AHRQ Patient Safety Network

The Collection > Physicians

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Safety Target

•Device-related Complications (29)

•Diagnostic Errors (107)

•Identification Errors (26)

•Discontinuities, Gaps, and Hand-Off Problems (130)

•Fatigue and Sleep Deprivation (60)

•Medication Safety (355)

•Medical Complications (36)

•Nonsurgical Procedural Complications (21)

•Surgical Complications (145)

•Transfusion Complications (1)

•Psychological and Social Complications (54)

Origin/Sponsor

•Asia (5)

•Australia and New Zealand (8)

•Central and South America (1)

Resource Types

•Clinical Guideline (5)

•Journal Article (835)

•Legislation/Regulation (20)

•Meeting/Conference (4)

•Newsletter/Journal (4)

•Newspaper/Magazine Article (129)

•Press Release/Announcement (10)

•Special or Theme Issue (11)

•Tools/Toolkit (14)

•Web Resource (19)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (214)

•Active Errors (143)

•Latent Errors (45)

•Near Miss (13)

Approach to Improving Safety

•Quality Improvement Strategies (242)

•Legal and Policy Approaches (93)

•Error Reporting and Analysis (316)

•Communication Improvement (255)

•Human Factors Engineering (74)

•Teamwork (63)

•Specialization of Care (51)

•Logistical Approaches (99)

•Culture of Safety (83)

•Technologic Approaches (190)

•Education and Training (231)

Clinical Areas

•Allied Health Services (2)

Target Audience
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Physicians

Setting of Care

•Hospitals (516)

•Residential Facilities (6)

•Ambulatory Care (116)

•Outpatient Surgery (12)

•Patient Transport (2)

1 - 20 of 1089

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AUDIOVISUAL PRESENTATION

Medication error death rate up 500 percent.

Spiesel S, Chadwick A. "Day to Day." National Public Radio. August 27, 2008.

STUDY

Retail pharmacy staff perceptions of design strengths and weaknesses of electronic prescribing.

Odukoya O, Chui MA. J Am Med Inform Assoc. 2012;19:1059-1065.

STUDY

A pharmacist-led information technology intervention for medication errors (PINCER): a multicentre, cluster randomised, controlled trial and cost-effectiveness analysis.

Avery AJ, Rodgers S, Cantrill JA, et al. Lancet. 2012;379:1310-1319.

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

A steep increase in domestic fatal medication errors with use of alcohol and/or street drugs.

Phillips DP, Barker GEC, Eguchi MM. Arch Intern Med. 2008;168:1561-1566.

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].

COMMENTARY

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

Institute for Healthcare Improvement. March 14, 2007.

NEWSPAPER/MAGAZINE ARTICLE

To protect against drug errors, ask questions.

Brody JE. New York Times. January 2, 2007:F7.

STUDY

Physician patient communication failure facilitates medication errors in older polymedicated patients with multiple comorbidities.

Mira JJ, Orozco-Beltrán D, Pérez-Jover V, et al. Fam Pract. 2013;30:56-63.

PRESS RELEASE/ANNOUNCEMENT

Safety warnings regarding use of fentanyl transdermal (skin) patches.

FDA Public Health Advisory. Silver Spring, MD: US Food and Drug Administration; December 21, 2007.

STUDY

Bayesian cohort and cross-sectional analyses of the PINCER trial: a pharmacist-led intervention to reduce medication errors in primary care.

Hemming K, Chilton PJ, Lilford RJ, Avery A, Sheikh A. PLoS ONE. 2012;7:e38306.

COMMENTARY

The art of apology: when and how to seek forgiveness.

Roberts RG. Fam Pract Manag. July/August 2007;14:44-49.

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.

STUDY

Patient safety perceptions of primary care providers after implementation of an electronic medical record system.

McGuire MJ, Noronha G, Samal L, Yeh HC, Crocetti S, Kravet S. J Gen Intern Med. 2013;28:184-192.

STUDY

Adoption of patient-centered care practices by physicians: results from a national survey.

Audet AM, Davis K, Schoenbaum SC. Arch Intern Med. 2006;166:754-759.

STUDY

Patient perceptions of mistakes in ambulatory care.

Kistler CE, Walter LC, Mitchell CM, Sloane PD. Arch Intern Med. 2010;170:1480-1487.

STUDY

Pharmacist-supported medication review training for general practitioners: feasibility and acceptability.

Krska J, Gill D, Hansford D. Med Educ. 2006;40:1217-1225.

STUDY

Ambulatory prescribing errors among community-based providers in two states.

Abramson EL, Bates DW, Jenter C, et al. J Am Med Inform Assoc. 2012;19:644-648.

NEWSPAPER/MAGAZINE ARTICLE

To be safe, keep track of pills.

Foreman J. Los Angeles Times. September 4, 2006:F3.

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.

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