AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (151)

•Diagnostic Errors (240)

•Identification Errors (113)

•Discontinuities, Gaps, and Hand-Off Problems (578)

•Fatigue and Sleep Deprivation (96)

•Medication Safety (1227)

•Medical Complications (418)

•Nonsurgical Procedural Complications (105)

•Surgical Complications (438)

•Transfusion Complications (17)

•Psychological and Social Complications (147)

Origin/Sponsor

•Africa (5)

•Asia (49)

•Australia and New Zealand (108)

•Central and South America (7)

•Europe (429)

•North America (3163)

Resource Types

•Clinical Guideline (8)

•Journal Article (2886)

•Legislation/Regulation (56)

•Meeting/Conference (24)

•Newsletter/Journal (13)

•Newspaper/Magazine Article (306)

•Press Release/Announcement (26)

•Special or Theme Issue (58)

•Tools/Toolkit (59)

•Web Resource (107)

•Grant (7)

Error Types

•Epidemiology of Errors and Adverse Events (1080)

•Active Errors (660)

•Latent Errors (252)

•Near Miss (75)

Approach to Improving Safety

•Quality Improvement Strategies (901)

•Legal and Policy Approaches (324)

•Error Reporting and Analysis (1015)

•Communication Improvement (1130)

•Human Factors Engineering (488)

•Teamwork (314)

•Specialization of Care (268)

•Logistical Approaches (287)

•Culture of Safety (441)

•Technologic Approaches (644)

•Education and Training (744)

Clinical Areas

•Allied Health Services (16)

Target Audience
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Health Care Providers

•Allied Health Professionals (12)

•Clinical Technologists (36)

Setting of Care

•Psychiatric Facilities (20)

•Residential Facilities (83)

•Ambulatory Care (494)

•Outpatient Surgery (41)

•Patient Transport (36)

1 - 20 of 3826

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STUDY

Electronic medical record availability and primary care depression treatment.

Harman JS, Rost KM, Harle CA, Cook RL. J Gen Intern Med. 2012;27:962-967.

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

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

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

Effects of an enhanced discharge planning intervention for hospitalized older adults: a randomized trial.

Altfeld SJ, Shier GE, Rooney M, et al. Gerontologist. 2013;53:430-440.

STUDY

Adverse drug events resulting from patient errors in older adults.

Field TS, Mazor KM, Briesacher B, Debellis KR, Gurwitz JH. J Am Geriatr Soc. 2007;55:271-276.

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.

STUDY

New 2011 survey of patients with complex care needs in eleven countries finds that care is often poorly coordinated.

Schoen C, Osborn R, Squires D, Doty M, Pierson R, Applebaum S. Health Aff (Millwood). 2011;30:2437-2448.

REVIEW

Deficits in communication and information transfer between hospital-based and primary care physicians: implications for patient safety and continuity of care.

Kripalani S, LeFevre F, Phillips CO, Williams MV, Basaviah P, Baker DW. JAMA. 2007;297:831-841.

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

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.

STUDY

Better medical office safety culture is not associated with better scores on quality measures.

Hagopian B, Singer ME, Curry-Smith AC, Nottingham K, Hickner J. J Patient Saf. 2012;8:15-21.

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.

NEWSPAPER/MAGAZINE ARTICLE

Rx for medication errors.

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

STUDY

Results of the Medications At Transitions and Clinical Handoffs (MATCH) study: an analysis of medication reconciliation errors and risk factors at hospital admission.

Gleason KM, McDaniel MR, Feinglass J, et al. J Gen Intern Med. 2010;25:441-447.

STUDY

Improving reporting of outpatient pediatric medical errors.

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

STUDY

Patient reported receipt of medication instructions for warfarin is associated with reduced risk of serious bleeding events.

Metlay JP, Hennessy S, Localio AR, et al. J Gen Intern Med. 2008;23:1589-1594.

STUDY

Clinical outcomes from the use of Medication Report when elderly patients are discharged from hospital.

Midlöv P, Deierborg E, Holmdahl L, Höglund P, Eriksson T. Pharm World Sci. 2008;30:840-845.

STUDY

Patient perceptions of mistakes in ambulatory care.

Kistler CE, Walter LC, Mitchell CM, Sloane PD. Arch Intern Med. 2010;170:1480-1487.

STUDY

High risk prescribing in primary care patients particularly vulnerable to adverse drug events: cross sectional population database analysis in Scottish general practice.

Guthrie B, McCowan C, Davey P, Simpson CR, Dreischulte T, Barnett K. BMJ. 2011;342:d3514.

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