AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (1)

•Diagnostic Errors (33)

•Identification Errors (4)

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

•Fatigue and Sleep Deprivation (1)

•Medication Safety (86)

•Medical Complications (6)

•Nonsurgical Procedural Complications (2)

•Surgical Complications (1)

•Psychological and Social Complications (12)

Origin/Sponsor

•Australia and New Zealand (7)

•North America (134)

Resource Types

•Audiovisual (2)

•Book/Report (7)

•Journal Article (187)

•Legislation/Regulation (1)

•Newspaper/Magazine Article (4)

•Tools/Toolkit (4)

•Web Resource (1)

Error Types

•Epidemiology of Errors and Adverse Events (59)

•Active Errors (44)

•Latent Errors (9)

•Near Miss (4)

Approach to Improving Safety

•Quality Improvement Strategies (44)

•Legal and Policy Approaches (14)

•Error Reporting and Analysis (58)

•Communication Improvement (83)

•Human Factors Engineering (11)

•Teamwork (18)

•Specialization of Care (6)

•Logistical Approaches (16)

•Culture of Safety (17)

•Technologic Approaches (63)

•Education and Training (38)

Clinical Areas
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Primary Care

Target Audience

•Health Care Providers (165)

•Health Care Executives and Administrators (126)

•Non-Health Care Professionals (86)

•Patients (7)

Setting of Care

•Hospitals (31)

•Ambulatory Care (165)

1 - 20 of 207

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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

Alternatives to potentially inappropriate medications for use in e-prescribing software: triggers and treatment algorithms.

Hume AL, Quilliam BJ, Goldman R, Eaton C, Lapane KL. BMJ Qual Saf. 2011;20:875-884.

STUDY

Patient report on information given, consultation time and safety in primary care.

Mira JJ, Nebot C, Lorenzo S, Pérez-Jover V. Qual Saf Health Care. 2010;19:e33.

STUDY

Management of test results in family medicine offices.

Elder NC, McEwen TR, Flach JM, Gallimore JJ. Ann Fam Med. 2009;7:343-351.

COMMENTARY

It's All in the Syringe

Weingart SN. AHRQ WebM&M [serial online]. August 2006.

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.

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

Ambulatory prescribing errors among community-based providers in two states.

Abramson EL, Bates DW, Jenter C, et al. J Am Med Inform Assoc. 2012;19:644-648.

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 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.

COMMENTARY

Urine a Tough Position.

Gandhi TK. AHRQ WebM&M [serial online]. October 2003.

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

Lethal Cap.

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

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.

STUDY

Approaches to reducing the most important patient errors in primary health-care: patient and professional perspectives.

Buetow S, Kiata L, Liew T, Kenealy T, Dovey S, Elwyn G. Health Soc Care Community. 2010;18:296-303.

TOOLKIT

Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation.

Gleason KM, Brake H, Agramonte V, Perfetti C. Rockville, MD: Agency for Healthcare Research and Quality; Revised August 2012. AHRQ Publication No. 11(12)-0059.

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

Challenges of making a diagnosis in the outpatient setting: a multi-site survey of primary care physicians.

Sarkar U, Bonacum D, Strull W, et al. BMJ Qual Saf. 2012;21:641-648.

REVIEW

Safety learning system development—incident reporting component for family practice.

O'Beirne M, Sterling P, Reid R, Tink W, Hohman S, Norton P. Qual Saf Health Care. 2010;19:252-257.

COMMENTARY

A "Weak" Response.

Reisman AB. AHRQ WebM&M [serial online]. December 2004.

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