AHRQ Patient Safety Network

The Collection > Physicians

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Safety Target

•Device-related Complications (36)

•Diagnostic Errors (118)

•Identification Errors (28)

•Discontinuities, Gaps, and Hand-Off Problems (137)

•Fatigue and Sleep Deprivation (68)

•Medication Safety (355)

•Medical Complications (47)

•Nonsurgical Procedural Complications (23)

•Surgical Complications (160)

•Transfusion Complications (1)

•Psychological and Social Complications (54)

Origin/Sponsor

•Asia (10)

•Australia and New Zealand (15)

•Central and South America (2)

Resource Types

•Clinical Guideline (7)

•Journal Article (886)

•Legislation/Regulation (19)

•Meeting/Conference (3)

•Newsletter/Journal (4)

•Newspaper/Magazine Article (127)

•Press Release/Announcement (12)

•Special or Theme Issue (11)

•Tools/Toolkit (15)

•Web Resource (17)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (230)

•Active Errors (156)

•Latent Errors (46)

•Near Miss (13)

Approach to Improving Safety

•Quality Improvement Strategies (282)

•Legal and Policy Approaches (96)

•Error Reporting and Analysis (316)

•Communication Improvement (255)

•Human Factors Engineering (88)

•Teamwork (64)

•Specialization of Care (53)

•Logistical Approaches (111)

•Culture of Safety (82)

•Technologic Approaches (193)

•Education and Training (242)

Clinical Areas

•Allied Health Services (3)

Target Audience
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Physicians

Setting of Care

•Hospitals (582)

•Psychiatric Facilities (1)

•Residential Facilities (6)

•Ambulatory Care (111)

•Outpatient Surgery (14)

•Patient Transport (2)

1 - 20 of 1139

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COMMENTARY

Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge.

Rodehaver C. Jt Comm J Qual Patient Saf. 2005;31:406-413.

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.

COMMENTARY

Citrate Mix-Up

Weber RJ. AHRQ WebM&M [serial online]. May 2006.

STUDY

Multidisciplinary approach to inpatient medication reconciliation in an academic setting.

Varkey P, Cunningham J, O'Meara J, Bonacci R, Desai N, Sheeler R. Am J Health Syst Pharm. 2007;64:850-854.

STUDY

Unintended medication discrepancies at the time of hospital admission.

Cornish PL, Knowles SR, Marchesano R, et al. Arch Intern Med. 2005;165:424-429.

STUDY

Health literacy and medication understanding among hospitalized adults.

Marvanova M, Roumie CL, Eden SK, Cawthon C, Schnipper JL, Kripalani S. J Hosp Med. 2011;6:488-493.

NEWSPAPER/MAGAZINE ARTICLE

Practitioners agree on medication reconciliation value, but frustration and difficulties abound.

ISMP Medication Safety Alert! Acute Care Edition. July 13, 2006;11:1-2.

NEWSPAPER/MAGAZINE ARTICLE

Accuracy at every step: the challenge of medication reconciliation.

Institute for Healthcare Improvement Web site. March 20, 2006.

COMMENTARY

What medications does your patient take? Enhancing medication safety in the outpatient setting.

Institute for Healthcare Improvement. March 14, 2007.

NEWSPAPER/MAGAZINE ARTICLE

Patients taking their own medications while in the hospital.

PA-PSRS Patient Saf Advis. June 2012;9:50-57.

STUDY

Risk of medication errors at hospital discharge and barriers to problem resolution.

Enguidanos SM, Brumley RD. Home Health Care Serv Q. 2005;24:123-135.

STUDY

Risk factors for adverse drug events: a 10-year analysis.

Evans RS, Lloyd JF, Stoddard GJ, Nebeker JR, Samore MH. Ann Pharmacother. 2005;39:1161-1168.

STUDY

High rates of adverse drug events in a highly computerized hospital.

Nebeker JR, Hoffman JM, Weir CR, Bennett CL, Hurdle JF. Arch Intern Med. 2005;165:1111-1116.

COMMENTARY

Medication reconciliation physician order form.

Lacy JL, Wilkinson ST. Hosp Pharm. 2006;41:1117-1120.

NEWSPAPER/MAGAZINE ARTICLE

The 'second victims' of medication errors begin to gain support.

Blum K. Pharm Pract News. November 2011.

NEWSPAPER/MAGAZINE ARTICLE

Building a case for medication reconciliation.

Nurse Advise-ERR. April 2006;4:1-3.

COMMENTARY

Best-practice protocols: Preventing adverse drug events.

Weir VL. Nurs Manage. 2005;36:24-30.

COMMENTARY

Preventing medication errors in hospitals through a systems approach and technological innovation: a prescription for 2010.

Crane J, Crane FG. Hosp Top. Fall 2006;84:3-8.

STUDY

Excess dosing of antiplatelet and antithrombin agents in the treatment of non–ST-segment elevation acute coronary syndromes.

Alexander KP, Chen AY, Roe MT, et al; CRUSADE Investigators. JAMA. 2005;294:3108-3116.

NEWSPAPER/MAGAZINE ARTICLE

Rx for a better prescription. Hospital bans doctors from using confusing medical abbreviations.

Hall J. The Free Lance-Star. September 25, 2005.

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