AHRQ Patient Safety Network

The Collection > Geriatrics

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Safety Target

•Device-related Complications (2)

•Diagnostic Errors (12)

•Identification Errors (2)

•Discontinuities, Gaps, and Hand-Off Problems (42)

•Medication Safety (123)

•Medical Complications (25)

•Surgical Complications (6)

•Transfusion Complications (1)

•Psychological and Social Complications (7)

Origin/Sponsor

•Africa (1)

•Asia (3)

•Australia and New Zealand (5)

Resource Types

•Clinical Guideline (2)

•Journal Article (178)

•Legislation/Regulation (1)

•Meeting/Conference (1)

•Newspaper/Magazine Article (10)

•Special or Theme Issue (2)

•Tools/Toolkit (4)

•Web Resource (3)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (90)

•Active Errors (34)

•Latent Errors (14)

•Near Miss (3)

Approach to Improving Safety

•Quality Improvement Strategies (45)

•Legal and Policy Approaches (15)

•Error Reporting and Analysis (46)

•Communication Improvement (67)

•Human Factors Engineering (13)

•Teamwork (4)

•Specialization of Care (13)

•Logistical Approaches (11)

•Culture of Safety (26)

•Technologic Approaches (38)

•Education and Training (34)

Clinical Areas
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Geriatrics

Target Audience

•Health Care Providers (158)

•Health Care Executives and Administrators (140)

•Non-Health Care Professionals (42)

•Patients (10)

Setting of Care

•Hospitals (83)

•Psychiatric Facilities (3)

•Residential Facilities (82)

•Ambulatory Care (50)

•Patient Transport (1)

1 - 20 of 210

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STUDY

Medication administration errors in nursing homes using an automated medication dispensing system.

van den Bemt PM, Idzinga JC, Robertz H, Kormelink DG, Pels N. J Am Med Inform Assoc. 2009;16:486-492.

REVIEW

Year in review: medication mishaps in the elderly.

Peron EP, Marcum ZA, Boyce R, Hanlon JT, Handler SM. Am J Geriatr Pharmacother. 2011;9:1-10.

STUDY

Repeat medication errors in nursing homes: contributing factors and their association with patient harm.

Crespin DJ, Modi AV, Wei D, et al. Am J Geriatr Pharmacother. 2010;8:258-270.

STUDY

The influence of formulation and medicine delivery system on medication administration errors in care homes for older people.

Alldred DP, Standage C, Fletcher O, et al. BMJ Qual Saf. 2011;20:397-402.

STUDY

Medication error reporting in nursing homes: identifying targets for patient safety improvement.

Greene SB, Williams CE, Pierson S, Hansen RA, Carey TS. Qual Saf Health Care. 2010;19:218-222.

STUDY

Medication discrepancies upon hospital to skilled nursing facility transitions.

Tjia J, Bonner A, Briesacher BA, McGee S, Terrill E, Miller K. J Gen Intern Med. 2009;24:630-635.

STUDY

Inadequate health literacy among paid caregivers of seniors.

Lindquist LA, Jain N, Tam K, Martin GJ, Baker DW. J Gen Intern Med. 2011;26:474-479.

STUDY

Therapeutic errors involving adults in the community setting: nature, causes and outcomes.

Taylor DM, Robinson J, MacLeod D, MacBean CE, Braitberg G. Aust N Z J Public Health. 2009;33:388-394.

STUDY

Preventing potentially inappropriate medication use in hospitalized older patients with a computerized provider order entry warning system.

Mattison MLP, Afonso KA, Ngo LH, Mukamal KJ. Arch Intern Med. 2010;170:1331-1336.

STUDY

Effect of computerized provider order entry with clinical decision support on adverse drug events in the long-term care setting.

Gurwitz JH, Field TS, Rochon P, et al. J Am Geriatr Soc. 2008;56:2225-2233.

STUDY

Consistency between coded poison center data and fatality abstract narratives for therapeutic error deaths in older adults.

Hayes BD, Klein-Schwartz W. Clin Toxicol (Phila). 2010;48:68-71.

STUDY

Older patients' understanding of emergency department discharge information and its relationship with adverse outcomes.

Hastings SN, Barrett A, Weinberger M, et al. J Patient Saf. 2011;7:19-25.

STUDY

Effect of a pharmacist-led multicomponent intervention focusing on the medication monitoring phase to prevent potential adverse drug events in nursing homes.

Lapane KL, Hughes CM, Daiello LA, Cameron KA, Feinberg J. J Am Geriatr Soc. 2011;59:1238-1245.

STUDY

Care homes' use of medicines study: prevalence, causes and potential harm of medication errors in care homes for older people.

Barber ND, Alldred DP, Raynor DK, et al. Qual Saf Health Care. 2009;18:341-346.

STUDY

Adverse drug events in the outpatient setting: an 11-year national analysis.

Bourgeois FT, Shannon MW, Valim C, Mandl KD. Pharmacoepidemiol Drug Saf. 2010;19:901-910.

COMMENTARY

A living will misinterpreted as a DNR order: confusion compromises patient care.

Katsetos AD, Mirarchi FL. J Emerg Med. 2011;40:629-632.

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

Randomized trial of a warfarin communication protocol for nursing homes: an SBAR-based approach.

Field TS, Tjia J, Mazor KM, et al. Am J Med. 2011;124:179.e1-179.e7.

STUDY

Patient education to prevent falls among older hospital inpatients: a randomized controlled trial.

Haines TP, Hill A-M, Hill KD, et al. Arch Intern Med. 2011;171:516-524.

STUDY

Polypharmacy in hospitalized older adult cancer patients: experience from a prospective, observational study of an oncology-acute care for elders unit.

Flood KL, Carroll MB, Le CV, Brown CJ. Am J Geriatr Pharmacother. 2009;7:151-158.

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