AHRQ Patient Safety Network

The Collection > Primary Care

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Safety Target

•Device-related Complications (3)

•Diagnostic Errors (35)

•Identification Errors (5)

•Discontinuities, Gaps, and Hand-Off Problems (49)

•Fatigue and Sleep Deprivation (1)

•Medication Safety (99)

•Medical Complications (10)

•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 (222)

•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 (9)

•Near Miss (4)

Approach to Improving Safety

•Quality Improvement Strategies (54)

•Legal and Policy Approaches (20)

•Error Reporting and Analysis (73)

•Communication Improvement (90)

•Human Factors Engineering (11)

•Teamwork (20)

•Specialization of Care (6)

•Logistical Approaches (18)

•Culture of Safety (21)

•Technologic Approaches (73)

•Education and Training (45)

Clinical Areas
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Primary Care

Target Audience

•Health Care Providers (188)

•Health Care Executives and Administrators (144)

•Non-Health Care Professionals (104)

•Patients (10)

Setting of Care

•Hospitals (37)

•Psychiatric Facilities (2)

•Residential Facilities (2)

•Ambulatory Care (201)

1 - 20 of 253

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REVIEW

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

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.

STUDY

Preliminary assessment of pediatric health care quality and patient safety in the United States using readily available administrative data.

McDonald KM, Davies SM, Haberland CA, et al. Pediatrics. 2008;122:e416-e425.

BOOK/REPORT

Managing Patients' Medicines after Discharge from Hospital.

London, UK: Care Quality Commission; October 2009. CQC-039-500-ESP-102009. ISBN: 9781845622442.

BOOK/REPORT

Safety in Doses.

London, UK: National Patient Safety Agency; 2009. ISBN: 9781906624088.

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

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.

MULTI-USE WEBSITE

Getting Safer Care.

Agency for Healthcare Research and Quality.

NEWSPAPER/MAGAZINE ARTICLE

Small patients, big consequences in medical errors.

Tarkan L. New York Times. September 14, 2008;Health section:7.

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

Association of communication between hospital-based physicians and primary care providers with patient outcomes.

Bell CM, Schnipper JL, Auerbach AD, et al. J Gen Intern Med. 2009;24:381-386.

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

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

Patient reported receipt of medication instructions for warfarin is associated with reduced risk of serious bleeding events.

Metlay JP, Hennessy S, Localio AR, et al. J Gen Intern Med. 2008;23:1589-1594.

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.

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

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.

MEASUREMENT TOOL/INDICATOR

Prevention Quality Indicators.

AHRQ Quality Indicators. Rockville, MD: Agency for Healthcare Research and Quality; September 2005.

STUDY

Barriers and motivators for making error reports from family medicine offices: a report from the American Academy of Family Physicians National Research Network (AAFP NRN).

Elder NC, Graham D, Brandt E, Hickner J. J Am Board Fam Med. 2007;20:115-123.

COMMENTARY

Medication errors in family practice, in hospitals and after discharge from the hospital: an ethical analysis.

Clark PA. J Law Med Ethics. 2004;32:349-357.

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