AHRQ Patient Safety Network

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The Collection

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Safety Target

•Device-related Complications (69)

•Diagnostic Errors (88)

•Identification Errors (46)

•Discontinuities, Gaps, and Hand-Off Problems (240)

•Fatigue and Sleep Deprivation (39)

•Medication Safety (852)

•Medical Complications (229)

•Nonsurgical Procedural Complications (34)

•Surgical Complications (165)

•Transfusion Complications (9)

•Psychological and Social Complications (59)

Origin/Sponsor

•Africa (4)

•Asia (63)

•Australia and New Zealand (91)

•Central and South America (9)

•Europe (468)

•North America (1278)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (1118)

•Active Errors (281)

•Latent Errors (85)

•Near Miss (46)

Approach to Improving Safety

•Quality Improvement Strategies (353)

•Legal and Policy Approaches (68)

•Error Reporting and Analysis (659)

•Communication Improvement (367)

•Human Factors Engineering (173)

•Teamwork (88)

•Specialization of Care (146)

•Logistical Approaches (154)

•Culture of Safety (185)

•Technologic Approaches (387)

•Education and Training (260)

Clinical Areas

•Allied Health Services (2)

Target Audience

•Health Care Providers (1261)

•Health Care Executives and Administrators (1604)

•Non-Health Care Professionals (649)

•Patients (13)

Setting of Care

•Hospitals (1516)

•Psychiatric Facilities (7)

•Residential Facilities (33)

•Ambulatory Care (214)

•Outpatient Surgery (8)

•Patient Transport (13)

1 - 20 of 1910

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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

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

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

ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2011.

Pedersen CA, Schneider PJ, Scheckelhoff DJ. Am J Health Syst Pharm. 2012;69:768-785.

STUDY

Effect of medication reconciliation at hospital admission on medication discrepancies during hospitalization and at discharge for geriatric patients.

Cornu P, Steurbaut S, Leysen T, et al. Ann Pharmacother. 2012;46:484-494.

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

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

STUDY

Paradoxical effects of a hospital-based, multi-intervention programme aimed at reducing medication round interruptions.

Tomietto M, Sartor A, Mazzocoli E, Palese A. J Nurs Manag. 2012;20:335-343.

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

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

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

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

The effect of medication reconciliation in elderly patients at hospital discharge.

Midlöv P, Bahrani L, Seyfali M, Höglund P, Rickhag E, Eriksson T. Int J Clin Pharm. 2012;34:113-119.

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 comprehensive pharmacist intervention to reduce morbidity in patients 80 years or older: a randomized controlled trial.

Gillespie U, Alassaad A, Henrohn D, et al. Arch Intern Med. 2009;169:894-900.

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

If only...: failed, missed and absent error recovery opportunities in medication errors.

Habraken MMP, van der Schaaf TW. Qual Saf Health Care. 2010;19:37-41.

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 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

Rural inpatient telepharmacy consultation demonstration for after-hours medication review.

Cole SL, Grubbs JH, Din C, Nesbitt TS. Telemed E Health. 2012;18:530-537.

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