AHRQ Patient Safety Network

The Collection > Health Care Providers

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Safety Target

•Device-related Complications (166)

•Diagnostic Errors (239)

•Identification Errors (122)

•Discontinuities, Gaps, and Hand-Off Problems (466)

•Fatigue and Sleep Deprivation (104)

•Medication Safety (1414)

•Medical Complications (398)

•Nonsurgical Procedural Complications (107)

•Surgical Complications (435)

•Transfusion Complications (17)

•Psychological and Social Complications (130)

Origin/Sponsor

•Africa (5)

•Asia (46)

•Australia and New Zealand (82)

•Central and South America (3)

•Europe (400)

•North America (3241)

Resource Types

•Clinical Guideline (12)

•Journal Article (2840)

•Legislation/Regulation (60)

•Meeting/Conference (34)

•Newsletter/Journal (13)

•Newspaper/Magazine Article (348)

•Press Release/Announcement (44)

•Special or Theme Issue (59)

•Tools/Toolkit (69)

•Web Resource (110)

•Grant (6)

Error Types

•Epidemiology of Errors and Adverse Events (909)

•Active Errors (758)

•Latent Errors (281)

•Near Miss (98)

Approach to Improving Safety

•Quality Improvement Strategies (928)

•Legal and Policy Approaches (351)

•Error Reporting and Analysis (1018)

•Communication Improvement (1036)

•Human Factors Engineering (585)

•Teamwork (280)

•Specialization of Care (272)

•Logistical Approaches (304)

•Culture of Safety (427)

•Technologic Approaches (740)

•Education and Training (764)

Clinical Areas

•Allied Health Services (13)

Target Audience
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Health Care Providers

•Allied Health Professionals (12)

•Clinical Technologists (41)

Setting of Care

•Psychiatric Facilities (21)

•Residential Facilities (68)

•Ambulatory Care (504)

•Outpatient Surgery (48)

•Patient Transport (31)

1 - 20 of 3881

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NEWSPAPER/MAGAZINE ARTICLE

Oops, sorry, wrong patient! A patient verification process is needed everywhere, not just at the bedside.

ISMP Medication Safety Alert! Acute Care Edition. March 10, 2011;16:1-4.

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.

REVIEW

E-prescribing: a focused review and new approach to addressing safety in pharmacies and primary care.

Odukoya OK, Chui MA. Res Social Adm Pharm. 2012 Oct 10; [Epub ahead of print].

NEWSPAPER/MAGAZINE ARTICLE

Medication errors: a year in review.

Institute for Safe Medication Practices. Pharmacy Practice News. October 2011:7-14.

STUDY

Medication errors reported by US family physicians and their office staff.

Kuo GM, Phillips RL, Graham D, Hickner JM. Qual Saf Health Care. 2008;17:286-290.

STUDY

Medication safety in primary care practice: results from a PPRNet quality improvement intervention.

Wessell AM, Ornstein SM, Jenkins RG, Nemeth LS, Litvin CB, Nietert PJ. Am J Med Qual. 2013;28:16-24.

ORGANIZATIONAL POLICY/GUIDELINES

Preventing errors relating to commonly used anticoagulants.

Sentinel Event Alert. September 24, 2008;(41):1-4.

COMMENTARY

Medication errors in family practice, in hospitals and after discharge from the hospital: an ethical analysis.

Clark PA. J Law Med Ethics. 2004;32:349-357.

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.

COMMENTARY

Lethal Cap.

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

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2008;43:696–698.

COMMENTARY

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2010;45:191-195.

STUDY

Identifying discrepancies in electronic medical records through pharmacist medication reconciliation.

Stewart AL, Lynch KJ. J Am Pharm Assoc (2003). 2012;52:59-66.

NEWSPAPER/MAGAZINE ARTICLE

DTaP–Tdap mix-ups now affecting hundreds of patients.

ISMP Medication Safety Alert! Acute Care Edition. July 1, 2010;15:1-2.

STUDY

Cognitive errors and logistical breakdowns contributing to missed and delayed diagnoses of breast and colorectal cancers: a process analysis of closed malpractice claims.

Poon EG, Kachalia A, Puopolo AL, Gandhi TK, Studdert DM. J Gen Intern Med. 2012;27:1416-1423.

COMMENTARY

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:1062-1065.

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.

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

Signal and noise: applying a laboratory trigger tool to identify adverse drug events among primary care patients.

Brenner S, Detz A, López A, Horton C, Sarkar U. BMJ Qual Saf. 2012;21:670-675.

STUDY

What’s past is prologue: organizational learning from a serious patient injury.

Tamuz M, Franchois KE, Thomas EJ. Safety Sci. 2011;49:75-82.

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