AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (132)

•Diagnostic Errors (118)

•Identification Errors (70)

•Discontinuities, Gaps, and Hand-Off Problems (457)

•Fatigue and Sleep Deprivation (77)

•Medication Safety (1276)

•Medical Complications (437)

•Nonsurgical Procedural Complications (45)

•Surgical Complications (215)

•Transfusion Complications (22)

•Psychological and Social Complications (105)

Origin/Sponsor

•Africa (8)

•Asia (71)

•Australia and New Zealand (111)

•Central and South America (9)

•Europe (592)

•North America (2350)

Resource Types

•Audiovisual (33)

•Award (16)

•Book/Report (189)

•Clinical Guideline (4)

•Journal Article (2406)

•Legislation/Regulation (36)

•Meeting/Conference (14)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (348)

•Press Release/Announcement (13)

•Special or Theme Issue (31)

•Tools/Toolkit (46)

•Web Resource (56)

•Grant (4)

Error Types

•Epidemiology of Errors and Adverse Events (1177)

•Active Errors (407)

•Latent Errors (221)

•Near Miss (55)

Approach to Improving Safety

•Quality Improvement Strategies (785)

•Legal and Policy Approaches (317)

•Error Reporting and Analysis (997)

•Communication Improvement (758)

•Human Factors Engineering (326)

•Teamwork (197)

•Specialization of Care (260)

•Logistical Approaches (274)

•Culture of Safety (436)

•Technologic Approaches (604)

•Education and Training (525)

Clinical Areas

•Allied Health Services (9)

•Medicine (2346)

•Nursing (382)

•Pharmacy (456)

Target Audience

•Health Care Providers (2119)

•Health Care Executives and Administrators (2602)

•Non-Health Care Professionals (1098)

•Patients (238)

Setting of Care

•Hospitals (2605)

•Psychiatric Facilities (17)

•Residential Facilities (87)

•Ambulatory Care (325)

•Outpatient Surgery (22)

•Patient Transport (11)

1 - 20 of 3197

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STUDY

The effect of medication reconciliation in elderly patients at hospital discharge.

Midlöv P, Bahrani L, Seyfali M, Höglund P, Rickhag E, Eriksson T. Int J Clin Pharm. 2012;34:113-119.

STUDY

Medication reconciliation for reducing drug-discrepancy adverse events.

Boockvar KS, Carlson Lacorte H, Giambanco V, Fridman B, Siu A. Am J Geriatr Pharmacother. 2006;4:236-243.

REVIEW

Hospital-based medication reconciliation practices: a systematic review.

Mueller SK, Sponsler KC, Kripalani S, Schnipper JL. Arch Intern Med. 2012;172:1057-1069.

STUDY

Reported medication errors after introducing an electronic medication management system.

Redley B, Botti M. J Clin Nurs. 2013;22:579-589.

STUDY

Patient safety, satisfaction, and quality of hospital care: cross sectional surveys of nurses and patients in 12 countries in Europe and the United States.

Aiken LH, Sermeus W, Van den Heede K, et al. BMJ. 2012;344:e1717.

STUDY

Errors in medication history at hospital admission: prevalence and predicting factors.

Hellström LM, Bondesson A, Höglund P, Eriksson T. BMC Clin Pharmacol. 2012;12:9.

REVIEW

Medication reconciliation during transitions of care as a patient safety strategy: a systematic review.

Kwan JL, Lo L, Sampson M, Shojania KG. Ann Intern Med. 2013;158(5 Pt 2):397-403.

STUDY

Using Healthcare Failure Mode and Effect Analysis to reduce medication errors in the process of drug prescription, validation and dispensing in hospitalised patients.

Vélez-Díaz-Pallarés M, Delgado-Silveira E, Carretero-Accame ME, Bermejo-Vicedo T. BMJ Qual Saf. 2013;22:42-52.

NEWSPAPER/MAGAZINE ARTICLE

Patients taking their own medications while in the hospital.

PA-PSRS Patient Saf Advis. June 2012;9:50-57.

REVIEW

Garcia-Caballos M, Ramos-Diaz F, Jimenez-Moleon JJ, Bueno-Cavanillas A. Age Ageing. 2010;39:430-438.

STUDY

Prescription and transcription errors in multidose-dispensed medications on discharge from hospital: an observational and interventional study.

Alassaad A, Gillespie U, Bertilsson M, Melhus H, Hammarlund-Udenaes M. J Eval Clin Pract. 2013;19:185-191.

STUDY

Frequency, types, and potential clinical significance of medication-dispensing errors.

Bohand X, Simon L, Perrier E, Mullot H, Lefeuvre L, Plotton C. Clinics. 2009;64:11-16.

COMMENTARY

Utilizing quality improvement methods to prevent falls and injury from falls: enhancing resident safety in long-term care.

MacLaurin A, McConnell H. J Safety Res. 2011;42:525-535.

BOOK/REPORT classic

Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries.

Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; November 2010. Report No. OEI-06-09-00090.

STUDY

Recognition of adverse drug events in older hospitalized medical patients.

Klopotowska JE, Wierenga PC, Smorenburg SM, et al; WINGS study group. Eur J Clin Pharmacol. 2013;69:75-85.

STUDY

Reporting trends in a regional medication error data-sharing system.

Anderson JG, Ramanujam R, Hensel DJ, Sirio CA. Health Care Manag Sci. 2010;13:74-83.

NEWSPAPER/MAGAZINE ARTICLE

Using clinical decision support to improve medication reconciliation.

Moore G. Patient Saf Qual Healthc. November/December 2006;3:28-30, 32-33.

STUDY

Medication details documented on hospital discharge: cross-sectional observational study of factors associated with medication non-reconciliation.

Grimes TC, Duggan CA, Delaney TP, et al. Br J Clin Pharmacol. 2011;71:449-457.

STUDY

Effect of patient- and medication-related factors on inpatient medication reconciliation errors.

Salanitro AH, Osborn CY, Schnipper JL, et al. J Gen Intern Med. 2012;27:924-932.

STUDY

Factors associated with reported preventable adverse drug events: a retrospective, case-control study.

Beckett RD, Sheehan AH, Reddan JG. Ann Pharmacother. 2012;46:634-641.

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