AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (86)

•Diagnostic Errors (175)

•Identification Errors (76)

•Discontinuities, Gaps, and Hand-Off Problems (301)

•Fatigue and Sleep Deprivation (20)

•Medication Safety (599)

•Medical Complications (236)

•Nonsurgical Procedural Complications (51)

•Surgical Complications (218)

•Transfusion Complications (12)

•Psychological and Social Complications (79)

Origin/Sponsor

•Africa (3)

•Asia (31)

•Australia and New Zealand (65)

•Central and South America (1)

•Europe (377)

•North America (1349)

Resource Types

•Audiovisual (22)

•Award (10)

•Book/Report (110)

•Clinical Guideline (3)

•Journal Article (1436)

•Legislation/Regulation (17)

•Meeting/Conference (9)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (172)

•Press Release/Announcement (11)

•Special or Theme Issue (17)

•Tools/Toolkit (43)

•Web Resource (33)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (511)

•Active Errors (629)

•Latent Errors (174)

•Near Miss (49)

Approach to Improving Safety

•Quality Improvement Strategies (590)

•Legal and Policy Approaches (174)

•Error Reporting and Analysis (514)

•Communication Improvement (711)

•Human Factors Engineering (344)

•Teamwork (140)

•Specialization of Care (116)

•Logistical Approaches (107)

•Culture of Safety (237)

•Technologic Approaches (343)

•Education and Training (363)

Clinical Areas

•Allied Health Services (5)

•Complementary and Alternative Medicine (1)

Target Audience

•Health Care Providers (1651)

•Health Care Executives and Administrators (1490)

•Non-Health Care Professionals (625)

•Patients (151)

Setting of Care

•Hospitals (1233)

•Psychiatric Facilities (7)

•Residential Facilities (35)

•Ambulatory Care (389)

•Outpatient Surgery (26)

•Patient Transport (16)

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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

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

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

The quality, safety and content of telephone and face-to-face consultations: a comparative study.

McKinstry B, Hammersley V, Burton C, et al. Qual Saf Health Care. 2010;19:298-303.

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

Approaches to reducing the most important patient errors in primary health-care: patient and professional perspectives.

Buetow S, Kiata L, Liew T, Kenealy T, Dovey S, Elwyn G. Health Soc Care Community. 2010;18:296-303.

STUDY

Improving medication reconciliation in the outpatient setting.

Varkey P, Cunningham J, Bisping S. Jt Comm J Qual Patient Saf. 2007;33:286-292.

STUDY

Experience with a trigger tool for identifying adverse drug events among older adults in ambulatory primary care.

Singh R, McLean-Plunckett EA, Kee R, et al. Qual Saf Health Care. 2009;18:199-204.

STUDY

Organizational culture, team climate and diabetes care in small office-based practices.

Bosch M, Dijkstra R, Wensing M, van der Weijden T, Grol R. BMC Health Serv Res. 2008;8:180.

STUDY

Patient report on information given, consultation time and safety in primary care.

Mira JJ, Nebot C, Lorenzo S, Pérez-Jover V. Qual Saf Health Care. 2010;19:e33.

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.

COMMENTARY

Safer out of hours primary care.

Cosford PA, Thomas JM. BMJ. 2010;340:c3194.

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.

NEWSPAPER/MAGAZINE ARTICLE

Patient safety records: silent witness.

Gould M. Health Service Journal. September 15, 2008:22-24.

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

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.

NEWSPAPER/MAGAZINE ARTICLE

Rx for medication errors.

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

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.

COMMENTARY

Sir Karl Popper, swans, and the general practitioner.

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

STUDY

The preliminary development and testing of a global trigger tool to detect error and patient harm in primary-care records.

de Wet C, Bowie P. Postgrad Med J. 2009;85:176-180.

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