AHRQ Patient Safety Network

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The Collection

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Safety Target

•Device-related Complications (45)

•Diagnostic Errors (85)

•Identification Errors (31)

•Discontinuities, Gaps, and Hand-Off Problems (157)

•Fatigue and Sleep Deprivation (22)

•Medication Safety (582)

•Medical Complications (127)

•Nonsurgical Procedural Complications (17)

•Surgical Complications (142)

•Transfusion Complications (7)

•Psychological and Social Complications (32)

Origin/Sponsor

•Africa (1)

•Asia (17)

•Australia and New Zealand (19)

•Central and South America (5)

•Europe (101)

•North America (1095)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (963)

•Active Errors (160)

•Latent Errors (31)

•Near Miss (34)

Approach to Improving Safety

•Quality Improvement Strategies (208)

•Legal and Policy Approaches (39)

•Error Reporting and Analysis (576)

•Communication Improvement (212)

•Human Factors Engineering (88)

•Teamwork (35)

•Specialization of Care (80)

•Logistical Approaches (88)

•Culture of Safety (86)

•Technologic Approaches (237)

•Education and Training (129)

Clinical Areas

•Allied Health Services (3)

•Medicine (967)

•Nursing (98)

•Pharmacy (224)

Target Audience

•Health Care Providers (866)

•Health Care Executives and Administrators (932)

•Non-Health Care Professionals (342)

•Patients (11)

Setting of Care

•Hospitals (792)

•Psychiatric Facilities (4)

•Residential Facilities (56)

•Ambulatory Care (208)

•Outpatient Surgery (10)

•Patient Transport (14)

1 - 20 of 1232

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STUDY

Primary medication non-adherence: analysis of 195,930 electronic prescriptions.

Fischer MA, Stedman MR, Lii J, et al. J Gen Intern Med. 2010;25:284-290.

STUDY

Differences in medication errors between central and remote site telepharmacies.

Scott DM, Friesner DL, Rathke AM, Peterson CD, Anderson HC. J Am Pharm Assoc. 2012;52:e97-e104.

STUDY

Ambulatory prescribing errors among community-based providers in two states.

Abramson EL, Bates DW, Jenter C, et al. J Am Med Inform Assoc. 2012;19:644-648.

STUDY

Medication reconciliation in a community pharmacy setting.

Johnson CM, Marcy TR, Harrison DL, Young RE, Stevens EL, Shadid J. J Am Pharm Assoc. 2010;50:523-526.

STUDY

The risk of adverse drug events and hospital-related morbidity and mortality among older adults with potentially inappropriate medication use.

Page RL 2nd, Ruscin JM. Am J Geriatr Pharmacother. 2006;4:297-305.

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

Risk models to improve safety of dispensing high-alert medications in community pharmacies.

Cohen MR, Smetzer JL, Westphal JE, Comden SC, Horn DM. J Am Pharm Assoc. 2012;52:584-602.

STUDY

Dispensing errors in community pharmacy: perceived influence of sociotechnical factors.

Szeinbach S, Seoane-Vazquez E, Parekh A, Herderick M. Int J Qual Health Care. 2007;19:203-09.

STUDY

Electronic prescribing within an electronic health record reduces ambulatory prescribing errors.

Abramson EL, Barrón Y, Quaresimo J, Kaushal R. Jt Comm J Qual Patient Saf. 2011;37:470-478.

STUDY

Potentially inappropriate medication use in hospitalized elders.

Rothberg MB, Pekow PS, Liu F, et al. J Hosp Med. 2008;3:91-102.

STUDY

Nursing home error and level of staff credentials.

Scott-Cawiezell J, Pepper GA, Madsen RW, Petroski G, Vogelsmeier A, Zellmer D. Clin Nurs Res. 2007;16:72-78.

STUDY

Adverse drug reactions and therapeutic errors in older adults: a hazard factor analysis of poison center data.

Cobaugh DJ, Krenzelok EP. Am J Health Syst Pharm. 2006;63:2228-2234.

STUDY

Inadequate health literacy among paid caregivers of seniors.

Lindquist LA, Jain N, Tam K, Martin GJ, Baker DW. J Gen Intern Med. 2011;26:474-479.

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

Does incorporating medications in the surveyors' interpretive guidelines reduce the use of potentially inappropriate medications in nursing homes?

Lapane KL, Hughes CM, Quilliam BJ. J Am Geriatr Soc. 2007;55:666-673.

STUDY

Effect of social influences on pharmacists' intention to report adverse drug events.

Gavaza P, Brown CM, Lawson KA, Rascati KL, Steinhardt M, Wilson JP. J Am Pharm Assoc. 2012;52:622-629.

STUDY

Errors associated with outpatient computerized prescribing systems.

Nanji KC, Rothschild JM, Salzberg C, et al. J Am Med Inform Assoc. 2011;18:767-773.

STUDY

Emergency hospitalizations for adverse drug events in older Americans.

Budnitz DS, Lovegrove MC, Shehab N, Richards CL. N Engl J Med. 2011;365:2002-2012.

STUDY

Addition of electronic prescription transmission to computerized prescriber order entry: effect on dispensing errors in community pharmacies.

Moniz TT, Seger AC, Keohane CA, Seger DL, Bates DW, Rothschild JM. Am J Health Syst Pharm. 2011;68:158-163.

STUDY

Do remote community telepharmacies have higher medication error rates than traditional community pharmacies? Evidence from the North Dakota Telepharmacy Project.

Friesner DL, Scott DM, Rathke AM, Peterson CD, Anderson HC. J Am Pharm Assoc. 2011;51:580-590.

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