AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (238)

•Diagnostic Errors (300)

•Identification Errors (161)

•Discontinuities, Gaps, and Hand-Off Problems (623)

•Fatigue and Sleep Deprivation (128)

•Medication Safety (1689)

•Medical Complications (583)

•Nonsurgical Procedural Complications (132)

•Surgical Complications (595)

•Transfusion Complications (30)

•Psychological and Social Complications (190)

Origin/Sponsor

•Africa (7)

•Asia (78)

•Australia and New Zealand (146)

•Central and South America (9)

•Europe (657)

•North America (4463)

Resource Types

•Clinical Guideline (7)

•Journal Article (4032)

•Legislation/Regulation (66)

•Meeting/Conference (38)

•Newsletter/Journal (14)

•Newspaper/Magazine Article (575)

•Press Release/Announcement (41)

•Special or Theme Issue (70)

•Tools/Toolkit (66)

•Web Resource (124)

•Grant (10)

Error Types

•Epidemiology of Errors and Adverse Events (1562)

•Active Errors (940)

•Latent Errors (351)

•Near Miss (105)

Approach to Improving Safety

•Quality Improvement Strategies (1271)

•Legal and Policy Approaches (543)

•Error Reporting and Analysis (1623)

•Communication Improvement (1249)

•Human Factors Engineering (691)

•Teamwork (395)

•Specialization of Care (333)

•Logistical Approaches (381)

•Culture of Safety (645)

•Technologic Approaches (1106)

•Education and Training (996)

Clinical Areas

•Allied Health Services (16)

•Complementary and Alternative Medicine (1)

Target Audience

•Health Care Providers (3928)

•Health Care Executives and Administrators (4285)

•Non-Health Care Professionals (2069)

•Patients (444)

Setting of Care

•Hospitals (3337)

•Psychiatric Facilities (20)

•Residential Facilities (88)

•Ambulatory Care (593)

•Outpatient Surgery (59)

•Patient Transport (37)

1 - 20 of 5432

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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

Electronic health record-based surveillance of diagnostic errors in primary care.

Singh H, Giardina TD, Forjuoh SN, et al. BMJ Qual Saf. 2012;22:93-100.

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

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

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

Alternatives to potentially inappropriate medications for use in e-prescribing software: triggers and treatment algorithms.

Hume AL, Quilliam BJ, Goldman R, Eaton C, Lapane KL. BMJ Qual Saf. 2011;20:875-884.

STUDY

Preventing potentially inappropriate medication use in hospitalized older patients with a computerized provider order entry warning system.

Mattison MLP, Afonso KA, Ngo LH, Mukamal KJ. Arch Intern Med. 2010;170:1331-1336.

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

Medication errors in paediatric outpatients.

Kaushal R, Goldmann DA, Keohane CA, et al. Qual Saf Health Care. 2010;19:e30.

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.

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 enhanced oral chemotherapy computerized provider order entry system to reduce prescribing errors and improve safety.

Collins CM, Elsaid KA. Int J Qual Health Care. 2011;23:36-43.

STUDY

High risk prescribing in primary care patients particularly vulnerable to adverse drug events: cross sectional population database analysis in Scottish general practice.

Guthrie B, McCowan C, Davey P, Simpson CR, Dreischulte T, Barnett K. BMJ. 2011;342:d3514.

NEWSPAPER/MAGAZINE ARTICLE

Rx for medication errors.

Friedley NJ. Med Econ. October 17, 2008;85:34-38.

STUDY

Literacy and misunderstanding prescription drug labels.

Davis TC, Wolf MS, Bass PF III, et al. Ann Intern Med. 2006;145:887-94.

STUDY

Identifying causes of adverse events detected by an automated trigger tool through in-depth analysis.

Muething SE, Conway PH, Kloppenborg E, et al. Qual Saf Health Care. 2010;19:435-439.

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.

NEWSPAPER/MAGAZINE ARTICLE

Medication errors occurring with the use of bar-code administration technology.

PA-PSRS Patient Saf Advis. December 2008;5:122-126.

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

Management of test results in family medicine offices.

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

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