AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (3)

•Diagnostic Errors (35)

•Identification Errors (5)

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

•Fatigue and Sleep Deprivation (1)

•Medication Safety (98)

•Medical Complications (9)

•Nonsurgical Procedural Complications (2)

•Surgical Complications (1)

•Psychological and Social Complications (15)

Origin/Sponsor

•Australia and New Zealand (8)

•North America (166)

Resource Types

•Audiovisual (3)

•Book/Report (11)

•Clinical Guideline (1)

•Journal Article (220)

•Legislation/Regulation (1)

•Newspaper/Magazine Article (8)

•Tools/Toolkit (6)

•Web Resource (1)

Error Types

•Epidemiology of Errors and Adverse Events (73)

•Active Errors (47)

•Latent Errors (9)

•Near Miss (4)

Approach to Improving Safety

•Quality Improvement Strategies (54)

•Legal and Policy Approaches (19)

•Error Reporting and Analysis (73)

•Communication Improvement (90)

•Human Factors Engineering (11)

•Teamwork (19)

•Specialization of Care (7)

•Logistical Approaches (18)

•Culture of Safety (20)

•Technologic Approaches (72)

•Education and Training (44)

Clinical Areas
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Primary Care

Target Audience

•Health Care Providers (187)

•Health Care Executives and Administrators (144)

•Non-Health Care Professionals (104)

•Patients (10)

Setting of Care

•Hospitals (38)

•Psychiatric Facilities (2)

•Residential Facilities (2)

•Ambulatory Care (200)

1 - 20 of 252

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STUDY

Stopping the error cascade: a report on ameliorators from the ASIPS collaborative.

Parnes B, Fernald D, Quintela J, et al. Qual Saf Health Care. 2007;16:12-16.

STUDY

Management of test results in family medicine offices.

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

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.

COMMENTARY

Simple strategies to avoid medication errors.

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

STUDY

Are opioid dependence and methadone maintenance treatment (MMT) documented in the medical record? A patient safety issue.

Walley AY, Farrar D, Cheng DM, Alford DP, Samet JH. J Gen Intern Med. 2009;24:1007-1011.

STUDY

Creating a better discharge summary: improvement in quality and timeliness using an electronic discharge summary.

O'Leary KJ, Liebovitz SM, Feinglass J, et al. J Hosp Med. 2009;4:219-225.

STUDY

Managed care penetration and other factors affecting computerized physician order entry in the ambulatory setting.

Menachemi N, Ford EW, Chukmaitov A, Brooks RG. Am J Manag Care. 2006;12:738-744.

STUDY

Improving medication safety in primary care using electronic health records.

Nemeth LS, Wessell AM. J Patient Saf. 2010;6:238-243.

STUDY

How teams work—or don’t—in primary care: a field study on internal medicine practices.

Chesluk BJ, Holmboe ES. Health Aff (Millwood). 2010;29:874-879.

BOOK/REPORT

Safety First: Top of Your Board's Agenda: 100 Day Challenge Survey Report.

The Patients Association. Harrow, Middlesex, UK: The Patients Association; June 2009.

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.

BOOK/REPORT

2012 User Comparative Database Report: Medical Office Survey on Patient Safety Culture.

Sorra J, Famolaro T, Dyer N, Smith S, Liu H, Ragan M. Rockville, MD: Agency for Healthcare Research and Quality; May 2012. AHRQ Publication No. 12-0052.

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

classic

Information exchange among physicians caring for the same patient in the community.

van Walraven C, Taljaard M, Bell CM, et al. CMAJ. 2008;179:1013-1018.

STUDY

classic

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.

STUDY

Communication and collaboration: it's about the pharmacists, as well as the physicians and nurses.

Holden LM, Watts DD, Walker PH. Qual Saf Health Care. 2010;19:169-172.

REVIEW

classic

Deficits in communication and information transfer between hospital-based and primary care physicians: implications for patient safety and continuity of care.

Kripalani S, LeFevre F, Phillips CO, Williams MV, Basaviah P, Baker DW. JAMA. 2007;297:831-841.

STUDY

Trends in primary care clinician perceptions of a new electronic health record.

El-Kareh R, Gandhi TK, Poon EG, et al. J Gen Intern Med. 2009;24:464-468.

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.

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