AHRQ Patient Safety Network

The Collection > Quality and Safety Professionals

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Safety Target

•Device-related Complications (105)

•Diagnostic Errors (112)

•Identification Errors (82)

•Discontinuities, Gaps, and Hand-Off Problems (301)

•Fatigue and Sleep Deprivation (53)

•Medication Safety (697)

•Medical Complications (280)

•Nonsurgical Procedural Complications (72)

•Surgical Complications (312)

•Transfusion Complications (13)

•Psychological and Social Complications (66)

Origin/Sponsor

•Africa (2)

•Asia (31)

•Australia and New Zealand (80)

•Central and South America (5)

•Europe (281)

•North America (1829)

Resource Types

•Audiovisual (7)

•Award (6)

•Book/Report (71)

•Clinical Guideline (3)

•Journal Article (1886)

•Legislation/Regulation (31)

•Meeting/Conference (13)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (134)

•Press Release/Announcement (15)

•Special or Theme Issue (23)

•Tools/Toolkit (20)

•Web Resource (42)

•Grant (5)

Error Types

•Epidemiology of Errors and Adverse Events (614)

•Active Errors (406)

•Latent Errors (138)

•Near Miss (47)

Approach to Improving Safety

•Quality Improvement Strategies (582)

•Legal and Policy Approaches (116)

•Error Reporting and Analysis (631)

•Communication Improvement (563)

•Human Factors Engineering (360)

•Teamwork (228)

•Specialization of Care (172)

•Logistical Approaches (170)

•Culture of Safety (270)

•Technologic Approaches (430)

•Education and Training (452)

Clinical Areas

•Allied Health Services (7)

•Complementary and Alternative Medicine (1)

Target Audience
< All

Quality and Safety Professionals

Setting of Care

•Hospitals (1484)

•Psychiatric Facilities (5)

•Residential Facilities (38)

•Ambulatory Care (174)

•Outpatient Surgery (22)

•Patient Transport (18)

1 - 20 of 2259

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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

Hospital discharge documentation and risk of rehospitalisation.

Hansen LO, Strater A, Smith L, et al. BMJ Qual Saf. 2011;20:773-778.

COMMENTARY

Partners in safety: implementing a community-based patient safety advisory council.

Leonhardt KK, Bonin D, Pagel P. Wisc Med J. 2006;105;54-59.

STUDY

Medication reconciliation and hypertension control.

Persell SD, Bailey SC, Tang J, Davis TC, Wolf MS. Am J Med. 2010;123:182.e9-182.e15.

TOOLKIT

Partnering with Patients and Families to Enhance Safety and Quality: A Mini Toolkit.

Bethesda, MD: Institute for Patient- and Family-Centered Care; 2011.

NEWSPAPER/MAGAZINE ARTICLE

Do no harm: promoting patient safety.

Ellis K. Surgicenteronline.com [serial online]. May 1, 2006.

COMMENTARY

Ten years after the IOM report: engaging residents in quality and patient safety by creating a house staff quality council.

Fleischut PM, Evans AS, Nugent WC, et al. Am J Med Qual. 2011;26:89-94.

COMMENTARY

Medication reconciliation in a community, nonteaching hospital.

Wortman SB. Am J Health Syst Pharm. 2008;65:2047-2054.

COMMENTARY

Mitigating error vulnerability at the transition of care through the use of health IT applications.

Cortelyou-Ward K, Swain A, Yeung T. J Med Syst. 2012;36:3825-3831.

TOOLKIT

Medications at Transitions and Clinical Handoffs (MATCH) Medication Reconciliation Toolkit.

Chicago, IL: Northwestern Memorial Hospital; 2007.

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

Insufficient communication about medication use at the interface between hospital and primary care.

Glintborg B, Andersen SE, Dalhoff K. Qual Saf Health Care. 2007;16:34-39.

STUDY

Association of ICU or hospital admission with unintentional discontinuation of medications for chronic diseases.

Bell CM, Brener SS, Gunraj N, et al. JAMA. 2011;306:840-847.

STUDY

Lack of patient knowledge regarding hospital medications.

Cumbler E, Wald H, Kutner J. J Hosp Med. 2010;5-83-86.

STUDY

Am I safe here? Improving patients' perceptions of safety in hospitals.

Wolosin RJ, Vercler L, Matthews JL. J Nurs Care Qual. 2006;21:30-38.

BOOK/REPORT

Improving America's Hospitals: The Joint Commission's Report on Quality and Safety 2008.

Oakbrook Terrace, IL: The Joint Commission; November 2008.

ORGANIZATIONAL POLICY/GUIDELINES

ACOG Committee Opinion #472: patient safety and the electronic health record.

ACOG Committee on Patient Safety and Quality Improvement. Obstet Gynecol. 2010;116:1245-1247.

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

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

Results of a medication reconciliation survey from the 2006 Society of Hospital Medicine national meeting.

Clay BJ, Halasyamani L, Stucky ER, Greenwald JL, Williams MV. J Hosp Med. 2008;3:465-472.

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