals (1453)

•Patients (340)

Setting of Care

•Hospitals (2182)

•Psychiatric Facilities (11)

•Residential Facilities (50)

•Ambulatory Care (353)

•Outpatient Surgery (30)

•Patient Transport (10)

1 - 20 of 3607

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STUDY

Early cost and safety benefits of an inpatient electronic health record.

Zlabek JA, Wickus JW, Mathiason MA. J Am Med Inform Assoc. 2011;18:169-172.

STUDY

Errors associated with medications removed from automated dispensing machines using override functions.

Kester K, Baxter J, Freudenthal K. Hosp Pharm. 2006;41:535-537.

NEWSPAPER/MAGAZINE ARTICLE

For all the right reasons.

Hagland M. Healthc Informatics. 2009;26:40-44.

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

The effects of computerized provider order entry implementation on communication in intensive care units.

Hoonakker PL, Carayon P, Walker JM, Brown RL, Cartmill RS. Int J Med Inform. 2013;82:e107-e117.

NEWSPAPER/MAGAZINE ARTICLE

Piecing together medication administration.

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

STUDY

Impact of a pharmacist on medication reconciliation on patient admission to a Veterans Affairs Medical Center.

Strunk LB, Matson AW, Steinke D. Hosp Pharm. 2008;43:643-649.

STUDY

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.

STUDY

Decrease in hospital-wide mortality rate after implementation of a commercially sold computerized physician order entry system.

Longhurst CA, Parast L, Sandborg CI, et al. Pediatrics. 2010;126:14-21.

STUDY

Health literacy and medication understanding among hospitalized adults.

Marvanova M, Roumie CL, Eden SK, Cawthon C, Schnipper JL, Kripalani S. J Hosp Med. 2011;6:488-493.

STUDY

Description of inpatient medication management using cognitive work analysis.

Pingenot AA, Shanteau J, Sengstacke DN. Comput Inform Nurs. 2009;27:379-392.

STUDY

The unintended consequences of computerized provider order entry: findings from a mixed methods exploration.

Ash JS, Sittig DF, Dykstra R, Campbell E, Guappone K. Int J Med Inform. 2009;78(suppl 1): S69-S76.

COMMENTARY

Implementing online medication reconciliation at a large academic medical center.

Bails D, Clayton K, Roy K, Cantor MN. Jt Comm J Qual Patient Saf. 2008;34:499-508.

STUDY

Impact of electronic prescribing in a hospital setting: a process-focused evaluation.

Cunningham TR, Geller ES, Clarke SW. Int J Med Inform. 2008;77:546-554.

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

User satisfaction with computerized order entry system and its effect on workplace level of stress.

Ghahramani N, Lendel I, Haque R, Sawruk K. J Med Syst. 2009;33:199-205.

STUDY

Intravenous infusion safety technology: return on investment.

Danello SH, Maddox RR, Schaack GJ. Hosp Pharm. 2009;44:680-687, 696.

STUDY

Discrepancies between home medications listed at hospital admission and reported medical conditions.

Slain D, Kincaid SE, Dunsworth TS. Am J Geriatr Pharmacother. 2008;6:161-166.

STUDY

Nurse–pharmacist collaboration on medication reconciliation prevents potential harm.

Feldman LS, Costa LL, Feroli ER Jr, et al. J Hosp Med. 2012;7:396-401.

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.

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