AHRQ Patient Safety Network

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The Collection

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Safety Target

•Device-related Complications (80)

•Diagnostic Errors (122)

•Identification Errors (56)

•Discontinuities, Gaps, and Hand-Off Problems (361)

•Fatigue and Sleep Deprivation (44)

•Medication Safety (886)

•Medical Complications (259)

•Nonsurgical Procedural Complications (38)

•Surgical Complications (256)

•Transfusion Complications (11)

•Psychological and Social Complications (71)

Origin/Sponsor

•Africa (5)

•Asia (67)

•Australia and New Zealand (103)

•Central and South America (8)

•Europe (479)

•North America (1596)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (1181)

•Active Errors (355)

•Latent Errors (98)

•Near Miss (58)

Approach to Improving Safety

•Quality Improvement Strategies (439)

•Legal and Policy Approaches (80)

•Error Reporting and Analysis (707)

•Communication Improvement (496)

•Human Factors Engineering (227)

•Teamwork (154)

•Specialization of Care (169)

•Logistical Approaches (165)

•Culture of Safety (210)

•Technologic Approaches (509)

•Education and Training (342)

Clinical Areas

•Allied Health Services (6)

Target Audience

•Health Care Providers (1606)

•Health Care Executives and Administrators (1898)

•Non-Health Care Professionals (840)

•Patients (19)

Setting of Care

•Hospitals (1665)

•Psychiatric Facilities (13)

•Residential Facilities (51)

•Ambulatory Care (277)

•Outpatient Surgery (15)

•Patient Transport (23)

1 - 20 of 2260

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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

Medication reconciliation: barriers and facilitators from the perspectives of resident physicians and pharmacists.

Boockvar KS, Santos SL, Kushniruk A, Johnson C, Nebeker JR. J Hosp Med. 2011;6:329-337.

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 reconciliation at hospital discharge: evaluating discrepancies.

Wong JD, Bajcar JM, Wong GG, et al. Ann Pharmacother. 2008;42:1373-1379.

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

Utilising improvement science methods to optimise medication reconciliation.

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

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

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

Hospital admission medication reconciliation in medically complex children: an observational study.

Stone BL, Boehme S, Mundorff MB, Maloney CG, Srivastava R. Arch Dis Child. 2010;95:250-255.

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

A prospective observational study of physician handoff for intensive-care-unit-to-ward patient transfers.

Li P, Stelfox HT, Ghali WA. Am J Med. 2011;124:860-867.

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

Does user-centred design affect the efficiency, usability and safety of CPOE order sets?

Chan J, Shojania KG, Easty AC, Etchells EE. J Am Med Inform Assoc. 2011;18:276-281.

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

Preventing potentially inappropriate medication use in hospitalized older patients with a computerized provider order entry warning system.

Mattison MLP, Afonso KA, Ngo LH, Mukamal KJ. Arch Intern Med. 2010;170:1331-1336.

STUDY

Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study.

Walker PC, Bernstein SJ, Tucker Jones JN, et al. Arch Intern Med. 2009;169:2003-2010.

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

Comparison of methods for identifying patients at risk of medication-related harm.

van Doormaal JE, Rommers MK, Kosterink JGW, Teepe-Twiss IM, Haaijer-Ruskamp FM, Mol PGM. Qual Saf Health Care. 2010;19:e26.

STUDY

Effect of patient- and medication-related factors on inpatient medication reconciliation errors.

Salanitro AH, Osborn CY, Schnipper JL, et al. J Gen Intern Med. 2012;27:924-932.

STUDY

Hospital discharge documentation and risk of rehospitalisation.

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

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