AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (82)

•Diagnostic Errors (205)

•Identification Errors (48)

•Discontinuities, Gaps, and Hand-Off Problems (498)

•Fatigue and Sleep Deprivation (37)

•Medication Safety (696)

•Medical Complications (257)

•Nonsurgical Procedural Complications (50)

•Surgical Complications (192)

•Transfusion Complications (8)

•Psychological and Social Complications (84)

Origin/Sponsor

•Africa (3)

•Asia (26)

•Australia and New Zealand (67)

•Central and South America (7)

•Europe (305)

•North America (1652)

Resource Types

•Clinical Guideline (1)

•Journal Article (1515)

•Legislation/Regulation (37)

•Meeting/Conference (25)

•Newsletter/Journal (7)

•Newspaper/Magazine Article (149)

•Press Release/Announcement (23)

•Special or Theme Issue (38)

•Tools/Toolkit (50)

•Web Resource (81)

•Grant (11)

Error Types

•Epidemiology of Errors and Adverse Events (467)

•Active Errors (388)

•Latent Errors (169)

•Near Miss (37)

Approach to Improving Safety

•Quality Improvement Strategies (556)

•Legal and Policy Approaches (286)

•Error Reporting and Analysis (535)

•Communication Improvement (852)

•Human Factors Engineering (264)

•Teamwork (215)

•Specialization of Care (135)

•Logistical Approaches (154)

•Culture of Safety (289)

•Technologic Approaches (394)

•Education and Training (553)

Clinical Areas

•Allied Health Services (11)

•Complementary and Alternative Medicine (1)

Target Audience
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Health Care Providers

•Allied Health Professionals (7)

•Clinical Technologists (10)

Setting of Care

•Psychiatric Facilities (13)

•Residential Facilities (56)

•Ambulatory Care (386)

•Outpatient Surgery (27)

•Patient Transport (22)

1 - 20 of 2127

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REVIEW

Meta-analysis: effect of interactive communication between collaborating primary care physicians and specialists.

Foy R, Hempel S, Rubenstein L, et al. Ann Intern Med. 2010;152:247-258.

STUDY

Association of communication between hospital-based physicians and primary care providers with patient outcomes.

Bell CM, Schnipper JL, Auerbach AD, et al. J Gen Intern Med. 2009;24:381-386.

BOOK/REPORT

Managing Patients' Medicines after Discharge from Hospital.

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

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.

STUDY

Implementing medication reconciliation in outpatient pediatrics.

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

NEWSPAPER/MAGAZINE ARTICLE

Rx for medication errors.

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

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

Information exchange among physicians caring for the same patient in the community.

van Walraven C, Taljaard M, Bell CM, et al. CMAJ. 2008;179:1013-1018.

BOOK/REPORT

Patient Safety: HHS Has Taken Steps to Address Unsafe Injection Practices, but More Action Is Needed.

Kohn LT. Washington, DC: United States Government Accountability Office; July 2012. Publication GAO-12-712.

COMMENTARY

Processes for effective communication in primary care.

Weiner SJ, Barnet B, Cheng TL, Daaleman TP. Ann Intern Med. 2005;142:709-714.

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

Performance of a fail-safe system to follow up abnormal mammograms in primary care.

Grossman E, Phillips RS, Weingart SN. J Patient Saf. 2010;6:172-179.

COMMENTARY classic

Refocusing the lens: patient safety in ambulatory chronic disease care.

Sarkar U, Wachter RM, Schroeder SA, Schillinger D. Jt Comm J Qual Patient Saf. 2009;35:377-383.

COMMENTARY

Reducing diagnostic error through medical home-based primary care reform.

Singh H, Graber M. JAMA. 2010;304:463-464.

COMMENTARY

Patient safety beyond the hospital.

Gandhi TK, Lee TH. N Engl J Med. 2010;363:1001-1003.

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

Post-discharge medication reviews for patients with heart failure: a pilot study.

Ponniah A, Shakib S, Doecke CJ, Boyce M, Angley M. Pharm World Sci. 2008;30:810-815.

STUDY

Self-reported medical, medication and laboratory error in eight countries: risk factors for chronically ill adults.

Scobie A. Int J Qual Health Care. 2011;23:182-186.

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

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.

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