AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (119)

•Diagnostic Errors (88)

•Identification Errors (55)

•Discontinuities, Gaps, and Hand-Off Problems (501)

•Fatigue and Sleep Deprivation (64)

•Medication Safety (804)

•Medical Complications (312)

•Nonsurgical Procedural Complications (48)

•Surgical Complications (214)

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•Psychological and Social Complications (72)

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•Africa (5)

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Resource Types

•Audiovisual (21)

•Award (15)

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Error Types

•Epidemiology of Errors and Adverse Events (566)

•Active Errors (351)

•Latent Errors (224)

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Approach to Improving Safety

•Quality Improvement Strategies (662)

•Legal and Policy Approaches (240)

•Error Reporting and Analysis (611)

•Communication Improvement (698)

•Human Factors Engineering (295)

•Teamwork (167)

•Specialization of Care (250)

•Logistical Approaches (188)

•Culture of Safety (359)

•Technologic Approaches (444)

•Education and Training (457)

Clinical Areas

•Allied Health Services (4)

•Medicine (1779)

•Nursing (139)

•Pharmacy (399)

Target Audience

•Health Care Providers (1738)

•Health Care Executives and Administrators (1953)

•Non-Health Care Professionals (864)

•Patients (176)

Setting of Care
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Hospitals

•General Hospitals (538)

•Children’s Hospitals (64)

•Specialty Hospitals (31)

1 - 20 of 2389

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NEWSPAPER/MAGAZINE ARTICLE

JCAHO tightens leash on medication reconciliation.

Perry LE. Drug Topics: Health-System Edition. March 20, 2006.

BOOK/REPORT

Managing Patients' Medicines after Discharge from Hospital.

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

ORGANIZATIONAL POLICY/GUIDELINES

Using medication reconciliation to prevent errors.

Sentinel Event Alert. January 25, 2006;(35):1-4.

REVIEW

Medication safety in acute care in Australia: where are we now? Part 2: a review of strategies and activities for improving medication safety 2002-2008.

Semple SJ, Roughead EE. Aust New Zealand Health Policy. 2009;6:24.

STUDY

Role of pharmacist counseling in preventing adverse drug events after hospitalization.

Schnipper JL, Kirwin JL, Cotugno MC, et al. Arch Intern Med. 2006;166:565-571.

STUDY

Reconciling medications at admission: safe practice recommendations and implementation strategies.

Rogers G, Alper E, Brunelle D, et al. Jt Comm J Qual Patient Saf. 2006;32:37-50.

ORGANIZATIONAL POLICY/GUIDELINES

Preventing errors relating to commonly used anticoagulants.

Sentinel Event Alert. September 24, 2008;(41):1-4.

STUDY

Implementation of an electronic system for medication reconciliation.

Kramer JS, Hopkins PJ, Rosendale JC, et al. Am J Health Syst Pharm. 2007;64:404-422.

STUDY

Pharmacist medication assessments in a surgical preadmission clinic.

Kwan Y, Fernandes OA, Nagge JJ, et al. Arch Intern Med. 2007;167:1034-1040.

BOOK/REPORT

State of Healthcare 2006.

The Healthcare Commission. London, England: Commission for Healthcare Audit and Inspection; 2006. ISBN: 1845621182.

STUDY

Survey of medication documentation at hospital discharge: implications for patient safety and continuity of care.

Grimes T, Delaney T, Duggan C, Kelly JG, Graham IM. Ir J Med Sci. 2008;177:93-97.

NEWSPAPER/MAGAZINE ARTICLE

Cause for concern: drug shortages disrupt operations, tax hospitalists' treatment patterns.

Collins TR. The Hospitalist. July 2011.

COMMENTARY

Developing and implementing new safe practices: voluntary adoption through statewide collaboratives.

Leape LL, Rogers G, Hanna D, et al. Qual Saf Health Care. 2006;15:289-295.

NEWSPAPER/MAGAZINE ARTICLE

Enhanced medication safety.

Mansur JM. Hosp Health Netw. April 29, 2008.

NEWSPAPER/MAGAZINE ARTICLE

Practitioners agree on medication reconciliation value, but frustration and difficulties abound.

ISMP Medication Safety Alert! Acute Care Edition. July 13, 2006;11:1-2.

NEWSPAPER/MAGAZINE ARTICLE

Five hospitals release data on inspections.

Kowalczyk L. Boston Globe. April 21, 2007:B1.

STUDY

Reconcilable differences: correcting medication errors at hospital admission and discharge.

Vira T, Colquhoun M, Etchells E. Qual Saf Health Care. 2006;15:122-126.

NEWSPAPER/MAGAZINE ARTICLE

Legality of technicians' involvement in medication reconciliation not clear.

Thompson CA. AJHP News. Am J Health Syst Pharm. 2009;66:433-434.

STUDY

Insufficient communication about medication use at the interface between hospital and primary care.

Glintborg B, Andersen SE, Dalhoff K. Qual Saf Health Care. 2007;16:34-39.

STUDY

Improving the discharge process by embedding a discharge facilitator in a resident team.

Finn KM, Heffner R, Chang Y, et al. J Hosp Med. 2011;6:494-500.

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