AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (147)

•Diagnostic Errors (202)

•Identification Errors (105)

•Discontinuities, Gaps, and Hand-Off Problems (427)

•Fatigue and Sleep Deprivation (81)

•Medication Safety (1441)

•Medical Complications (409)

•Nonsurgical Procedural Complications (94)

•Surgical Complications (422)

•Transfusion Complications (16)

•Psychological and Social Complications (112)

Origin/Sponsor

•Africa (4)

•Asia (50)

•Australia and New Zealand (94)

•Central and South America (7)

•Europe (387)

•North America (3144)

Resource Types

•Clinical Guideline (8)

•Journal Article (2780)

•Legislation/Regulation (60)

•Meeting/Conference (29)

•Newsletter/Journal (12)

•Newspaper/Magazine Article (328)

•Press Release/Announcement (39)

•Special or Theme Issue (60)

•Tools/Toolkit (55)

•Web Resource (104)

•Grant (8)

Error Types

•Epidemiology of Errors and Adverse Events (1091)

•Active Errors (619)

•Latent Errors (231)

•Near Miss (73)

Approach to Improving Safety

•Quality Improvement Strategies (873)

•Legal and Policy Approaches (295)

•Error Reporting and Analysis (956)

•Communication Improvement (946)

•Human Factors Engineering (505)

•Teamwork (283)

•Specialization of Care (291)

•Logistical Approaches (261)

•Culture of Safety (404)

•Technologic Approaches (756)

•Education and Training (687)

Clinical Areas

•Allied Health Services (12)

Target Audience
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Health Care Providers

•Allied Health Professionals (5)

•Clinical Technologists (34)

Setting of Care

•Psychiatric Facilities (19)

•Residential Facilities (88)

•Ambulatory Care (429)

•Outpatient Surgery (40)

•Patient Transport (30)

1 - 20 of 3735

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REVIEW

Year in review: medication mishaps in the elderly.

Peron EP, Marcum ZA, Boyce R, Hanlon JT, Handler SM. Am J Geriatr Pharmacother. 2011;9:1-10.

STUDY

Effect of computerized provider order entry with clinical decision support on adverse drug events in the long-term care setting.

Gurwitz JH, Field TS, Rochon P, et al. J Am Geriatr Soc. 2008;56:2225-2233.

STUDY

Medication errors resulting from computer entry by nonprescribers.

Santell JP, Kowiatek JG, Weber RJ, Hicks RW, Sirio CA. Am J Health Syst Pharm. 2009;66:843-853.

STUDY

Fall prevention in acute care hospitals: a randomized trial.

Dykes PC, Carroll DL, Hurley A, et al. JAMA. 2010;304:1912-1918.

STUDY

Medication error reporting in nursing homes: identifying targets for patient safety improvement.

Greene SB, Williams CE, Pierson S, Hansen RA, Carey TS. Qual Saf Health Care. 2010;19:218-222.

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

Consistency between coded poison center data and fatality abstract narratives for therapeutic error deaths in older adults.

Hayes BD, Klein-Schwartz W. Clin Toxicol (Phila). 2010;48:68-71.

COMMENTARY

Beyond the prescription: medication monitoring and adverse drug events in older adults.

Steinman MA, Handler SM, Gurwitz JH, Schiff GD, Covinsky KE. J Am Geriatr Soc. 2011;59:1513-1520.

STUDY

Medication reconciliation for reducing drug-discrepancy adverse events.

Boockvar KS, Carlson Lacorte H, Giambanco V, Fridman B, Siu A. Am J Geriatr Pharmacother. 2006;4:236-243.

STUDY

Adverse drug events in the outpatient setting: an 11-year national analysis.

Bourgeois FT, Shannon MW, Valim C, Mandl KD. Pharmacoepidemiol Drug Saf. 2010;19:901-910.

STUDY

Effect of an electronic medication reconciliation application and process redesign on potential adverse drug events: a cluster-randomized trial.

Schnipper JL, Hamann C, Ndumele CD, et al. Arch Intern Med. 2009;169:771-780.

STUDY

National study on the frequency, types, causes, and consequences of voluntarily reported emergency department medication errors.

Pham JC, Story JL, Hicks RW, et al. J Emerg Med. 2011;40:485-492.

STUDY

Identifying causes of adverse events detected by an automated trigger tool through in-depth analysis.

Muething SE, Conway PH, Kloppenborg E, et al. Qual Saf Health Care. 2010;19:435-439.

STUDY

Listen carefully: the risk of error in spoken medication orders.

Lambert BL, Dickey LW, Fisher WM, et al. Soc Sci Med. 2010;70:1599-1608.

STUDY

Acceptance of recommendations by inpatient pharmacy case managers: unintended consequences of hospitalist and specialist care.

Anderegg SV, Demik DE, Carter BL, et al. Pharmacotherapy. 2013;33:11-21.

STUDY

Randomized trial of a warfarin communication protocol for nursing homes: an SBAR-based approach.

Field TS, Tjia J, Mazor KM, et al. Am J Med. 2011;124:179.e1-179.e7.

STUDY

Quantification and classification of errors associated with hand-repackaging of medications in long-term care facilities in Germany.

Gerber A, Kohaupt I, Lauterbach KW, Buescher G, Stock S, Lungen M. Am J Geriatr Pharmacother. 2008;6:212-219.

STUDY

The effect of medication reconciliation in elderly patients at hospital discharge.

Midlöv P, Bahrani L, Seyfali M, Höglund P, Rickhag E, Eriksson T. Int J Clin Pharm. 2012;34:113-119.

STUDY

Antimicrobial prescription errors in hospitalized children: role of antimicrobial stewardship program in detection and intervention.

Di Pentima MC, Chan S, Eppes SC, Klein JD. Clin Pediatr (Phila). 2009;53:715-723e1.

STUDY

Adopting real-time surveillance dashboards as a component of an enterprisewide medication safety strategy.

Waitman LR, Phillips IE, McCoy AB, et al. Jt Comm J Qual Patient Saf. 2011;37:326-332.

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