AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (38)

•Diagnostic Errors (45)

•Identification Errors (44)

•Discontinuities, Gaps, and Hand-Off Problems (53)

•Fatigue and Sleep Deprivation (10)

•Medication Safety (195)

•Medical Complications (84)

•Nonsurgical Procedural Complications (16)

•Surgical Complications (112)

•Transfusion Complications (3)

•Psychological and Social Complications (32)

Origin/Sponsor

•Australia and New Zealand (1)

•Central and South America (1)

Resource Types

•Journal Article (71)

•Legislation/Regulation (1)

•Meeting/Conference (1)

•Newsletter/Journal (4)

•Newspaper/Magazine Article (351)

•Press Release/Announcement (9)

•Special or Theme Issue (1)

•Tools/Toolkit (40)

•Web Resource (56)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (52)

•Active Errors (132)

•Latent Errors (47)

•Near Miss (1)

Approach to Improving Safety

•Quality Improvement Strategies (128)

•Legal and Policy Approaches (184)

•Error Reporting and Analysis (179)

•Communication Improvement (220)

•Human Factors Engineering (72)

•Teamwork (18)

•Specialization of Care (23)

•Logistical Approaches (31)

•Culture of Safety (51)

•Technologic Approaches (90)

•Education and Training (164)

Clinical Areas

•Allied Health Services (1)

Target Audience
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Patients

Setting of Care

•Hospitals (358)

•Psychiatric Facilities (3)

•Residential Facilities (7)

•Ambulatory Care (65)

•Outpatient Surgery (11)

•Patient Transport (2)

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NEWSPAPER/MAGAZINE ARTICLE

To protect against drug errors, ask questions.

Brody JE. New York Times. January 2, 2007:F7.

NEWSPAPER/MAGAZINE ARTICLE

Medication mistakes that can kill.

Haiken M. Caring.com. August 17, 2009.

NEWSPAPER/MAGAZINE ARTICLE

Pharmacy reform reduces Rx errors: '05 CVS mishap spurred action.

Fargen J. Boston Herald. April 22, 2007.

NEWSPAPER/MAGAZINE ARTICLE

Rx for errors: speed, high volume can trigger mistakes.

McCoy K, Brady E. USA Today. February 11, 2008:A1.

STUDY

Diagramming patients' views of root causes of adverse drug events in ambulatory care: an online tool for planning education and research.

Brown M, Frost R, Ko Y, Woosley R. Patient Educ Couns. 2006;62:302-315.

NEWSPAPER/MAGAZINE ARTICLE

To be safe, keep track of pills.

Foreman J. Los Angeles Times. September 4, 2006:F3.

STUDY

Risk of unintentional overdose with non-prescription acetaminophen products.

Wolf MS, King J, Jacobson K, et al. J Gen Intern Med. 2012;27:1587-1593.

NEWSPAPER/MAGAZINE ARTICLE

Balancing long waits and patient safety at the pharmacy.

Campbell-Grizzle E. Jamaica Gleaner. September 6, 2006.

COMMENTARY

Prevent medication errors: a New Year's resolution: teaching patients about their medications.

Polzien G. Home Healthc Nurse. 2007;25:59-62.

AUDIOVISUAL PRESENTATION

Medication error death rate up 500 percent.

Spiesel S, Chadwick A. "Day to Day." National Public Radio. August 27, 2008.

AUDIOVISUAL PRESENTATION

Can you read this drug label?

Gill L. Consumer Reports Health. June 2011.

NEWSPAPER/MAGAZINE ARTICLE

Patient, protect thyself.

Szabo L. USA Today. February 5, 2007.

NEWSPAPER/MAGAZINE ARTICLE

'Use only as directed' isn't easy.

Landro L. Wall Street Journal. April 26, 2011:D1.

COMMENTARY

Appropriate prescribing of medications: an eight-step approach.

Pollock M, Bazaldua OV, Dobbie AE. Am Fam Physician. 2007;75:231-236, 239-240.

NEWSPAPER/MAGAZINE ARTICLE

Pill errors cost pharmacists cash, not career.

Dworkin A. The Oregonian. June 20, 2007:A01.

PRESS RELEASE/ANNOUNCEMENT

Consumers Filling U.S. Prescriptions Abroad May Get the Wrong Active Ingredient Because of Confusing Drug Names.

FDA Public Health Advisory [US Food and Drug Administration Web site]. January 2006.

TOOLKIT

POP (Paul O’Neill Pledge) Patient Safety Campaign.

Florida Health Care Coalition.

STUDY

Engaging patients and family members in patient safety—the experience of the New York City Health and Hospitals Corporation.

Wale JB, Moon RR. Psychiatr Q. Spring 2005;76:85-95.

NEWSPAPER/MAGAZINE ARTICLE

Accuracy at every step: the challenge of medication reconciliation.

Institute for Healthcare Improvement Web site. March 20, 2006.

FACT SHEET/FAQS

Patient Education Pages.

Journal of Patient Safety.

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