AHRQ Patient Safety Network

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The Collection

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Safety Target

•Device-related Complications (81)

•Diagnostic Errors (121)

•Identification Errors (59)

•Discontinuities, Gaps, and Hand-Off Problems (385)

•Fatigue and Sleep Deprivation (63)

•Medication Safety (972)

•Medical Complications (264)

•Nonsurgical Procedural Complications (39)

•Surgical Complications (250)

•Transfusion Complications (11)

•Psychological and Social Complications (80)

Origin/Sponsor

•Africa (4)

•Asia (57)

•Australia and New Zealand (84)

•Central and South America (9)

•Europe (391)

•North America (1889)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (1234)

•Active Errors (337)

•Latent Errors (98)

•Near Miss (56)

Approach to Improving Safety

•Quality Improvement Strategies (467)

•Legal and Policy Approaches (96)

•Error Reporting and Analysis (789)

•Communication Improvement (524)

•Human Factors Engineering (213)

•Teamwork (157)

•Specialization of Care (188)

•Logistical Approaches (208)

•Culture of Safety (239)

•Technologic Approaches (483)

•Education and Training (388)

Clinical Areas

•Allied Health Services (5)

Target Audience

•Health Care Providers (1637)

•Health Care Executives and Administrators (1989)

•Non-Health Care Professionals (841)

•Patients (26)

Setting of Care

•Hospitals (1758)

•Psychiatric Facilities (9)

•Residential Facilities (53)

•Ambulatory Care (304)

•Outpatient Surgery (13)

•Patient Transport (22)

1 - 20 of 2431

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STUDY

Clinical and safety impact of an inpatient pharmacist-directed anticoagulation service.

Schillig J, Kaatz S, Hudson M, Krol GD, Szandzik EG, Kalus JS. J Hosp Med. 2011;6:322-328.

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

Effect of a pharmacist intervention on clinically important medication errors after hospital discharge: a randomized trial.

Kripalani S, Roumie CL, Dalal AK, et al; PILL-CVD (Pharmacist Intervention for Low Literacy in Cardiovascular Disease) Study Group. Ann Intern Med. 2012;157:1-10.

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

Hospital discharge documentation and risk of rehospitalisation.

Hansen LO, Strater A, Smith L, et al. BMJ Qual Saf. 2011;20:773-778.

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

Medication reconciliation for reducing drug-discrepancy adverse events.

Boockvar KS, Carlson Lacorte H, Giambanco V, Fridman B, Siu A. Am J Geriatr Pharmacother. 2006;4:236-243.

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

Acceptance of recommendations by inpatient pharmacy case managers: unintended consequences of hospitalist and specialist care.

Anderegg SV, Demik DE, Carter BL, et al. Pharmacotherapy. 2013;33:11-21.

STUDY

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

STUDY

Errors in medication history at hospital admission: prevalence and predicting factors.

Hellström LM, Bondesson A, Höglund P, Eriksson T. BMC Clin Pharmacol. 2012;12:9.

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

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

Classifying and predicting errors of inpatient medication reconciliation.

Pippins JR, Gandhi TK, Hamann C, et al. J Gen Intern Med. 2008;23:1414-1422.

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

Assessment of a safety enhancement to the hospital medication reconciliation process for elderly patients.

Gizzi LA, Slain D, Hare JT, Sager R, Briggs F 3rd, Palmer CH. Am J Geriatr Pharmacother. 2010;8:127-135.

STUDY

Medication reconciliation performed by pharmacy technicians at the time of preoperative screening.

van den Bemt PM, van den Broek S, van Nunen AK, Harbers JB, Lenderink AW. Ann Pharmacother. 2009;43:868-874.

STUDY

Medication reconciliation during internal hospital transfer and impact of computerized prescriber order entry.

Lee JY, Leblanc K, Fernandes OA, et al. Ann Pharmacother. 2010;44:1887-1895.

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

Effect of bar-code–assisted medication administration on medication administration errors and accuracy in multiple patient care areas.

Helmons PJ, Wargel LN, Daniels CE. Am J Health Syst Pharm. 2009;66:1202-1210.

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