AHRQ Patient Safety Network

The Collection > Ambulatory Clinic or Office

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Safety Target

•Device-related Complications (4)

•Diagnostic Errors (38)

•Identification Errors (7)

•Discontinuities, Gaps, and Hand-Off Problems (50)

•Medication Safety (94)

•Medical Complications (16)

•Nonsurgical Procedural Complications (9)

•Surgical Complications (14)

•Psychological and Social Complications (13)

Origin/Sponsor

•Asia (2)

•Australia and New Zealand (3)

Resource Types

•Journal Article (213)

•Legislation/Regulation (4)

•Meeting/Conference (1)

•Newspaper/Magazine Article (14)

•Press Release/Announcement (1)

•Special or Theme Issue (1)

•Tools/Toolkit (6)

•Web Resource (3)

Error Types

•Epidemiology of Errors and Adverse Events (66)

•Active Errors (73)

•Latent Errors (22)

•Near Miss (3)

Approach to Improving Safety

•Quality Improvement Strategies (71)

•Legal and Policy Approaches (24)

•Error Reporting and Analysis (51)

•Communication Improvement (89)

•Human Factors Engineering (15)

•Teamwork (16)

•Specialization of Care (8)

•Logistical Approaches (24)

•Culture of Safety (28)

•Technologic Approaches (76)

•Education and Training (40)

Clinical Areas

•Allied Health Services (1)

•Complementary and Alternative Medicine (1)

Target Audience

•Health Care Providers (223)

•Health Care Executives and Administrators (164)

•Non-Health Care Professionals (108)

•Patients (14)

Setting of Care
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Ambulatory Clinic or Office

1 - 20 of 255

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STUDY

Parents' medication administration errors: role of dosing instruments and health literacy.

Yin HS, Mendelsohn AL, Wolf MS, et al. Arch Pediatr Adolesc Med. 2010;164:181-186.

COMMENTARY

Lethal Cap.

Schillinger D. AHRQ WebM&M [serial online]. March 2004.

STUDY

Medication errors in paediatric outpatients.

Kaushal R, Goldmann DA, Keohane CA, et al. Qual Saf Health Care. 2010;19:e30.

STUDY

The role of advice in medication administration errors in the pediatric ambulatory setting.

Lemer C, Bates DW, Yoon C, Keohane C, Fitzmaurice G, Kaushal R. J Patient Saf. 2009;5:168-175.

STUDY

Health literacy and communication quality in health care organizations.

Wynia MK, Osborn CY. J Health Commun. 2010;15(suppl 2):102-115.

STUDY

Medical error disclosure among pediatricians: choosing carefully what we might say to parents.

Loren DJ, Klein EJ, Garbutt J, et al. Arch Pediatr Adolesc Med. 2008;162:922-927.

COMMENTARY

Simple strategies to avoid medication errors.

Jenkins RH, Vaida AJ. Fam Pract Manag. 2007;14:41-47.

STUDY

Improving prescription drug warnings to promote patient comprehension.

Wolf MS, Davis TC, Bass PF, et al. Arch Intern Med. 2010;170:50-56.

STUDY

Process of care failures in breast cancer diagnosis.

Weingart SN, Saadeh MG, Simchowitz B, et al. J Gen Intern Med. 2009;24:702-709.

COMMENTARY

Disconnected.

Klass P. N Engl J Med. 2010;362:1358-1361.

ORGANIZATIONAL POLICY/GUIDELINES

American Society of Clinical Oncology/Oncology Nursing Society chemotherapy administration safety standards.

Jacobson JO, Polovich M, McNiff KK, et al; American Society of Clinical Oncology; Oncology Nursing Society. Oncol Nurs Forum. 2009;36:651-658.

COMMENTARY

Recurrent Hypoglycemia: A Care Transition Failure?

Eytan T. AHRQ WebM&M [serial online]. October 2008.

STUDY

Do medication samples jeopardize patient safety?

Franks AS, Ray SM, Wallace LS, Keenum AJ, Weiss BD. Ann Pharmacother. 2008;43:51-56.

COMMENTARY

Undiagnosed Vaginal Bleeding.

Mandelblatt J. AHRQ WebM&M [serial online]. February 2004.

TOOLKIT

Health Literacy Universal Precautions Toolkit.

DeWalt DA, Callahan LF, Hawk VH, et al. Rockville, MD: Agency for Healthcare Research and Quality; 2010. AHRQ Publication No. 10-0046-EF.

STUDY

Communication and collaboration: it's about the pharmacists, as well as the physicians and nurses.

Holden LM, Watts DD, Walker PH. Qual Saf Health Care. 2010;19:169-172.

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.

COMMENTARY

The Wrong Shot: Error Disclosure.

Gallagher TH, Levinson W. AHRQ WebM&M [serial online]. June 2004.

STUDY

Improving patient understanding of prescription drug label instructions.

Davis TC, Federman AD, Bass PF III, et al. J Gen Int Med. 2009;24:57-62.

STUDY

What do medical records tell us about potentially harmful co-prescribing?

Elston Lafata J, Simpkins J, Kaatz S, et al. Jt Comm J Qual Patient Saf. 2007;33:395-400.

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