AHRQ Patient Safety Network

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The Collection

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Safety Target

•Device-related Complications (32)

•Diagnostic Errors (73)

•Identification Errors (26)

•Discontinuities, Gaps, and Hand-Off Problems (214)

•Fatigue and Sleep Deprivation (46)

•Medication Safety (720)

•Medical Complications (119)

•Nonsurgical Procedural Complications (16)

•Surgical Complications (97)

•Transfusion Complications (3)

•Psychological and Social Complications (62)

Origin/Sponsor

•Asia (15)

•Australia and New Zealand (21)

•Central and South America (1)

•Europe (154)

•North America (1307)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (603)

•Active Errors (165)

•Latent Errors (54)

•Near Miss (31)

Approach to Improving Safety

•Quality Improvement Strategies (256)

•Legal and Policy Approaches (68)

•Error Reporting and Analysis (475)

•Communication Improvement (372)

•Human Factors Engineering (88)

•Teamwork (66)

•Specialization of Care (103)

•Logistical Approaches (138)

•Culture of Safety (125)

•Technologic Approaches (332)

•Education and Training (233)

Clinical Areas

•Allied Health Services (5)

•Medicine (1152)

•Nursing (88)

•Pharmacy (293)

Target Audience

•Health Care Providers (1157)

•Health Care Executives and Administrators (1071)

•Non-Health Care Professionals (520)

•Patients (33)

Setting of Care

•Hospitals (913)

•Psychiatric Facilities (5)

•Residential Facilities (34)

•Ambulatory Care (294)

•Outpatient Surgery (5)

•Patient Transport (7)

1 - 20 of 1497

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STUDY

Educating seniors to be patient safety self-advocates in primary care.

Elder NC, Regan SL, Pallerla H, Levin L, Post DM, Cegala DJ. J Patient Saf. 2008;4:106-112.

STUDY

Sources and types of discrepancies between electronic medical records and actual outpatient medication use.

Orrico KB. J Manag Care Pharm. 2008;14:626-631.

STUDY

Retail pharmacy staff perceptions of design strengths and weaknesses of electronic prescribing.

Odukoya O, Chui MA. J Am Med Inform Assoc. 2012;19:1059-1065.

STUDY

A pharmacist-led information technology intervention for medication errors (PINCER): a multicentre, cluster randomised, controlled trial and cost-effectiveness analysis.

Avery AJ, Rodgers S, Cantrill JA, et al. Lancet. 2012;379:1310-1319.

STUDY

Signal and noise: applying a laboratory trigger tool to identify adverse drug events among primary care patients.

Brenner S, Detz A, López A, Horton C, Sarkar U. BMJ Qual Saf. 2012;21:670-675.

STUDY

A steep increase in domestic fatal medication errors with use of alcohol and/or street drugs.

Phillips DP, Barker GEC, Eguchi MM. Arch Intern Med. 2008;168:1561-1566.

STUDY

Patient reported receipt of medication instructions for warfarin is associated with reduced risk of serious bleeding events.

Metlay JP, Hennessy S, Localio AR, et al. J Gen Intern Med. 2008;23:1589-1594.

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

Usability of a computerised drug monitoring programme to detect adverse drug events and non-compliance in outpatient ambulatory care.

Auger C, Forster AJ, Oake N, Tamblyn R. BMJ Qual Saf. 2013;22:306-316.

STUDY

Physician patient communication failure facilitates medication errors in older polymedicated patients with multiple comorbidities.

Mira JJ, Orozco-Beltrán D, Pérez-Jover V, et al. Fam Pract. 2013;30:56-63.

STUDY

Bayesian cohort and cross-sectional analyses of the PINCER trial: a pharmacist-led intervention to reduce medication errors in primary care.

Hemming K, Chilton PJ, Lilford RJ, Avery A, Sheikh A. PLoS ONE. 2012;7:e38306.

STUDY

Cognitive errors and logistical breakdowns contributing to missed and delayed diagnoses of breast and colorectal cancers: a process analysis of closed malpractice claims.

Poon EG, Kachalia A, Puopolo AL, Gandhi TK, Studdert DM. J Gen Intern Med. 2012;27:1416-1423.

STUDY

Patient safety perceptions of primary care providers after implementation of an electronic medical record system.

McGuire MJ, Noronha G, Samal L, Yeh HC, Crocetti S, Kravet S. J Gen Intern Med. 2013;28:184-192.

STUDY

Inappropriate medication use in the elderly: results from a quality improvement project in 99 primary care practices.

Wessell AM, Nietert PJ, Jenkins RG, Nemeth LS, Ornstein SM. Am J Geriatr Pharmacother. 2008;6:21-27.

STUDY

Adoption of patient-centered care practices by physicians: results from a national survey.

Audet AM, Davis K, Schoenbaum SC. Arch Intern Med. 2006;166:754-759.

STUDY

In-home medication reviews: a novel approach to improving patient care through coordination of care.

Willis JS, Hoy RH, Jenkins WD. J Community Health. 2011;36:1027-1031.

STUDY

Medication safety in primary care practice: results from a PPRNet quality improvement intervention.

Wessell AM, Ornstein SM, Jenkins RG, Nemeth LS, Litvin CB, Nietert PJ. Am J Med Qual. 2013;28:16-24.

STUDY

Medication report reduces number of medication errors when elderly patients are discharged from hospital.

Midlöv P, Holmdahl L, Eriksson T, et al. Pharm World Sci. 2008;30:928-1231.

STUDY

Patient perceptions of mistakes in ambulatory care.

Kistler CE, Walter LC, Mitchell CM, Sloane PD. Arch Intern Med. 2010;170:1480-1487.

STUDY

Pharmacist-supported medication review training for general practitioners: feasibility and acceptability.

Krska J, Gill D, Hansford D. Med Educ. 2006;40:1217-1225.

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