AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (46)

•Diagnostic Errors (44)

•Identification Errors (24)

•Discontinuities, Gaps, and Hand-Off Problems (228)

•Fatigue and Sleep Deprivation (32)

•Medication Safety (354)

•Medical Complications (205)

•Nonsurgical Procedural Complications (13)

•Surgical Complications (63)

•Transfusion Complications (6)

•Psychological and Social Complications (53)

Origin/Sponsor

•Australia and New Zealand (37)

•Europe (205)

•North America (1055)

Resource Types

•Audiovisual (18)

•Book/Report (86)

•Clinical Guideline (1)

•Journal Article (962)

•Legislation/Regulation (9)

•Meeting/Conference (6)

•Newspaper/Magazine Article (170)

•Press Release/Announcement (1)

•Special or Theme Issue (8)

•Tools/Toolkit (18)

•Web Resource (22)

Error Types

•Epidemiology of Errors and Adverse Events (405)

•Active Errors (147)

•Latent Errors (75)

•Near Miss (16)

Approach to Improving Safety

•Quality Improvement Strategies (315)

•Legal and Policy Approaches (150)

•Error Reporting and Analysis (377)

•Communication Improvement (353)

•Human Factors Engineering (121)

•Teamwork (84)

•Specialization of Care (94)

•Logistical Approaches (103)

•Culture of Safety (203)

•Technologic Approaches (236)

•Education and Training (235)

Clinical Areas
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General Internal Medicine

Target Audience

•Health Care Providers (751)

•Health Care Executives and Administrators (1035)

•Non-Health Care Professionals (505)

•Patients (114)

Setting of Care

•Hospitals (1094)

•Psychiatric Facilities (4)

•Residential Facilities (8)

•Ambulatory Care (201)

•Outpatient Surgery (2)

•Patient Transport (2)

1 - 20 of 1310

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STUDY

A steep increase in domestic fatal medication errors with use of alcohol and/or street drugs.

Phillips DP, Barker GEC, Eguchi MM. Arch Intern Med. 2008;168:1561-1566.

AUDIOVISUAL PRESENTATION

Medication error death rate up 500 percent.

Spiesel S, Chadwick A. "Day to Day." National Public Radio. August 27, 2008.

STUDY

Sources and types of discrepancies between electronic medical records and actual outpatient medication use.

Orrico KB. J Manag Care Pharm. 2008;14:626-631.

STUDY

Pharmacist-supported medication review training for general practitioners: feasibility and acceptability.

Krska J, Gill D, Hansford D. Med Educ. 2006;40:1217-1225.

STUDY

Post-discharge medication reviews for patients with heart failure: a pilot study.

Ponniah A, Shakib S, Doecke CJ, Boyce M, Angley M. Pharm World Sci. 2008;30:810-815.

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

Multidisciplinary approach to inpatient medication reconciliation in an academic setting.

Varkey P, Cunningham J, O'Meara J, Bonacci R, Desai N, Sheeler R. Am J Health Syst Pharm. 2007;64:850-854.

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

Medication reconciliation for reducing drug-discrepancy adverse events.

Boockvar KS, Carlson Lacorte H, Giambanco V, Fridman B, Siu A. Am J Geriatr Pharmacother. 2006;4:236-243.

STUDY

Medication, allergy, and adverse drug event discrepancies in ambulatory care.

Stephens M, Fox B, Kukulka G, Bellamy J. Fam Medicine. 2008;40:107-110.

STUDY

Implementing medication reconciliation in outpatient pediatrics.

Rappaport DI, Collins B, Koster A, et al. Pediatrics. 2011;128:e1600-e1607.

NEWSPAPER/MAGAZINE ARTICLE

Rx for medication errors.

Friedley NJ. Med Econ. October 17, 2008;85:34-38.

STUDY

classic

Literacy and misunderstanding prescription drug labels.

Davis TC, Wolf MS, Bass PF III, et al. Ann Intern Med. 2006;145:887-94.

STUDY

Adverse drug events resulting from patient errors in older adults.

Field TS, Mazor KM, Briesacher B, Debellis KR, Gurwitz JH. J Am Geriatr Soc. 2007;55:271-276.

STUDY

classic

A pharmacist-led information technology intervention for medication errors (PINCER): a multicentre, cluster randomised, controlled trial and cost-effectiveness analysis.

Avery AJ, Rodgers S, Cantrill JA, et al. Lancet. 2012;379:1310-1319.

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

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

Types and origins of diagnostic errors in primary care settings.

Singh H, Giardina TD, Meyer AND, Forjuoh SN, Reis MD, Thomas EJ. JAMA Intern Med. 2013;173:418-425.

STUDY

classic

Effect of a pharmacist intervention on clinically important medication errors after hospital discharge: a randomized trial.

Kripalani S, Roumie CL, Dalal AK, et al; PILL-CVD (Pharmacist Intervention for Low Literacy in Cardiovascular Disease) Study Group. Ann Intern Med. 2012;157:1-10.

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.

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