AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (6)

•Diagnostic Errors (31)

•Identification Errors (3)

•Discontinuities, Gaps, and Hand-Off Problems (59)

•Fatigue and Sleep Deprivation (56)

•Medication Safety (80)

•Medical Complications (37)

•Nonsurgical Procedural Complications (13)

•Surgical Complications (64)

•Psychological and Social Complications (32)

Origin/Sponsor

•Asia (4)

•Australia and New Zealand (6)

•Central and South America (1)

Resource Types

•Journal Article (493)

•Legislation/Regulation (2)

•Meeting/Conference (2)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (22)

•Press Release/Announcement (2)

•Special or Theme Issue (15)

•Tools/Toolkit (5)

•Web Resource (17)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (80)

•Active Errors (74)

•Latent Errors (20)

•Near Miss (6)

Approach to Improving Safety

•Quality Improvement Strategies (70)

•Legal and Policy Approaches (26)

•Error Reporting and Analysis (95)

•Communication Improvement (151)

•Human Factors Engineering (31)

•Teamwork (111)

•Specialization of Care (16)

•Logistical Approaches (84)

•Culture of Safety (81)

•Technologic Approaches (36)

•Education and Training (494)

Clinical Areas

•Allied Health Services (3)

•Complementary and Alternative Medicine (1)

Target Audience
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Educators

Setting of Care

•Hospitals (324)

•Residential Facilities (4)

•Ambulatory Care (33)

•Outpatient Surgery (1)

•Patient Transport (1)

1 - 20 of 585

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STUDY

Parents' medication administration errors: role of dosing instruments and health literacy.

Yin HS, Mendelsohn AL, Wolf MS, et al. Arch Pediatr Adolesc Med. 2010;164:181-186.

STUDY

Randomized controlled trial of a pictogram-based intervention to reduce liquid medication dosing errors and improve adherence among caregivers of young children.

Yin HS, Dreyer BP, van Schaick L, et al. Arch Pediatr Adolesc Med. 2008;162:814-822.

COMMENTARY

Lethal Cap.

Schillinger D. AHRQ WebM&M [serial online]. March 2004.

STUDY

Health literacy and communication quality in health care organizations.

Wynia MK, Osborn CY. J Health Commun. 2010;15(suppl 2):102-115.

STUDY

Out-of-hospital medication errors: a 6-year analysis of the national poison data system.

Shah K, Barker KA. Pharmacoepidemiol Drug Saf. 2009;18:1080-1085.

STUDY

Medical error disclosure among pediatricians: choosing carefully what we might say to parents.

Loren DJ, Klein EJ, Garbutt J, et al. Arch Pediatr Adolesc Med. 2008;162:922-927.

COMMENTARY

Health literacy and quality: focus on chronic illness care and patient safety.

Rothman RL, Yin HS, Mulvaney S, Co JPT, Homer C, Lannon C. Pediatrics. 2009;124(suppl 3):S315-S326.

BOOK/REPORT

2009 Older Adults' Knowledge About Medications That Can Impact Driving.

MacLennan PA, Owsley C, Rue LW III, McGwin G Jr. Washington, DC: American Automobile Association Foundation for Traffic Safety; August 2009.

STUDY

Improving prescription drug warnings to promote patient comprehension.

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

STUDY

Process of care failures in breast cancer diagnosis.

Weingart SN, Saadeh MG, Simchowitz B, et al. J Gen Intern Med. 2009;24:702-709.

REVIEW

Medication errors in chemotherapy: incidence, types and involvement of patients in prevention. A review of the literature.

Schwappach DLB, Wernli M. Eur J Cancer Care (Engl). 2009;19:285-292.

TOOLKIT

Health Literacy Universal Precautions Toolkit.

DeWalt DA, Callahan LF, Hawk VH, et al. Rockville, MD: Agency for Healthcare Research and Quality; 2010. AHRQ Publication No. 10-0046-EF.

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

Inadequate health literacy among paid caregivers of seniors.

Lindquist LA, Jain N, Tam K, Martin GJ, Baker DW. J Gen Intern Med. 2011;26:474-479.

COMMENTARY

In Conversation with...Dean Schillinger, MD

AHRQ WebM&M [serial online]. February/March 2009.

BOOK/REPORT

Health Literacy Practices in Primary Care Settings: Examples from the Field.

Barrett SE, Puryear JS, Westpheling K. New York, NY: The Commonwealth Fund; January 2008.

STUDY

Helping patients simplify and safely use complex prescription regimens.

Wolf MS, Curtis LM, Waite K, et al. Arch Intern Med. 2011;171:300-305.

STUDY

Older patients' understanding of emergency department discharge information and its relationship with adverse outcomes.

Hastings SN, Barrett A, Weinberger M, et al. J Patient Saf. 2011;7:19-25.

SPECIAL OR THEME ISSUE

Special issue on health literacy.

Glover ED, ed. Am J Health Behav. 2007;31(suppl):s1-s133.

STUDY

Patients' attitudes towards patient involvement in safety interventions: results of two exploratory studies.

Davis RE, Sevdalis N, Pinto A, Darzi A, Vincent CA. Health Expect. 2011 Dec 12; [Epub ahead of print].

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