AHRQ Patient Safety Network

The Collection > Quality and Safety Professionals

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Safety Target

•Device-related Complications (117)

•Diagnostic Errors (124)

•Identification Errors (89)

•Discontinuities, Gaps, and Hand-Off Problems (303)

•Fatigue and Sleep Deprivation (48)

•Medication Safety (761)

•Medical Complications (303)

•Nonsurgical Procedural Complications (77)

•Surgical Complications (333)

•Transfusion Complications (13)

•Psychological and Social Complications (68)

Origin/Sponsor

•Africa (2)

•Asia (43)

•Australia and New Zealand (88)

•Central and South America (8)

•Europe (379)

•North America (1867)

Resource Types

•Audiovisual (8)

•Award (5)

•Book/Report (72)

•Clinical Guideline (3)

•Journal Article (2045)

•Legislation/Regulation (30)

•Meeting/Conference (12)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (132)

•Press Release/Announcement (14)

•Special or Theme Issue (22)

•Tools/Toolkit (19)

•Web Resource (42)

•Grant (5)

Error Types

•Epidemiology of Errors and Adverse Events (758)

•Active Errors (450)

•Latent Errors (144)

•Near Miss (54)

Approach to Improving Safety

•Quality Improvement Strategies (606)

•Legal and Policy Approaches (114)

•Error Reporting and Analysis (709)

•Communication Improvement (572)

•Human Factors Engineering (379)

•Teamwork (234)

•Specialization of Care (176)

•Logistical Approaches (171)

•Culture of Safety (284)

•Technologic Approaches (442)

•Education and Training (470)

Clinical Areas

•Allied Health Services (6)

Target Audience
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Quality and Safety Professionals

Setting of Care

•Hospitals (1634)

•Psychiatric Facilities (7)

•Residential Facilities (39)

•Ambulatory Care (185)

•Outpatient Surgery (22)

•Patient Transport (19)

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STUDY

Electronic medical record availability and primary care depression treatment.

Harman JS, Rost KM, Harle CA, Cook RL. J Gen Intern Med. 2012;27:962-967.

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

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

Effects of an enhanced discharge planning intervention for hospitalized older adults: a randomized trial.

Altfeld SJ, Shier GE, Rooney M, et al. Gerontologist. 2013;53:430-440.

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

Residents' perceptions of professionalism in training and practice: barriers, promoters, and duty hour requirements.

Ratanawongsa N, Bolen S, Howell EE, Kern DE, Sisson SD, Larriviere D. J Gen Intern Med. 2006;21:758-763.

STUDY

Better medical office safety culture is not associated with better scores on quality measures.

Hagopian B, Singer ME, Curry-Smith AC, Nottingham K, Hickner J. J Patient Saf. 2012;8:15-21.

STUDY

Medication reconciliation in ambulatory care: attempts at improvement.

Nassaralla CL, Naessens JM, Hunt VL, et al. Qual Saf Health Care. 2009;18:402-407.

STUDY

Results of the Medications At Transitions and Clinical Handoffs (MATCH) study: an analysis of medication reconciliation errors and risk factors at hospital admission.

Gleason KM, McDaniel MR, Feinglass J, et al. J Gen Intern Med. 2010;25:441-447.

STUDY

Improving reporting of outpatient pediatric medical errors.

Neuspiel DR, Stubbs EH, Liggin L. Pediatrics. 2011;128:e1608-e1613.

STUDY

Clinical outcomes from the use of Medication Report when elderly patients are discharged from hospital.

Midlöv P, Deierborg E, Holmdahl L, Höglund P, Eriksson T. Pharm World Sci. 2008;30:840-845.

STUDY

Patient perceptions of mistakes in ambulatory care.

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

STUDY

High risk prescribing in primary care patients particularly vulnerable to adverse drug events: cross sectional population database analysis in Scottish general practice.

Guthrie B, McCowan C, Davey P, Simpson CR, Dreischulte T, Barnett K. BMJ. 2011;342:d3514.

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.

STUDY

Safety of using a computerized rounding and sign-out system to reduce resident duty hours.

Van Eaton EG, McDonough K, Lober WB, Johnson EA, Pellegrini CA, Horvath KD. Acad Med. 2010;85:1189-1195.

STUDY

Patient safety in out-of-hours primary care: a review of patient records.

Smits M, Huibers L, Kerssemeijer B, de Feijter E, Wensing M, Giesen P. BMC Health Serv Res. 2010;10:335.

AUDIOVISUAL

Healthcare 411: Making hospital discharges safer for seniors.

Rockville, MD: Agency for Healthcare Research and Quality. June 3, 2009.

STUDY

Fall prevention in acute care hospitals: a randomized trial.

Dykes PC, Carroll DL, Hurley A, et al. JAMA. 2010;304:1912-1918.

STUDY

Direct reporting of laboratory test results to patients by mail to enhance patient safety.

Sung S, Forman-Hoffman V, Wilson MC, Cram P. J Gen Intern Med. 2006;21:1075-78.

STUDY

Medicines reconciliation using a shared electronic health care record.

Moore P, Armitage G, Wright J, Dobrzanski S, Ansari N, Hammond I, Scally A. J Patient Saf. 2011;7:147-153.

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