AHRQ Patient Safety Network

The Collection > Primary Care

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Safety Target

•Device-related Complications (3)

•Diagnostic Errors (28)

•Identification Errors (4)

•Discontinuities, Gaps, and Hand-Off Problems (44)

•Fatigue and Sleep Deprivation (1)

•Medication Safety (76)

•Medical Complications (8)

•Nonsurgical Procedural Complications (2)

•Psychological and Social Complications (14)

Origin/Sponsor

•Asia (2)

•Australia and New Zealand (3)

Resource Types

•Clinical Guideline (1)

•Journal Article (168)

•Legislation/Regulation (1)

•Newspaper/Magazine Article (6)

•Tools/Toolkit (6)

Error Types

•Epidemiology of Errors and Adverse Events (53)

•Active Errors (37)

•Latent Errors (7)

•Near Miss (4)

Approach to Improving Safety

•Quality Improvement Strategies (42)

•Legal and Policy Approaches (13)

•Error Reporting and Analysis (45)

•Communication Improvement (80)

•Human Factors Engineering (10)

•Teamwork (15)

•Specialization of Care (4)

•Logistical Approaches (16)

•Culture of Safety (16)

•Technologic Approaches (63)

•Education and Training (34)

Clinical Areas
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Primary Care

Target Audience

•Health Care Providers (163)

•Health Care Executives and Administrators (110)

•Non-Health Care Professionals (78)

•Patients (9)

Setting of Care

•Hospitals (33)

•Psychiatric Facilities (2)

•Residential Facilities (2)

•Ambulatory Care (160)

1 - 20 of 194

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STUDY

Physician perspectives on quality and error in the outpatient setting.

Manwell LB, Williams ES, Babbott S, Rabatin JS, Linzer M. WMJ. 2009;108:139-144.

STUDY

Burden of difficult encounters in primary care: data from the Minimizing Error, Maximizing Outcomes Study.

An PG, Rabatin JS, Manwell LB, Linzer M, Brown RL, Schwartz MD, for the MEMO Investigators. Arch Intern Med. 2009;169:410-414.

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

Using an electronic prescribing system to ensure accurate medication lists in a large multidisciplinary medical group.

Stock R, Scott J, Gurtel S. Jt Comm J Qual Patient Saf. 2009;35:271-279.

STUDY

The safety journal: lessons learned with an error reporting tool to stimulate systems thinking.

Singh R, Naughton B, Singh A, Anderson DR, Singh G. J Patient Saf. 2007;3:135-141.

COMMENTARY classic

Refocusing the lens: patient safety in ambulatory chronic disease care.

Sarkar U, Wachter RM, Schroeder SA, Schillinger D. Jt Comm J Qual Patient Saf. 2009;35:377-383.

STUDY

Teaching and medical errors: primary care preceptors' views.

Mazor KM, Fischer MA, Haley HL, Hatem D, Quirk ME. Med Educ. 2005;39:982-990.

STUDY

How do physicians conduct medication reviews?

Tarn DM, Paterniti DA, Kravitz RL, Fein S, Wenger NS. J Gen Intern Med. 2009;24:1296-1302.

STUDY

Electronic health record use and the quality of ambulatory care in the United States.

Linder JA, Ma J, Bates DW, Middleton B, Stafford BS. Arch Intern Med. 2007;167:1400-1405.

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.

NEWSPAPER/MAGAZINE ARTICLE

Nursing homes seen deficient on basic care.

Dembner A. Boston Globe. July 3, 2006;Health Science section:A1.

COMMENTARY

Simple strategies to avoid medication errors.

Jenkins RH, Vaida AJ. Fam Pract Manag. 2007;14:41-47.

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

Assessing the value of electronic prescribing in ambulatory care: A focus group study.

Weingart SN, Massagli M, Cyrulik A, et al. Int J Med Inform. 2009;78:571-578.

STUDY

Performance of a fail-safe system to follow up abnormal mammograms in primary care.

Grossman E, Phillips RS, Weingart SN. J Patient Saf. 2010;6:172-179.

STUDY

Direct reporting of laboratory test results to patients by mail to enhance patient safety.

Sung S, Forman-Hoffman V, Wilson MC, Cram P. J Gen Intern Med. 2006;21:1075-78.

ORGANIZATIONAL POLICY/GUIDELINES

Transitions of Care Consensus Policy Statement American College of Physicians-Society of General Internal Medicine-Society of Hospital Medicine-American Geriatrics Society-American College of Emergency Physicians-Society of Academic Emergency Medicine.

Snow V, Beck D, Budnitz T, et al. J Gen Intern Med. 2009;24:971-976.

STUDY

Do medication samples jeopardize patient safety?

Franks AS, Ray SM, Wallace LS, Keenum AJ, Weiss BD. Ann Pharmacother. 2008;43:51-56.

STUDY

The care transitions intervention: translating from efficacy to effectiveness.

Voss R, Gardner R, Baier R, Butterfield K, Lehrman S, Gravenstein S. Arch Intern Med. 2011;171:1232-1237.

BOOK/REPORT

Coordination Between Emergency and Primary Care Physicians.

Carrier E, Yee T, Holtzwart RA. Washington, DC: National Institute for Health Care Reform; 2011.

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