AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (46)

•Diagnostic Errors (74)

•Identification Errors (33)

•Discontinuities, Gaps, and Hand-Off Problems (290)

•Fatigue and Sleep Deprivation (17)

•Medication Safety (629)

•Medical Complications (156)

•Nonsurgical Procedural Complications (23)

•Surgical Complications (135)

•Transfusion Complications (8)

•Psychological and Social Complications (27)

Origin/Sponsor

•Australia and New Zealand (139)

•Central and South America (7)

•Europe (267)

•North America (874)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (910)

•Active Errors (227)

•Latent Errors (42)

•Near Miss (31)

Approach to Improving Safety

•Quality Improvement Strategies (229)

•Legal and Policy Approaches (36)

•Error Reporting and Analysis (408)

•Communication Improvement (324)

•Human Factors Engineering (112)

•Teamwork (80)

•Specialization of Care (157)

•Logistical Approaches (88)

•Culture of Safety (75)

•Technologic Approaches (281)

•Education and Training (187)

Clinical Areas

•Allied Health Services (6)

•Dentistry (1)

•Medicine (1050)

•Nursing (116)

•Pharmacy (290)

Target Audience

•Health Care Providers (947)

•Health Care Executives and Administrators (1144)

•Non-Health Care Professionals (407)

•Patients (5)

Setting of Care

•Hospitals (1002)

•Psychiatric Facilities (6)

•Residential Facilities (28)

•Ambulatory Care (154)

•Outpatient Surgery (6)

•Patient Transport (22)

1 - 20 of 1322

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STUDY

Pharmacist- versus physician-acquired medication history: a prospective study at the emergency department.

De Winter S, Spriet I, Indevuyst C, et al. Qual Saf Health Care. 2010;19:371-375.

STUDY

Bringing patients' own medications into an emergency department by ambulance: effect on prescribing accuracy when these patients are admitted to hospital.

Chan EW, Taylor SE, Marriott JL, Barger B. Med J Aust. 2009;191:374-377.

STUDY

Improving medication safety with accurate preadmission medication lists and postdischarge education.

Gardella JE, Cardwell TB, Nnadi M. Jt Comm J Qual Patient Saf. 2012;38:452-458.

STUDY

Medication errors recovered by emergency department pharmacists.

Rothschild JM, Churchill W, Erickson A, et al. Ann Emerg Med. 2010;55:513-521.

STUDY

Formal medicine reconciliation within the emergency department reduces the medication error rates for emergency admissions.

Mills PR, McGuffie AC. Emerg Med J. 2010;27:911-915.

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

Assessment of a safety enhancement to the hospital medication reconciliation process for elderly patients.

Gizzi LA, Slain D, Hare JT, Sager R, Briggs F 3rd, Palmer CH. Am J Geriatr Pharmacother. 2010;8:127-135.

STUDY

Challenges in posthospital care: nurses as coaches for medication management.

Costa LL, Poe SS, Lee MC. J Nurs Care Qual. 2011;26:243-251.

STUDY

Effect of pharmacists on medication errors in an emergency department.

Brown JN, Barnes CL, Beasley B, Cisneros R, Pound M, Herring C. Am J Health Syst Pharm. 2008;65:330-333.

STUDY

A prospective, multicenter study of pharmacist activities resulting in medication error interception in the emergency department.

Patanwala AE, Sanders AB, Thomas MC, et al. Ann Emerg Med. 2012;59:369-373.

STUDY

Emergency department discharge prescription interventions by emergency medicine pharmacists.

Cesarz JL, Steffenhagen AL, Svenson J, Hamedani AG. Ann Emerg Med. 2013;61:209-214.e1.

STUDY

classic

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

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

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 reconciliation performed by pharmacy technicians at the time of preoperative screening.

van den Bemt PM, van den Broek S, van Nunen AK, Harbers JB, Lenderink AW. Ann Pharmacother. 2009;43:868-874.

STUDY

On-site pharmacists in the ED improve medical errors.

Ernst AA, Weiss SJ, Sullivan A IV, et al. Am J Emerg Med. 2012;30:717-725.

STUDY

Pharmacist medication assessments in a surgical preadmission clinic.

Kwan Y, Fernandes OA, Nagge JJ, et al. Arch Intern Med. 2007;167:1034-1040.

STUDY

Results of the Medications At Transitions and Clinical Handoffs (MATCH) study: an analysis of medication reconciliation errors and risk factors at hospital admission.

Gleason KM, McDaniel MR, Feinglass J, et al. J Gen Intern Med. 2010;25:441-447.

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

Do emergency physicians attribute drug-related emergency department visits to medication-related problems?

Hohl CM, Zed PJ, Brubacher JR, Abu-Laban RB, Loewen PS, Purssell RA. Ann Emerg Med. 2010;55:493-502.e4.

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