AHRQ Patient Safety Network

The Collection > Facility and Group Administrators

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Safety Target

•Device-related Complications (9)

•Diagnostic Errors (22)

•Identification Errors (15)

•Discontinuities, Gaps, and Hand-Off Problems (69)

•Fatigue and Sleep Deprivation (22)

•Medication Safety (162)

•Medical Complications (37)

•Nonsurgical Procedural Complications (4)

•Surgical Complications (31)

•Transfusion Complications (3)

•Psychological and Social Complications (15)

Origin/Sponsor

•Asia (1)

•Australia and New Zealand (14)

Resource Types

•Clinical Guideline (1)

•Journal Article (373)

•Legislation/Regulation (5)

•Meeting/Conference (2)

•Newsletter/Journal (2)

•Newspaper/Magazine Article (48)

•Press Release/Announcement (1)

•Special or Theme Issue (4)

•Tools/Toolkit (12)

•Web Resource (11)

Error Types

•Epidemiology of Errors and Adverse Events (99)

•Active Errors (51)

•Latent Errors (34)

•Near Miss (14)

Approach to Improving Safety

•Quality Improvement Strategies (124)

•Legal and Policy Approaches (48)

•Error Reporting and Analysis (150)

•Communication Improvement (126)

•Human Factors Engineering (42)

•Teamwork (33)

•Specialization of Care (35)

•Logistical Approaches (57)

•Culture of Safety (81)

•Technologic Approaches (120)

•Education and Training (75)

Clinical Areas

•Allied Health Services (1)

•Medicine (302)

•Nursing (34)

•Pharmacy (31)

Target Audience
< All

Facility and Group Administrators

Setting of Care

•Hospitals (247)

•Psychiatric Facilities (1)

•Residential Facilities (25)

•Ambulatory Care (80)

•Outpatient Surgery (8)

•Patient Transport (5)

1 - 20 of 484

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STUDY

Quality of clinical aspects of call handling at Dutch out of hours centres: cross sectional national study.

Derkx HP, Rethans JE, Muijtjens AM, et al. BMJ. 2008;337:a1264.

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

How do physicians conduct medication reviews?

Tarn DM, Paterniti DA, Kravitz RL, Fein S, Wenger NS. J Gen Intern Med. 2009;24:1296-1302.

STUDY

Assessing the value of electronic prescribing in ambulatory care: A focus group study.

Weingart SN, Massagli M, Cyrulik A, et al. Int J Med Inform. 2009;78:571-578.

STUDY

Development of a tool within the electronic medical record to facilitate medication reconciliation after hospital discharge.

Schnipper JL, Liang CL, Hamann C, et al. J Am Med Inform Assoc. 2011;18:309-313.

STUDY

Performance of a fail-safe system to follow up abnormal mammograms in primary care.

Grossman E, Phillips RS, Weingart SN. J Patient Saf. 2010;6:172-179.

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.

COMMENTARY

Unintended errors with EHR-based result management: a case series.

Yackel TR, Embi PJ. J Am Med Inform Assoc. 2010;17:104-107.

STUDY

Approaches to reducing the most important patient errors in primary health-care: patient and professional perspectives.

Buetow S, Kiata L, Liew T, Kenealy T, Dovey S, Elwyn G. Health Soc Care Community. 2010;18:296-303.

STUDY

How teams work—or don’t—in primary care: a field study on internal medicine practices.

Chesluk BJ, Holmboe ES. Health Aff (Millwood). 2010;29:874-879.

STUDY

Medication prescribing and monitoring errors in primary care: a report from the Practice Partner Research Network.

Wessell AM, Litvin C, Jenkins RG, Nietert PJ, Nemeth LS, Ornstein SM. Qual Saf Health Care. 2010;19:e21.

STUDY

Electronic results management in pediatric ambulatory care: qualitative assessment.

Ferris TG, Johnson SA, Co JP, et al. Pediatrics. 2009;123(suppl 2):S85-S91.

STUDY

Communication and collaboration: it's about the pharmacists, as well as the physicians and nurses.

Holden LM, Watts DD, Walker PH. Qual Saf Health Care. 2010;19:169-172.

STUDY

Improving prescription drug warnings to promote patient comprehension.

Wolf MS, Davis TC, Bass PF, et al. Arch Intern Med. 2010;170:50-56.

COMMENTARY

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

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

STUDY

Notification of abnormal lab test results in an electronic medical record: do any safety concerns remain?

Singh H, Thomas EJ, Sittig DF, et al. Am J Med. 2010;123:238-244.

STUDY

Improving medication reconciliation in the outpatient setting.

Varkey P, Cunningham J, Bisping S. Jt Comm J Qual Patient Saf. 2007;33:286-292.

STUDY

Implementation of a medication reconciliation process in an ambulatory internal medicine clinic.

Nassaralla CL, Naessens JM, Chaudhry R, Hansen MA, Scheitel SM. Qual Saf Health Care. 2007;16:90-94.

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

Experience with a trigger tool for identifying adverse drug events among older adults in ambulatory primary care.

Singh R, McLean-Plunckett EA, Kee R, et al. Qual Saf Health Care. 2009;18:199-204.

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