AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (4)

•Diagnostic Errors (25)

•Identification Errors (2)

•Discontinuities, Gaps, and Hand-Off Problems (64)

•Fatigue and Sleep Deprivation (49)

•Medication Safety (84)

•Medical Complications (36)

•Nonsurgical Procedural Complications (16)

•Surgical Complications (60)

•Psychological and Social Complications (31)

Origin/Sponsor

•Asia (10)

•Australia and New Zealand (14)

•Central and South America (1)

Resource Types

•Journal Article (453)

•Legislation/Regulation (1)

•Meeting/Conference (1)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (19)

•Press Release/Announcement (2)

•Special or Theme Issue (12)

•Tools/Toolkit (6)

•Web Resource (16)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (93)

•Active Errors (67)

•Latent Errors (18)

•Near Miss (6)

Approach to Improving Safety

•Quality Improvement Strategies (74)

•Legal and Policy Approaches (23)

•Error Reporting and Analysis (83)

•Communication Improvement (150)

•Human Factors Engineering (40)

•Teamwork (112)

•Specialization of Care (18)

•Logistical Approaches (77)

•Culture of Safety (78)

•Technologic Approaches (33)

•Education and Training (450)

Clinical Areas

•Allied Health Services (3)

•Complementary and Alternative Medicine (1)

Target Audience
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Educators

Setting of Care

•Hospitals (334)

•Residential Facilities (4)

•Ambulatory Care (34)

•Outpatient Surgery (1)

•Patient Transport (1)

1 - 20 of 535

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COMMENTARY

The Role of Health Literacy in Patient Safety

Wolf MS, Cooper Bailey S. AHRQ WebM&M [serial online]. February/March 2009.

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.

COMMENTARY

Lethal Cap.

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

STUDY

The computerized rounding report: implementation of a model system to support transitions of care.

Wohlauer MV, Rove KO, Pshak TJ, et al. J Surg Res. 2012;172:11-17.

SPECIAL OR THEME ISSUE

Health Literacy Research: Current Status and Future Directions.

Paasche-Orlow MK, Wilson EAH, McCormack L, eds. J Health Comm. 2010;15(suppl 2):1-225.

STUDY

Medication safety initiative in reducing medication errors.

Nguyen EE, Connolly PM, Wong V. J Nurs Care Qual. 2010;25:224-230.

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.

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.

COMMENTARY

A Mid-Summer Fog

Braddock CH. AHRQ WebM&M [serial online]. November 2008.

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].

STUDY

'August is always a nightmare': results of the Royal College of Physicians of Edinburgh and Society of Acute Medicine August transition survey.

Vaughan L, McAlister G, Bell D. Clin Med. 2011;11:322-326.

STUDY

Acute care patients discuss the patient role in patient safety.

Rathert C, Huddleston N, Pak Y. Health Care Manage Rev. 2011;36:134-144.

STUDY

Medication errors and response bias: the tip of the iceberg.

Bar-Oz B, Goldman M, Lahat E, et al. Isr Med Assoc J. 2008;10:771-774.

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.

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

Applying root cause analysis to improve patient safety: decreasing falls in postpartum women.

Chen KH, Chen LR, Su S. Qual Saf Health Care. 2010;19:138-143.

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

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

Process of care failures in breast cancer diagnosis.

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

STUDY

Improving prescription drug warnings to promote patient comprehension.

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

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