AHRQ Patient Safety Network

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The Collection

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Safety Target

•Device-related Complications (55)

•Diagnostic Errors (152)

•Identification Errors (48)

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

•Fatigue and Sleep Deprivation (32)

•Medication Safety (562)

•Medical Complications (167)

•Nonsurgical Procedural Complications (23)

•Surgical Complications (157)

•Transfusion Complications (11)

•Psychological and Social Complications (55)

Origin/Sponsor

•Africa (2)

•Asia (28)

•Australia and New Zealand (42)

•Central and South America (4)

•Europe (183)

•North America (1346)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (1062)

•Active Errors (234)

•Latent Errors (67)

•Near Miss (47)

Approach to Improving Safety

•Quality Improvement Strategies (286)

•Legal and Policy Approaches (73)

•Error Reporting and Analysis (685)

•Communication Improvement (303)

•Human Factors Engineering (108)

•Teamwork (68)

•Specialization of Care (88)

•Logistical Approaches (140)

•Culture of Safety (132)

•Technologic Approaches (304)

•Education and Training (203)

Clinical Areas

•Allied Health Services (3)

•Medicine (1374)

•Nursing (112)

•Pharmacy (201)

Target Audience

•Health Care Providers (1076)

•Health Care Executives and Administrators (1249)

•Non-Health Care Professionals (524)

•Patients (11)

Setting of Care

•Hospitals (1082)

•Psychiatric Facilities (5)

•Residential Facilities (31)

•Ambulatory Care (255)

•Outpatient Surgery (11)

•Patient Transport (16)

1 - 20 of 1596

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STUDY

Frequency of failure to inform patients of clinically significant outpatient test results.

Casalino LP, Dunham D, Chin MH, et al. Arch Intern Med. 2009;169:1123-1129.

STUDY

Identifying diagnostic errors in primary care using an electronic screening algorithm.

Singh H, Thomas EJ, Khan MM, Petersen LA. Arch Intern Med. 2007;167:302-308.

STUDY

Direct reporting of laboratory test results to patients by mail to enhance patient safety.

Sung S, Forman-Hoffman V, Wilson MC, Cram P. J Gen Intern Med. 2006;21:1075-78.

STUDY

Diagnostic errors in primary care: lessons learned.

Ely JW, Kaldjian LC, D'Alessandro DM. J Am Board Fam Med. 2012;25:87-97.

STUDY

Testing process errors and their harms and consequences reported from family medicine practices: a study of the American Academy of Family Physicians National Research Network.

Hickner J, Graham DG, Elder NC, et al. Qual Saf Health Care. 2008;17:194-200.

STUDY

Medical errors arising from outsourcing laboratory and radiology services.

Chasin BS, Elliott SP, Klotz SA. Am J Med. 2007;120:819.e9-11.

STUDY

Impact of non-interruptive medication laboratory monitoring alerts in ambulatory care.

Lo HG, Matheny ME, Seger DL, Bates DW, Gandhi TK. J Am Med Inform Assoc. 2009;16:66-71.

STUDY

Types and origins of diagnostic errors in primary care settings.

Singh H, Giardina TD, Meyer AND, Forjuoh SN, Reis MD, Thomas EJ. JAMA Intern Med. 2013;173:418-425.

STUDY

The management of test results in primary care: does an electronic medical record make a difference?

Elder NC, McEwen TR, Flach J, Gallimore J, Pallerla H. Fam Med. 2010;42:327-333.

STUDY

Mitigation of patient harm from testing errors in family medicine offices: a report from the American Academy of Family Physicians National Research Network.

Graham DG, Harris DM, Elder NC, et al. Qual Saf Health Care. 2008;17:201-208.

STUDY

Missed opportunities in the primary care management of early acute ischemic heart disease.

Sequist TD, Marshall R, Lampert S, Buechler EJ, Lee TH. Arch Intern Med. 2006;166:2237-2243.

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

Patient perceptions of mistakes in ambulatory care.

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

STUDY

Trends in primary care clinician perceptions of a new electronic health record.

El-Kareh R, Gandhi TK, Poon EG, et al. J Gen Intern Med. 2009;24:464-468.

STUDY

Stopping the error cascade: a report on ameliorators from the ASIPS collaborative.

Parnes B, Fernald D, Quintela J, et al. Qual Saf Health Care. 2007;16:12-16.

STUDY

Management of test results in family medicine offices.

Elder NC, McEwen TR, Flach JM, Gallimore JJ. Ann Fam Med. 2009;7:343-351.

STUDY

Information distortion in physicians' diagnostic judgments.

Kostopoulou O, Russo JE, Keenan G, Delaney BC, Douiri A. Med Decis Making. 2012;32:831-839.

STUDY

Adverse drug events resulting from patient errors in older adults.

Field TS, Mazor KM, Briesacher B, Debellis KR, Gurwitz JH. J Am Geriatr Soc. 2007;55:271-276.

STUDY

Patient safety in after-hours telephone medicine.

Killip S, Ireson CL, Love MM, Fleming ST, Katirai W, Sandford K. Fam Med. 2007;39:404-409.

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.

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