AHRQ Patient Safety Network

The Collection > Quality and Safety Professionals

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Safety Target

•Device-related Complications (103)

•Diagnostic Errors (126)

•Identification Errors (86)

•Discontinuities, Gaps, and Hand-Off Problems (273)

•Fatigue and Sleep Deprivation (60)

•Medication Safety (751)

•Medical Complications (258)

•Nonsurgical Procedural Complications (67)

•Surgical Complications (290)

•Transfusion Complications (11)

•Psychological and Social Complications (67)

Origin/Sponsor

•Africa (1)

•Asia (35)

•Australia and New Zealand (70)

•Central and South America (4)

•Europe (312)

•North America (1829)

Resource Types

•Audiovisual (10)

•Award (5)

•Book/Report (75)

•Clinical Guideline (2)

•Journal Article (1932)

•Legislation/Regulation (29)

•Meeting/Conference (13)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (136)

•Press Release/Announcement (14)

•Special or Theme Issue (22)

•Tools/Toolkit (20)

•Web Resource (31)

•Grant (3)

Error Types

•Epidemiology of Errors and Adverse Events (649)

•Active Errors (469)

•Latent Errors (146)

•Near Miss (51)

Approach to Improving Safety

•Quality Improvement Strategies (584)

•Legal and Policy Approaches (119)

•Error Reporting and Analysis (696)

•Communication Improvement (508)

•Human Factors Engineering (355)

•Teamwork (209)

•Specialization of Care (155)

•Logistical Approaches (172)

•Culture of Safety (277)

•Technologic Approaches (467)

•Education and Training (444)

Clinical Areas

•Allied Health Services (8)

•Complementary and Alternative Medicine (1)

Target Audience
< All

Quality and Safety Professionals

Setting of Care

•Hospitals (1509)

•Psychiatric Facilities (8)

•Residential Facilities (40)

•Ambulatory Care (179)

•Outpatient Surgery (20)

•Patient Transport (18)

1 - 20 of 2295

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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

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

The development and evaluation of an integrated electronic prescribing and drug management system for primary care.

Tamblyn R, Huang A, Kawasumi Y, et al. J Am Med Inform Assoc. 2006;13:148-159.

STUDY

Electronic health record-based surveillance of diagnostic errors in primary care.

Singh H, Giardina TD, Forjuoh SN, et al. BMJ Qual Saf. 2012;22:93-100.

STUDY

Preventing potentially inappropriate medication use in hospitalized older patients with a computerized provider order entry warning system.

Mattison MLP, Afonso KA, Ngo LH, Mukamal KJ. Arch Intern Med. 2010;170:1331-1336.

STUDY

Transitioning between electronic health records: effects on ambulatory prescribing safety.

Abramson EL, Malhotra S, Fischer K, et al. J Gen Intern Med. 2011;26:868-874.

STUDY

A survey of factors affecting clinician acceptance of clinical decision support.

Sittig DF, Krall MA, Dykstra RH, Russell A, Chin HL. BMC Med Inform Decis Mak. 2006;6:6.

STUDY

Adverse drug events in general practice patients in Australia.

Miller GC, Britt HC, Valenti L. Med J Aust. 2006;184:321-324.

STUDY

Identifying causes of adverse events detected by an automated trigger tool through in-depth analysis.

Muething SE, Conway PH, Kloppenborg E, et al. Qual Saf Health Care. 2010;19:435-439.

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

Critical drug–drug interactions for use in electronic health records systems with computerized physician order entry: review of leading approaches.

Classen DC, Phansalkar S, Bates DW. J Patient Saf. 2011;7:61-65.

STUDY

The impact of prescribing safety alerts for elderly persons in an electronic medical record: an interrupted time series evaluation.

Smith DH, Perrin N, Feldstein A, et al. Arch Intern Med. 2006;166:1098-1104.

STUDY

Literacy and misunderstanding prescription drug labels.

Davis TC, Wolf MS, Bass PF III, et al. Ann Intern Med. 2006;145:887-94.

REVIEW

Year in review: medication mishaps in the elderly.

Peron EP, Marcum ZA, Boyce R, Hanlon JT, Handler SM. Am J Geriatr Pharmacother. 2011;9:1-10.

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.

NEWSPAPER/MAGAZINE ARTICLE

Medication errors occurring with the use of bar-code administration technology.

PA-PSRS Patient Saf Advis. December 2008;5:122-126.

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.

REVIEW

Coordinating care across diseases, settings, and clinicians: a key role for the generalist in practice.

Stille CJ, Jerant A, Bell D, Meltzer D, Elmore JG. Ann Intern Med. 2005;142:700-708.

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

Patient perceptions of mistakes in ambulatory care.

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

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