AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (135)

•Diagnostic Errors (274)

•Identification Errors (111)

•Discontinuities, Gaps, and Hand-Off Problems (463)

•Fatigue and Sleep Deprivation (107)

•Medication Safety (983)

•Medical Complications (363)

•Nonsurgical Procedural Complications (81)

•Surgical Complications (414)

•Transfusion Complications (15)

•Psychological and Social Complications (153)

Origin/Sponsor

•Asia (23)

•Australia and New Zealand (41)

•Central and South America (1)

•Europe (238)

•North America (3198)

Resource Types

•Audiovisual (42)

•Award (12)

•Book/Report (135)

•Clinical Guideline (9)

•Journal Article (2714)

•Legislation/Regulation (46)

•Meeting/Conference (19)

•Newsletter/Journal (6)

•Newspaper/Magazine Article (406)

•Press Release/Announcement (9)

•Special or Theme Issue (35)

•Tools/Toolkit (42)

•Web Resource (57)

•Grant (4)

Error Types

•Epidemiology of Errors and Adverse Events (818)

•Active Errors (646)

•Latent Errors (201)

•Near Miss (61)

Approach to Improving Safety

•Quality Improvement Strategies (855)

•Legal and Policy Approaches (321)

•Error Reporting and Analysis (997)

•Communication Improvement (842)

•Human Factors Engineering (424)

•Teamwork (275)

•Specialization of Care (229)

•Logistical Approaches (293)

•Culture of Safety (437)

•Technologic Approaches (620)

•Education and Training (702)

Clinical Areas

•Allied Health Services (8)

Target Audience

•Health Care Providers (2570)

•Health Care Executives and Administrators (2782)

•Non-Health Care Professionals (1242)

•Patients (241)

Setting of Care

•Hospitals (2258)

•Psychiatric Facilities (13)

•Residential Facilities (40)

•Ambulatory Care (461)

•Outpatient Surgery (35)

•Patient Transport (17)

1 - 20 of 3536

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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

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.

COMMENTARY

Sir Karl Popper, swans, and the general practitioner.

Berghmans R, Schouten HC. BMJ. 2011;343:d5469.

COMMENTARY

The Worst Headache.

Edlow JA. AHRQ WebM&M [serial online]. July 2004.

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

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

Cognitive errors and logistical breakdowns contributing to missed and delayed diagnoses of breast and colorectal cancers: a process analysis of closed malpractice claims.

Poon EG, Kachalia A, Puopolo AL, Gandhi TK, Studdert DM. J Gen Intern Med. 2012;27:1416-1423.

STUDY

Patient safety perceptions of primary care providers after implementation of an electronic medical record system.

McGuire MJ, Noronha G, Samal L, Yeh HC, Crocetti S, Kravet S. J Gen Intern Med. 2013;28:184-192.

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

Patient safety in out-of-hours primary care: a review of patient records.

Smits M, Huibers L, Kerssemeijer B, de Feijter E, Wensing M, Giesen P. BMC Health Serv Res. 2010;10:335.

STUDY

Physicians' perceptions, preparedness for reporting, and experiences related to impaired and incompetent colleagues.

DesRoches CM, Rao SR, Fromson JA, et al. JAMA. 2010;304:187-193.

STUDY

Feasibility of centre-based incident reporting in primary healthcare: the SPIEGEL study.

Zwart DL, Steerneman AH, van Rensen EL, Kalkman CJ, Verheij TJ. BMJ Qual Saf. 2011;20:121-127.

STUDY

Low literacy impairs comprehension of prescription drug warning labels.

Davis TC, Wolf MS, Bass PF III, et al. J Gen Inter Med. 2006;21:847-851.

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

A survey of factors affecting clinician acceptance of clinical decision support.

Sittig DF, Krall MA, Dykstra RH, Russell A, Chin HL. BMC Med Inform Decis Mak. 2006;6:6.

STUDY

Implementation of a medication reconciliation process in an ambulatory internal medicine clinic.

Nassaralla CL, Naessens JM, Chaudhry R, Hansen MA, Scheitel SM. Qual Saf Health Care. 2007;16:90-94.

STUDY

Improving reporting of outpatient pediatric medical errors.

Neuspiel DR, Stubbs EH, Liggin L. Pediatrics. 2011;128:e1608-e1613.

STUDY

A randomized trial of electronic clinical reminders to improve medication laboratory monitoring.

Matheny ME, Sequist TD, Seger AC, et al. J Am Med Inform Assoc. 2008;15:424-429.

STUDY

Literacy and misunderstanding prescription drug labels.

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

STUDY

Residents' perceptions of professionalism in training and practice: barriers, promoters, and duty hour requirements.

Ratanawongsa N, Bolen S, Howell EE, Kern DE, Sisson SD, Larriviere D. J Gen Intern Med. 2006;21:758-763.

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