AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (50)

•Diagnostic Errors (26)

•Identification Errors (24)

•Discontinuities, Gaps, and Hand-Off Problems (218)

•Fatigue and Sleep Deprivation (33)

•Medication Safety (286)

•Medical Complications (222)

•Nonsurgical Procedural Complications (16)

•Surgical Complications (70)

•Transfusion Complications (9)

•Psychological and Social Complications (53)

Origin/Sponsor

•Australia and New Zealand (39)

•Europe (203)

•North America (1006)

Resource Types

•Audiovisual (17)

•Book/Report (105)

•Journal Article (895)

•Legislation/Regulation (11)

•Meeting/Conference (6)

•Newspaper/Magazine Article (167)

•Press Release/Announcement (2)

•Special or Theme Issue (11)

•Tools/Toolkit (19)

•Web Resource (27)

Error Types

•Epidemiology of Errors and Adverse Events (338)

•Active Errors (142)

•Latent Errors (97)

•Near Miss (16)

Approach to Improving Safety

•Quality Improvement Strategies (325)

•Legal and Policy Approaches (155)

•Error Reporting and Analysis (365)

•Communication Improvement (321)

•Human Factors Engineering (132)

•Teamwork (80)

•Specialization of Care (99)

•Logistical Approaches (103)

•Culture of Safety (230)

•Technologic Approaches (195)

•Education and Training (226)

Clinical Areas
< All

Hospital Medicine

Target Audience

•Health Care Providers (681)

•Health Care Executives and Administrators (1030)

•Non-Health Care Professionals (485)

•Patients (119)

Setting of Care

•Hospitals (1249)

•Psychiatric Facilities (4)

•Residential Facilities (7)

•Ambulatory Care (30)

•Outpatient Surgery (4)

•Patient Transport (2)

1 - 20 of 1268

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REVIEW

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Hospital-based medication reconciliation practices: a systematic review.

Mueller SK, Sponsler KC, Kripalani S, Schnipper JL. Arch Intern Med. 2012;172:1057-1069.

NEWSPAPER/MAGAZINE ARTICLE

Survey results: community liaison programs to decrease hospital readmissions.

ISMP Medication Safey Alert! Acute Care Edition. March 7, 2013;18:1-3.

NEWSPAPER/MAGAZINE ARTICLE

Anticoagulant safety practices call for pharmacist supervision.

Scott A. Drug Topics (Health-System Edition). November 10, 2008.

REVIEW

Medication reconciliation during transitions of care as a patient safety strategy: a systematic review.

Kwan JL, Lo L, Sampson M, Shojania KG. Ann Intern Med. 2013;158(5 Pt 2):397-403.

NEWSPAPER/MAGAZINE ARTICLE

Piecing together medication administration.

Anderson HJ. Health Data Manage. May 1, 2009;17:22.

NEWSPAPER/MAGAZINE ARTICLE

CPOE: it don't come easy.

Anderson HJ. Health Data Manag. January 1, 2009;17:18.

STUDY

A reengineered hospital discharge program to decrease rehospitalization: a randomized trial.

Jack BW, Chetty VK, Anthony D, et al. Ann Intern Med. 2009;150:178-187.

STUDY

Impact of a pharmacist on medication reconciliation on patient admission to a Veterans Affairs Medical Center.

Strunk LB, Matson AW, Steinke D. Hosp Pharm. 2008;43:643-649.

COMMENTARY

Implementation of a specialized pharmacy team to monitor high-risk medications during discharge.

Martin ES III, Overstreet RL, Jackson-Khalil LR, McCollough HL, Meyer TA, Xu Q. Am J Health Syst Pharm. 2013;70:18-21.

STUDY

Effect of patient- and medication-related factors on inpatient medication reconciliation errors.

Salanitro AH, Osborn CY, Schnipper JL, et al. J Gen Intern Med. 2012;27:924-932.

STUDY

Standard practices for computerized clinical decision support in community hospitals: a national survey.

Ash JS, McCormack JL, Sittig DF, Wright A, McMullen C, Bates DW. J Am Med Inform Assoc. 2012;19:980-987.

STUDY

Reporting trends in a regional medication error data-sharing system.

Anderson JG, Ramanujam R, Hensel DJ, Sirio CA. Health Care Manag Sci. 2010;13:74-83.

NEWSPAPER/MAGAZINE ARTICLE

Patients taking their own medications while in the hospital.

PA-PSRS Patient Saf Advis. June 2012;9:50-57.

STUDY

Design and implementation of an application and associated services to support interdisciplinary medication reconciliation efforts at an integrated healthcare delivery network.

Poon EG, Blumenfeld B, Hamann C, et al. J Am Med Inform Assoc. 2006;13:581-592.

BOOK/REPORT

Inpatient Computerized Provider Order Entry: Findings from the AHRQ Health IT Portfolio.

Dixon BE, Zafar A, for AHRQ National Resource Center for Health IT. Rockville, MD: Agency for Healthcare Research and Quality; January 2009. AHRQ Publication No. 09-0031-EF.

NEWSPAPER/MAGAZINE ARTICLE

Effective use of medication-related decision support in CPOE.

Metzger JB, Welebob E, Turisco F, Classen DC. Patient Saf Qual Healthc. Sept/Oct 2008;5:16-24.

STUDY

Effect of medication reconciliation at hospital admission on medication discrepancies during hospitalization and at discharge for geriatric patients.

Cornu P, Steurbaut S, Leysen T, et al. Ann Pharmacother. 2012;46:484-494.

STUDY

Factors associated with reported preventable adverse drug events: a retrospective, case-control study.

Beckett RD, Sheehan AH, Reddan JG. Ann Pharmacother. 2012;46:634-641.

COMMENTARY

Making inpatient medication reconciliation patient centered, clinically relevant and implementable: a consensus statement on key principles and necessary first steps.

Greenwald JL, Halasyamani L, Greene J, et al. J Hosp Med. 2010;5:477-485.

STUDY

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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.

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