AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (3)

•Diagnostic Errors (31)

•Identification Errors (4)

•Discontinuities, Gaps, and Hand-Off Problems (46)

•Fatigue and Sleep Deprivation (1)

•Medication Safety (94)

•Medical Complications (10)

•Surgical Complications (1)

•Psychological and Social Complications (12)

Origin/Sponsor

•Australia and New Zealand (8)

•North America (160)

Resource Types

•Audiovisual (3)

•Book/Report (11)

•Clinical Guideline (1)

•Journal Article (209)

•Legislation/Regulation (1)

•Newspaper/Magazine Article (8)

•Tools/Toolkit (6)

•Web Resource (1)

Error Types

•Epidemiology of Errors and Adverse Events (72)

•Active Errors (37)

•Latent Errors (5)

•Near Miss (4)

Approach to Improving Safety

•Quality Improvement Strategies (52)

•Legal and Policy Approaches (19)

•Error Reporting and Analysis (72)

•Communication Improvement (85)

•Human Factors Engineering (11)

•Teamwork (20)

•Specialization of Care (7)

•Logistical Approaches (17)

•Culture of Safety (19)

•Technologic Approaches (69)

•Education and Training (40)

Clinical Areas
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Primary Care

Target Audience

•Health Care Providers (177)

•Health Care Executives and Administrators (143)

•Non-Health Care Professionals (97)

•Patients (10)

Setting of Care

•Hospitals (33)

•Psychiatric Facilities (2)

•Residential Facilities (2)

•Ambulatory Care (191)

1 - 20 of 241

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STUDY

Patient safety in out-of-hours primary care: a review of patient records.

Smits M, Huibers L, Kerssemeijer B, de Feijter E, Wensing M, Giesen P. BMC Health Serv Res. 2010;10:335.

STUDY

Certain uncertainties: modes of patient safety in healthcare.

Jerak-Zuiderent S. Soc Stud Sci. 2012;42:732-752.

STUDY

Frequency of and risk factors for preventable medication-related hospital admissions in the Netherlands.

Leendertse AJ, Egberts ACG, Stoker LJ, van den Bemt PMLA, for the HARM Study Group. Arch Intern Med. 2008;168:1890-1896.

STUDY

Feasibility of centre-based incident reporting in primary healthcare: the SPIEGEL study.

Zwart DL, Steerneman AH, van Rensen EL, Kalkman CJ, Verheij TJ. BMJ Qual Saf. 2011;20:121-127.

STUDY

Harm caused by adverse events in primary care: a clinical observational study.

Wetzels R, Wolters R, van Weel C, Wensing M. J Eval Clin Pract. 2009;15:323-327.

STUDY

Patient error: a preliminary taxonomy.

Buetow S, Kiata L, Liew T, Kenealy T, Dovey S, Elwyn G. Ann Fam Med. 2009;7:223-231.

STUDY

Are health professionals' perceptions of patient safety related to figures on safety incidents?

Martijn L, Harmsen M, Gaal S, Mettes D, van Dulmen S, Wensing M. J Eval Clin Pract. 2012 Jul 29; [Epub ahead of print].

STUDY

The development and psychometric evaluation of a safety climate measure for primary care.

de Wet C, Spence W, Mash R, Johnson P, Bowie P. Qual Saf Health Care. 2010;19:578-584.

STUDY

Organizational culture, team climate and diabetes care in small office-based practices.

Bosch M, Dijkstra R, Wensing M, van der Weijden T, Grol R. BMC Health Serv Res. 2008;8:180.

REVIEW

Patient safety systems in the primary health care of diabetes—a story of missed opportunities?

Taub N, Baker R, Khunti K, et al. Diabet Med. 2010;27:1322-1326.

STUDY

classic

Patient perceptions of mistakes in ambulatory care.

Kistler CE, Walter LC, Mitchell CM, Sloane PD. Arch Intern Med. 2010;170:1480-1487.

STUDY

Improving medication reconciliation in the outpatient setting.

Varkey P, Cunningham J, Bisping S. Jt Comm J Qual Patient Saf. 2007;33:286-292.

BOOK/REPORT

Patient Safety in Primary Care.

Kingston-Riechers J, Ospina M, Jonsson E, Childs P, McLeod L, Maxted JM. Edmondton, AB, Canada: Canadian Patient Safety Institute; 2010. ISBN: 9781926541273.

COMMENTARY classic

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.

MEASUREMENT TOOL/INDICATOR

Medical Office Survey on Patient Safety Culture.

Rockville, MD: Agency for Healthcare Research and Quality; November 2010.

COMMENTARY

Reducing diagnostic error through medical home-based primary care reform.

Singh H, Graber M. JAMA. 2010;304:463-464.

COMMENTARY

The association between culture, climate and quality of care in primary health care teams.

Hann M, Bower P, Campbell S, Marshall M, Reeves D. Fam Pract. 2007;24:323-329.

REVIEW

Coordinating care across diseases, settings, and clinicians: a key role for the generalist in practice.

Stille CJ, Jerant A, Bell D, Meltzer D, Elmore JG. Ann Intern Med. 2005;142:700-708.

STUDY

Development of a tool within the electronic medical record to facilitate medication reconciliation after hospital discharge.

Schnipper JL, Liang CL, Hamann C, et al. J Am Med Inform Assoc. 2011;18:309-313.

STUDY

Confidential reporting of patient safety events in primary care: results from a multilevel classification of cognitive and system factors.

Kostopoulou O, Delaney B. Qual Saf Health Care. 2007;16:95-100.

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