AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (137)

•Diagnostic Errors (183)

•Identification Errors (114)

•Discontinuities, Gaps, and Hand-Off Problems (516)

•Fatigue and Sleep Deprivation (84)

•Medication Safety (1286)

•Medical Complications (415)

•Nonsurgical Procedural Complications (77)

•Surgical Complications (326)

•Transfusion Complications (19)

•Psychological and Social Complications (149)

Origin/Sponsor

•Africa (1)

•Asia (25)

•Australia and New Zealand (62)

•Central and South America (2)

•Europe (252)

•North America (3435)

Resource Types

•Clinical Guideline (8)

•Journal Article (2592)

•Legislation/Regulation (55)

•Meeting/Conference (31)

•Newsletter/Journal (15)

•Newspaper/Magazine Article (497)

•Press Release/Announcement (21)

•Special or Theme Issue (55)

•Tools/Toolkit (72)

•Web Resource (121)

•Grant (7)

Error Types

•Epidemiology of Errors and Adverse Events (786)

•Active Errors (541)

•Latent Errors (250)

•Near Miss (65)

Approach to Improving Safety

•Quality Improvement Strategies (949)

•Legal and Policy Approaches (421)

•Error Reporting and Analysis (1017)

•Communication Improvement (1187)

•Human Factors Engineering (440)

•Teamwork (266)

•Specialization of Care (258)

•Logistical Approaches (260)

•Culture of Safety (510)

•Technologic Approaches (787)

•Education and Training (693)

Clinical Areas

•Allied Health Services (10)

Target Audience

•Health Care Providers (2991)

•Health Care Executives and Administrators (2839)

•Non-Health Care Professionals (1366)

•Patients (405)

Setting of Care

•Hospitals (2309)

•Psychiatric Facilities (15)

•Residential Facilities (78)

•Ambulatory Care (551)

•Outpatient Surgery (41)

•Patient Transport (23)

1 - 20 of 3819

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STUDY

Implementing medication reconciliation in outpatient pediatrics.

Rappaport DI, Collins B, Koster A, et al. Pediatrics. 2011;128:e1600-e1607.

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

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

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

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

A mixed method study of the merits of e-prescribing drug alerts in primary care.

Lapane KL, Waring ME, Schneider KL, Dubé C, Quilliam BJ. J Gen Intern Med. 2008;23:442-446.

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.

FACT SHEET/FAQS

ISMP List of High-Alert Medications in Community/Ambulatory Healthcare.

Institute of Safe Medication Practices. 2011.

COMMENTARY

The challenge of medication reconciliation.

Patient Safety & Quality Healthcare. May 10, 2006.

STUDY

Frequency of failure to inform patients of clinically significant outpatient test results.

Casalino LP, Dunham D, Chin MH, et al. Arch Intern Med. 2009;169:1123-1129.

BOOK/REPORT

Managing Patients' Medicines after Discharge from Hospital.

London, UK: Care Quality Commission; October 2009. CQC-039-500-ESP-102009. ISBN: 9781845622442.

STUDY

Multidisciplinary approach to inpatient medication reconciliation in an academic setting.

Varkey P, Cunningham J, O'Meara J, Bonacci R, Desai N, Sheeler R. Am J Health Syst Pharm. 2007;64:850-854.

STUDY

Problems after discharge and understanding of communication with their primary care physicians (PCPs) among hospitalized seniors: a mixed methods study.

Arora VM, Prochaska ML, Farnan JM, et al. J Hosp Med. 2010;5:385-391.

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

Medication, allergy, and adverse drug event discrepancies in ambulatory care.

Stephens M, Fox B, Kukulka G, Bellamy J. Fam Medicine. 2008;40:107-110.

STUDY

In-home medication reviews: a novel approach to improving patient care through coordination of care.

Willis JS, Hoy RH, Jenkins WD. J Community Health. 2011;36:1027-1031.

STUDY

The care transitions intervention: translating from efficacy to effectiveness.

Voss R, Gardner R, Baier R, Butterfield K, Lehrman S, Gravenstein S. Arch Intern Med. 2011;171:1232-1237.

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

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

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.

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