AHRQ Patient Safety Network

The Collection > Primary Care

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Safety Target

•Device-related Complications (3)

•Diagnostic Errors (34)

•Identification Errors (5)

•Discontinuities, Gaps, and Hand-Off Problems (50)

•Fatigue and Sleep Deprivation (1)

•Medication Safety (97)

•Medical Complications (9)

•Nonsurgical Procedural Complications (2)

•Surgical Complications (1)

•Psychological and Social Complications (15)

Origin/Sponsor

•Asia (4)

•Australia and New Zealand (8)

Resource Types

•Clinical Guideline (1)

•Journal Article (219)

•Legislation/Regulation (1)

•Newspaper/Magazine Article (8)

•Tools/Toolkit (6)

•Web Resource (1)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (73)

•Active Errors (47)

•Latent Errors (8)

•Near Miss (4)

Approach to Improving Safety

•Quality Improvement Strategies (53)

•Legal and Policy Approaches (18)

•Error Reporting and Analysis (72)

•Communication Improvement (90)

•Human Factors Engineering (11)

•Teamwork (20)

•Specialization of Care (7)

•Logistical Approaches (18)

•Culture of Safety (21)

•Technologic Approaches (72)

•Education and Training (44)

Clinical Areas
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Primary Care

Target Audience

•Health Care Providers (186)

•Health Care Executives and Administrators (143)

•Non-Health Care Professionals (103)

•Patients (10)

Setting of Care

•Hospitals (38)

•Psychiatric Facilities (2)

•Residential Facilities (2)

•Ambulatory Care (200)

1 - 20 of 251

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STUDY

Better medical office safety culture is not associated with better scores on quality measures.

Hagopian B, Singer ME, Curry-Smith AC, Nottingham K, Hickner J. J Patient Saf. 2012;8:15-21.

STUDY

Medication reconciliation in ambulatory care: attempts at improvement.

Nassaralla CL, Naessens JM, Hunt VL, et al. Qual Saf Health Care. 2009;18:402-407.

STUDY

Problems after discharge and understanding of communication with their primary care physicians (PCPs) among hospitalized seniors: a mixed methods study.

Arora VM, Prochaska ML, Farnan JM, et al. J Hosp Med. 2010;5:385-391.

STUDY

Implementation of a medication reconciliation process in an ambulatory internal medicine clinic.

Nassaralla CL, Naessens JM, Chaudhry R, Hansen MA, Scheitel SM. Qual Saf Health Care. 2007;16:90-94.

STUDY

Electronic medical record availability and primary care depression treatment.

Harman JS, Rost KM, Harle CA, Cook RL. J Gen Intern Med. 2012;27:962-967.

STUDY

Improving reporting of outpatient pediatric medical errors.

Neuspiel DR, Stubbs EH, Liggin L. Pediatrics. 2011;128:e1608-e1613.

STUDY

Identifying diagnostic errors in primary care using an electronic screening algorithm.

Singh H, Thomas EJ, Khan MM, Petersen LA. Arch Intern Med. 2007;167:302-308.

STUDY

'Tempos' management in primary care: a key factor for classifying adverse events, and improving quality and safety.

Amalberti R, Brami J. BMJ Qual Saf. 2012;21:729-736.

STUDY

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.

STUDY

The quality, safety and content of telephone and face-to-face consultations: a comparative study.

McKinstry B, Hammersley V, Burton C, et al. Qual Saf Health Care. 2010;19:298-303.

BOOK/REPORT

Coordination Between Emergency and Primary Care Physicians.

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

STUDY

Impact of implementing alerts about medication black-box warnings in electronic health records.

Yu DT, Seger DL, Lasser KE, et al. Pharmacoepidemiol Drug Saf. 2011;20:192-202.

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

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.

STUDY

The relationship of self-report of quality to practice size and health information technology.

Gorman PN, O'Malley JP, Fagnan LJ. J Am Board Fam Med. 2012;25:614-624.

STUDY

The management of test results in primary care: does an electronic medical record make a difference?

Elder NC, McEwen TR, Flach J, Gallimore J, Pallerla H. Fam Med. 2010;42:327-333.

STUDY

Exploring situational awareness in diagnostic errors in primary care.

Singh H, Davis Giardina T, Petersen LA, et al. BMJ Qual Saf. 2012;21:30-38.

STUDY

Electronic health record-based surveillance of diagnostic errors in primary care.

Singh H, Giardina TD, Forjuoh SN, et al. BMJ Qual Saf. 2012;22:93-100.

STUDY

Transitioning between electronic health records: effects on ambulatory prescribing safety.

Abramson EL, Malhotra S, Fischer K, et al. J Gen Intern Med. 2011;26:868-874.

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