AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (126)

•Diagnostic Errors (249)

•Identification Errors (89)

•Discontinuities, Gaps, and Hand-Off Problems (362)

•Fatigue and Sleep Deprivation (37)

•Medication Safety (882)

•Medical Complications (321)

•Nonsurgical Procedural Complications (79)

•Surgical Complications (329)

•Transfusion Complications (15)

•Psychological and Social Complications (81)

Origin/Sponsor

•Africa (5)

•Asia (49)

•Australia and New Zealand (93)

•Central and South America (9)

•Europe (435)

•North America (1915)

Resource Types

•Audiovisual (11)

•Award (9)

•Book/Report (116)

•Clinical Guideline (4)

•Journal Article (2100)

•Legislation/Regulation (32)

•Meeting/Conference (15)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (139)

•Press Release/Announcement (16)

•Special or Theme Issue (25)

•Tools/Toolkit (32)

•Web Resource (56)

•Grant (6)

Error Types

•Epidemiology of Errors and Adverse Events (955)

•Active Errors (649)

•Latent Errors (203)

•Near Miss (63)

Approach to Improving Safety

•Quality Improvement Strategies (622)

•Legal and Policy Approaches (156)

•Error Reporting and Analysis (678)

•Communication Improvement (725)

•Human Factors Engineering (386)

•Teamwork (207)

•Specialization of Care (185)

•Logistical Approaches (159)

•Culture of Safety (268)

•Technologic Approaches (588)

•Education and Training (469)

Clinical Areas

•Allied Health Services (9)

•Complementary and Alternative Medicine (1)

Target Audience
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Health Care Providers

•Allied Health Professionals (1)

•Clinical Technologists (16)

Setting of Care

•Psychiatric Facilities (12)

•Residential Facilities (43)

•Ambulatory Care (389)

•Outpatient Surgery (32)

•Patient Transport (26)

1 - 20 of 2564

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STUDY

Exploring situational awareness in diagnostic errors in primary care.

Singh H, Davis Giardina T, Petersen LA, et al. BMJ Qual Saf. 2012;21:30-38.

STUDY

Impact of implementing alerts about medication black-box warnings in electronic health records.

Yu DT, Seger DL, Lasser KE, et al. Pharmacoepidemiol Drug Saf. 2011;20:192-202.

STUDY

Medicines reconciliation using a shared electronic health care record.

Moore P, Armitage G, Wright J, Dobrzanski S, Ansari N, Hammond I, Scally A. J Patient Saf. 2011;7:147-153.

STUDY

Transitioning between electronic health records: effects on ambulatory prescribing safety.

Abramson EL, Malhotra S, Fischer K, et al. J Gen Intern Med. 2011;26:868-874.

COMMENTARY

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

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

STUDY

The quality, safety and content of telephone and face-to-face consultations: a comparative study.

McKinstry B, Hammersley V, Burton C, et al. Qual Saf Health Care. 2010;19:298-303.

STUDY

The management of test results in primary care: does an electronic medical record make a difference?

Elder NC, McEwen TR, Flach J, Gallimore J, Pallerla H. Fam Med. 2010;42:327-333.

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.

STUDY

Alternatives to potentially inappropriate medications for use in e-prescribing software: triggers and treatment algorithms.

Hume AL, Quilliam BJ, Goldman R, Eaton C, Lapane KL. BMJ Qual Saf. 2011;20:875-884.

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

Trends in primary care clinician perceptions of a new electronic health record.

El-Kareh R, Gandhi TK, Poon EG, et al. J Gen Intern Med. 2009;24:464-468.

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

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

Identifying diagnostic errors in primary care using an electronic screening algorithm.

Singh H, Thomas EJ, Khan MM, Petersen LA. Arch Intern Med. 2007;167:302-308.

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.

NEWSPAPER/MAGAZINE ARTICLE

Medication errors occurring with the use of bar-code administration technology.

PA-PSRS Patient Saf Advis. December 2008;5:122-126.

STUDY

The relationship of self-report of quality to practice size and health information technology.

Gorman PN, O'Malley JP, Fagnan LJ. J Am Board Fam Med. 2012;25:614-624.

STUDY

Using an electronic prescribing system to ensure accurate medication lists in a large multidisciplinary medical group.

Stock R, Scott J, Gurtel S. Jt Comm J Qual Patient Saf. 2009;35:271-279.

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.

COMMENTARY

Urine a Tough Position.

Gandhi TK. AHRQ WebM&M [serial online]. October 2003.

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