AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (176)

•Diagnostic Errors (221)

•Identification Errors (118)

•Discontinuities, Gaps, and Hand-Off Problems (502)

•Fatigue and Sleep Deprivation (92)

•Medication Safety (1322)

•Medical Complications (485)

•Nonsurgical Procedural Complications (91)

•Surgical Complications (426)

•Transfusion Complications (24)

•Psychological and Social Complications (146)

Origin/Sponsor

•Africa (5)

•Asia (39)

•Australia and New Zealand (84)

•Central and South America (6)

•Europe (412)

•North America (3682)

Resource Types

•Clinical Guideline (7)

•Journal Article (3104)

•Legislation/Regulation (51)

•Meeting/Conference (35)

•Newsletter/Journal (13)

•Newspaper/Magazine Article (435)

•Press Release/Announcement (22)

•Special or Theme Issue (54)

•Tools/Toolkit (66)

•Web Resource (107)

•Grant (10)

Error Types

•Epidemiology of Errors and Adverse Events (1440)

•Active Errors (616)

•Latent Errors (250)

•Near Miss (76)

Approach to Improving Safety

•Quality Improvement Strategies (1012)

•Legal and Policy Approaches (440)

•Error Reporting and Analysis (1317)

•Communication Improvement (975)

•Human Factors Engineering (498)

•Teamwork (282)

•Specialization of Care (280)

•Logistical Approaches (306)

•Culture of Safety (525)

•Technologic Approaches (784)

•Education and Training (733)

Clinical Areas

•Allied Health Services (7)

•Complementary and Alternative Medicine (1)

Target Audience

•Health Care Providers (3178)

•Health Care Executives and Administrators (3243)

•Non-Health Care Professionals (1629)

•Patients (344)

Setting of Care

•Hospitals (2673)

•Psychiatric Facilities (17)

•Residential Facilities (85)

•Ambulatory Care (546)

•Outpatient Surgery (49)

•Patient Transport (29)

1 - 20 of 4237

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STUDY

Harm caused by adverse events in primary care: a clinical observational study.

Wetzels R, Wolters R, van Weel C, Wensing M. J Eval Clin Pract. 2009;15:323-327.

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

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

Are opioid dependence and methadone maintenance treatment (MMT) documented in the medical record? A patient safety issue.

Walley AY, Farrar D, Cheng DM, Alford DP, Samet JH. J Gen Intern Med. 2009;24:1007-1011.

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

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

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

Medication errors reported by US family physicians and their office staff.

Kuo GM, Phillips RL, Graham D, Hickner JM. Qual Saf Health Care. 2008;17:286-290.

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

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

Do medication samples jeopardize patient safety?

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

STUDY

The relationship of self-report of quality to practice size and health information technology.

Gorman PN, O'Malley JP, Fagnan LJ. J Am Board Fam Med. 2012;25:614-624.

MEASUREMENT TOOL/INDICATOR

Medical Office Survey on Patient Safety Culture.

Rockville, MD: Agency for Healthcare Research and Quality; November 2010.

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

Improving prescription drug warnings to promote patient comprehension.

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

STUDY

Receptionist input to quality and safety in repeat prescribing in UK general practice: ethnographic case study.

Swinglehurst D, Greenhalgh T, Russell J, Myall M. BMJ. 2011;343:d6788.

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

Assessing the value of electronic prescribing in ambulatory care: A focus group study.

Weingart SN, Massagli M, Cyrulik A, et al. Int J Med Inform. 2009;78:571-578.

STUDY

Performance of a fail-safe system to follow up abnormal mammograms in primary care.

Grossman E, Phillips RS, Weingart SN. J Patient Saf. 2010;6:172-179.

STUDY

Better medical office safety culture is not associated with better scores on quality measures.

Hagopian B, Singer ME, Curry-Smith AC, Nottingham K, Hickner J. J Patient Saf. 2012;8:15-21.

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