AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (29)

•Diagnostic Errors (54)

•Identification Errors (24)

•Discontinuities, Gaps, and Hand-Off Problems (135)

•Fatigue and Sleep Deprivation (24)

•Medication Safety (285)

•Medical Complications (119)

•Nonsurgical Procedural Complications (17)

•Surgical Complications (121)

•Transfusion Complications (5)

•Psychological and Social Complications (112)

Origin/Sponsor

•Australia and New Zealand (10)

•North America (910)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (384)

•Active Errors (148)

•Latent Errors (29)

•Near Miss (25)

Approach to Improving Safety

•Quality Improvement Strategies (188)

•Legal and Policy Approaches (50)

•Error Reporting and Analysis (249)

•Communication Improvement (283)

•Human Factors Engineering (88)

•Teamwork (91)

•Specialization of Care (67)

•Logistical Approaches (71)

•Culture of Safety (94)

•Technologic Approaches (174)

•Education and Training (170)

Clinical Areas

•Allied Health Services (3)

•Medicine (773)

•Nursing (44)

•Pharmacy (81)

Target Audience

•Health Care Providers (898)

•Health Care Executives and Administrators (736)

•Non-Health Care Professionals (380)

•Patients (17)

Setting of Care

•Hospitals (601)

•Psychiatric Facilities (5)

•Residential Facilities (24)

•Ambulatory Care (188)

•Outpatient Surgery (6)

•Patient Transport (10)

1 - 20 of 954

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STUDY

Physician perspectives on quality and error in the outpatient setting.

Manwell LB, Williams ES, Babbott S, Rabatin JS, Linzer M. WMJ. 2009;108:139-144.

STUDY

Burden of difficult encounters in primary care: data from the Minimizing Error, Maximizing Outcomes Study.

An PG, Rabatin JS, Manwell LB, Linzer M, Brown RL, Schwartz MD, for the MEMO Investigators. Arch Intern Med. 2009;169:410-414.

STUDY

Older adults' perceptions of feeling safe in urban and rural acute care.

Lasiter S, Duffy J. J Nurs Adm. 2013;43:30-66.

STUDY

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Patients' and physicians' attitudes regarding the disclosure of medical errors.

Gallagher TH, Waterman AD, Ebers AG, Fraser VJ, Levinson W. JAMA. 2003;289:1001-1007.

STUDY

Improving prescription drug warnings to promote patient comprehension.

Wolf MS, Davis TC, Bass PF, et al. Arch Intern Med. 2010;170:50-56.

STUDY

Professionalism: a necessary ingredient in a culture of safety.

DuPree E, Anderson R, McEvoy MD, Brodman M. Jt Comm J Qual Patient Saf. 2011;37:447-455.

STUDY

Framing family conversation after early diagnosis of iatrogenic injury and incidental findings.

Barrios L, Tsuda S, Derevianko A, et al. Surg Endosc. 2009;23:2535-2542.

STUDY

The safety journal: lessons learned with an error reporting tool to stimulate systems thinking.

Singh R, Naughton B, Singh A, Anderson DR, Singh G. J Patient Saf. 2007;3:135-141.

STUDY

Teaching and medical errors: primary care preceptors' views.

Mazor KM, Fischer MA, Haley HL, Hatem D, Quirk ME. Med Educ. 2005;39:982-990.

STUDY

How do physicians conduct medication reviews?

Tarn DM, Paterniti DA, Kravitz RL, Fein S, Wenger NS. J Gen Intern Med. 2009;24:1296-1302.

STUDY

Electronic health record use and the quality of ambulatory care in the United States.

Linder JA, Ma J, Bates DW, Middleton B, Stafford BS. Arch Intern Med. 2007;167:1400-1405.

STUDY

Failure to engage hospitalized elderly patients and their families in advance care planning.

Heyland DK, Barwich D, Pichora D, et al; ACCEPT (Advance Care Planning Evaluation in Elderly Patients) Study Team; Canadian Researchers at the End of Life Network (CARENET). JAMA Intern Med. 2013 Apr 1; [Epub ahead of print].

STUDY

Improving medication reconciliation in the outpatient setting.

Varkey P, Cunningham J, Bisping S. Jt Comm J Qual Patient Saf. 2007;33:286-292.

STUDY

Assessing the value of electronic prescribing in ambulatory care: A focus group study.

Weingart SN, Massagli M, Cyrulik A, et al. Int J Med Inform. 2009;78:571-578.

STUDY

Performance of a fail-safe system to follow up abnormal mammograms in primary care.

Grossman E, Phillips RS, Weingart SN. J Patient Saf. 2010;6:172-179.

STUDY

Direct reporting of laboratory test results to patients by mail to enhance patient safety.

Sung S, Forman-Hoffman V, Wilson MC, Cram P. J Gen Intern Med. 2006;21:1075-78.

STUDY

Using an electronic prescribing system to ensure accurate medication lists in a large multidisciplinary medical group.

Stock R, Scott J, Gurtel S. Jt Comm J Qual Patient Saf. 2009;35:271-279.

STUDY

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The care transitions intervention: translating from efficacy to effectiveness.

Voss R, Gardner R, Baier R, Butterfield K, Lehrman S, Gravenstein S. Arch Intern Med. 2011;171:1232-1237.

STUDY

Do medication samples jeopardize patient safety?

Franks AS, Ray SM, Wallace LS, Keenum AJ, Weiss BD. Ann Pharmacother. 2008;43:51-56.

STUDY

Toward patient-centered cancer care: patient perceptions of problematic events, impact, and response.

Mazor KM, Roblin DW, Greene SM, et al. J Clin Oncol. 2012;30:1784-1790.

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