AHRQ Patient Safety Network

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The Collection

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Safety Target

•Device-related Complications (80)

•Diagnostic Errors (117)

•Identification Errors (51)

•Discontinuities, Gaps, and Hand-Off Problems (273)

•Fatigue and Sleep Deprivation (41)

•Medication Safety (812)

•Medical Complications (260)

•Nonsurgical Procedural Complications (38)

•Surgical Complications (254)

•Transfusion Complications (11)

•Psychological and Social Complications (70)

Origin/Sponsor

•Africa (5)

•Asia (69)

•Australia and New Zealand (94)

•Central and South America (7)

•Europe (513)

•North America (1426)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (1144)

•Active Errors (375)

•Latent Errors (94)

•Near Miss (60)

Approach to Improving Safety

•Quality Improvement Strategies (411)

•Legal and Policy Approaches (82)

•Error Reporting and Analysis (689)

•Communication Improvement (448)

•Human Factors Engineering (221)

•Teamwork (144)

•Specialization of Care (155)

•Logistical Approaches (155)

•Culture of Safety (209)

•Technologic Approaches (393)

•Education and Training (339)

Clinical Areas

•Allied Health Services (5)

Target Audience

•Health Care Providers (1515)

•Health Care Executives and Administrators (1789)

•Non-Health Care Professionals (751)

•Patients (18)

Setting of Care

•Hospitals (1600)

•Psychiatric Facilities (10)

•Residential Facilities (47)

•Ambulatory Care (250)

•Outpatient Surgery (13)

•Patient Transport (21)

1 - 20 of 2116

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STUDY

Potential risk of medication discrepancies and reconciliation errors at admission and discharge from an inpatient medical service.

Climente-Martí M, García-Mañón ER, Artero-Mora AA, Jiménez-Torres NV. Ann Pharmacother. 2010;44:1747-1754.

STUDY

Bedouch P, Allenet B, Grass A, et al. J Clin Pharm Ther. 2009;34:187-195.

STUDY

Errors and omissions in hospital prescriptions: a survey of prescription writing in a hospital.

Calligaris L, Panzera A, Arnoldo L, et al. BMC Clin Pharmacol. 2009;9:9.

STUDY

Developing a programme for medication reconciliation at the time of admission into hospital.

Manzorro AG, Zoni AC, Rieiro CR, et al. Int J Clin Pharm. 2011;33:603-609.

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.

STUDY

Does the implementation of an electronic prescribing system create unintended medication errors? A study of the sociotechnical context through the analysis of reported medication incidents.

Redwood S, Rajakumar A, Hodson J, Coleman JJ. BMC Med Inform Decis Mak. 2011;11:29.

STUDY

Medication details documented on hospital discharge: cross-sectional observational study of factors associated with medication non-reconciliation.

Grimes TC, Duggan CA, Delaney TP, et al. Br J Clin Pharmacol. 2011;71:449-457.

STUDY

Incidence of adverse events related to health care in Spain: results of the Spanish National Study of Adverse Events.

Aranaz-Andrés JM, Aibar-Remón C, Vitaller-Murillo J, et al. J Epidemiol Community Health. 2008;62:1022-1029.

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

Impact of a computerized physician order entry system on compliance with prescription accuracy requirements.

Mir C, Gadri A, Zelger GL, Pichon R, Pannatier A. Pharm World Sci. 2009;31:596-602.

STUDY

Effect of admission medication reconciliation on adverse drug events from admission medication changes.

Boockvar KS, Blum S, Kugler A, et al. Arch Intern Med. 2011;171:860-861.

STUDY

Accuracy of medication documentation in hospital discharge summaries: a retrospective analysis of medication transcription errors in manual and electronic discharge summaries.

Callen J, McIntosh J, Li J. Int J Med Inform. 2010;79:58-64.

STUDY

Safety of using a computerized rounding and sign-out system to reduce resident duty hours.

Van Eaton EG, McDonough K, Lober WB, Johnson EA, Pellegrini CA, Horvath KD. Acad Med. 2010;85:1189-1195.

STUDY

Disclosure of hospital adverse events and its association with patients' ratings of the quality of care.

López L, Weissman JS, Schneider EC, Weingart SN, Cohen AP, Epstein AM. Arch Intern Med. 2009;169:1888-1894.

STUDY

Analysis of overridden alerts in a drug–drug interaction detection system.

Mille F, Schwartz C, Brion F, et al. Int J Qual Health Care. 2008 Dec; 20:400-5.

STUDY

Medication reconciliation accuracy and patient understanding of intended medication changes on hospital discharge.

Ziaeian B, Araujo KLB, Van Ness PH, Horwitz LI. J Gen Intern Med. 2012;27:1513-1520.

STUDY

Characteristics of medication errors and adverse drug events in hospitals participating in the California Pediatric Patient Safety Initiative.

Takata GS, Taketomo CK, Waite S; for the California Pediatric Patient Safety Initiative. Am J Health Syst Pharm. 2008;65:2036-2044.

STUDY

Early readmissions to the department of medicine as a screening tool for monitoring quality of care problems.

Balla U, Malnick S, Schattner A. Medicine (Baltimore). 2008;87:294-300.

STUDY

Results of the Medications At Transitions and Clinical Handoffs (MATCH) study: an analysis of medication reconciliation errors and risk factors at hospital admission.

Gleason KM, McDaniel MR, Feinglass J, et al. J Gen Intern Med. 2010;25:441-447.

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.

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