AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (9)

•Diagnostic Errors (1)

•Identification Errors (1)

•Discontinuities, Gaps, and Hand-Off Problems (38)

•Medication Safety (410)

•Medical Complications (5)

•Nonsurgical Procedural Complications (1)

•Surgical Complications (2)

•Psychological and Social Complications (1)

Origin/Sponsor

•Australia and New Zealand (6)

•Central and South America (2)

•North America (364)

Resource Types

•Audiovisual (4)

•Book/Report (11)

•Journal Article (292)

•Legislation/Regulation (7)

•Meeting/Conference (3)

•Newsletter/Journal (2)

•Newspaper/Magazine Article (77)

•Press Release/Announcement (6)

•Special or Theme Issue (3)

•Tools/Toolkit (15)

•Web Resource (2)

Error Types

•Epidemiology of Errors and Adverse Events (122)

•Active Errors (51)

•Latent Errors (25)

•Near Miss (6)

Approach to Improving Safety

•Quality Improvement Strategies (99)

•Legal and Policy Approaches (24)

•Error Reporting and Analysis (102)

•Communication Improvement (107)

•Human Factors Engineering (59)

•Teamwork (3)

•Specialization of Care (70)

•Logistical Approaches (22)

•Culture of Safety (21)

•Technologic Approaches (136)

•Education and Training (54)

Clinical Areas

•Allied Health Services (1)

•Medicine (159)

•Nursing (13)

•Pharmacy (345)

Target Audience
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Pharmacists

Setting of Care

•Hospitals (194)

•Psychiatric Facilities (1)

•Residential Facilities (2)

•Ambulatory Care (109)

•Outpatient Surgery (1)

1 - 20 of 423

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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

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.

STUDY

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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.

AUDIOVISUAL PRESENTATION

Medication error death rate up 500 percent.

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

STUDY

Usability of a computerised drug monitoring programme to detect adverse drug events and non-compliance in outpatient ambulatory care.

Auger C, Forster AJ, Oake N, Tamblyn R. BMJ Qual Saf. 2013;22:306-316.

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.

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

Diagramming patients' views of root causes of adverse drug events in ambulatory care: an online tool for planning education and research.

Brown M, Frost R, Ko Y, Woosley R. Patient Educ Couns. 2006;62:302-315.

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].

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.

STUDY

Medication report reduces number of medication errors when elderly patients are discharged from hospital.

Midlöv P, Holmdahl L, Eriksson T, et al. Pharm World Sci. 2008;30:928-1231.

STUDY

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Effect of a pharmacist intervention on clinically important medication errors after hospital discharge: a randomized trial.

Kripalani S, Roumie CL, Dalal AK, et al; PILL-CVD (Pharmacist Intervention for Low Literacy in Cardiovascular Disease) Study Group. Ann Intern Med. 2012;157:1-10.

STUDY

ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2011.

Pedersen CA, Schneider PJ, Scheckelhoff DJ. Am J Health Syst Pharm. 2012;69:768-785.

STUDY

Medication reconciliation in a community pharmacy setting.

Johnson CM, Marcy TR, Harrison DL, Young RE, Stevens EL, Shadid J. J Am Pharm Assoc. 2010;50:523-526.

REVIEW

Medication reconciliation during transitions of care as a patient safety strategy: a systematic review.

Kwan JL, Lo L, Sampson M, Shojania KG. Ann Intern Med. 2013;158(5 Pt 2):397-403.

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

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.

REVIEW

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Hospital-based medication reconciliation practices: a systematic review.

Mueller SK, Sponsler KC, Kripalani S, Schnipper JL. Arch Intern Med. 2012;172:1057-1069.

STUDY

Frequency of risk factors that potentially increase harm from medications in older adults receiving primary care.

McCarthy L, Dolovich L, Haq M, Thabane L, Kaczorowski J. Can J Clin Pharmacol. 2007;14:e283-e290.

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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