AHRQ Patient Safety Network

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The Collection

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Safety Target

•Device-related Complications (75)

•Diagnostic Errors (103)

•Identification Errors (58)

•Discontinuities, Gaps, and Hand-Off Problems (308)

•Fatigue and Sleep Deprivation (59)

•Medication Safety (729)

•Medical Complications (259)

•Nonsurgical Procedural Complications (48)

•Surgical Complications (272)

•Transfusion Complications (13)

•Psychological and Social Complications (89)

Origin/Sponsor

•Africa (2)

•Asia (37)

•Australia and New Zealand (73)

•Central and South America (3)

•Europe (336)

•North America (1765)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (870)

•Active Errors (307)

•Latent Errors (96)

•Near Miss (53)

Approach to Improving Safety

•Quality Improvement Strategies (461)

•Legal and Policy Approaches (98)

•Error Reporting and Analysis (651)

•Communication Improvement (549)

•Human Factors Engineering (209)

•Teamwork (240)

•Specialization of Care (170)

•Logistical Approaches (188)

•Culture of Safety (247)

•Technologic Approaches (432)

•Education and Training (375)

Clinical Areas

•Allied Health Services (6)

•Complementary and Alternative Medicine (1)

Target Audience

•Health Care Providers (1652)

•Health Care Executives and Administrators (1893)

•Non-Health Care Professionals (836)

•Patients (24)

Setting of Care

•Hospitals (1559)

•Psychiatric Facilities (8)

•Residential Facilities (55)

•Ambulatory Care (297)

•Outpatient Surgery (12)

•Patient Transport (21)

1 - 20 of 2213

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STUDY

Medication reconciliation in ambulatory care: attempts at improvement.

Nassaralla CL, Naessens JM, Hunt VL, et al. Qual Saf Health Care. 2009;18:402-407.

STUDY

Implementing medication reconciliation in outpatient pediatrics.

Rappaport DI, Collins B, Koster A, et al. Pediatrics. 2011;128:e1600-e1607.

STUDY

Multidisciplinary approach to inpatient medication reconciliation in an academic setting.

Varkey P, Cunningham J, O'Meara J, Bonacci R, Desai N, Sheeler R. Am J Health Syst Pharm. 2007;64:850-854.

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

Improving medication reconciliation in the outpatient setting.

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

STUDY

Development of a tool within the electronic medical record to facilitate medication reconciliation after hospital discharge.

Schnipper JL, Liang CL, Hamann C, et al. J Am Med Inform Assoc. 2011;18:309-313.

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

Improving medication safety in primary care using electronic health records.

Nemeth LS, Wessell AM. J Patient Saf. 2010;6:238-243.

STUDY

How teams work—or don’t—in primary care: a field study on internal medicine practices.

Chesluk BJ, Holmboe ES. Health Aff (Millwood). 2010;29:874-879.

STUDY

Medication prescribing and monitoring errors in primary care: a report from the Practice Partner Research Network.

Wessell AM, Litvin C, Jenkins RG, Nietert PJ, Nemeth LS, Ornstein SM. Qual Saf Health Care. 2010;19:e21.

STUDY

Identifying discrepancies in electronic medical records through pharmacist medication reconciliation.

Stewart AL, Lynch KJ. J Am Pharm Assoc (2003). 2012;52:59-66.

STUDY

Transitioning between electronic health records: effects on ambulatory prescribing safety.

Abramson EL, Malhotra S, Fischer K, et al. J Gen Intern Med. 2011;26:868-874.

STUDY

Post-discharge medication reviews for patients with heart failure: a pilot study.

Ponniah A, Shakib S, Doecke CJ, Boyce M, Angley M. Pharm World Sci. 2008;30:810-815.

STUDY

Impact of implementing alerts about medication black-box warnings in electronic health records.

Yu DT, Seger DL, Lasser KE, et al. Pharmacoepidemiol Drug Saf. 2011;20:192-202.

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

Patient safety in out-of-hours primary care: a review of patient records.

Smits M, Huibers L, Kerssemeijer B, de Feijter E, Wensing M, Giesen P. BMC Health Serv Res. 2010;10:335.

STUDY

Communication and collaboration: it's about the pharmacists, as well as the physicians and nurses.

Holden LM, Watts DD, Walker PH. Qual Saf Health Care. 2010;19:169-172.

STUDY

An effort to improve electronic health record medication list accuracy between visits: patients' and physicians' response.

Staroselsky M, Volk LA, Tsurikova R, et al. Int J Med Inform. 2008;77:153-160.

STUDY

Do medication samples jeopardize patient safety?

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

STUDY

Improving prescription drug warnings to promote patient comprehension.

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

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