AHRQ Patient Safety Network

The Collection > Audit and Feedback

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Safety Target

•Device-related Complications (17)

•Diagnostic Errors (30)

•Identification Errors (6)

•Discontinuities, Gaps, and Hand-Off Problems (30)

•Fatigue and Sleep Deprivation (3)

•Medication Safety (94)

•Medical Complications (50)

•Nonsurgical Procedural Complications (9)

•Surgical Complications (29)

•Transfusion Complications (1)

•Psychological and Social Complications (3)

Origin/Sponsor

•Asia (11)

•Australia and New Zealand (6)

Resource Types

•Journal Article (233)

•Legislation/Regulation (2)

•Newspaper/Magazine Article (24)

•Special or Theme Issue (2)

•Tools/Toolkit (5)

•Web Resource (1)

Error Types

•Epidemiology of Errors and Adverse Events (106)

•Active Errors (62)

•Latent Errors (21)

•Near Miss (5)

Approach to Improving Safety
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Audit and Feedback

Clinical Areas

•Medicine (206)

•Nursing (13)

•Pharmacy (32)

Target Audience

•Health Care Providers (196)

•Health Care Executives and Administrators (247)

•Non-Health Care Professionals (93)

•Patients (11)

Setting of Care

•Hospitals (205)

•Residential Facilities (4)

•Ambulatory Care (28)

•Outpatient Surgery (6)

•Patient Transport (1)

1 - 20 of 282

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STUDY

Transitioning between electronic health records: effects on ambulatory prescribing safety.

Abramson EL, Malhotra S, Fischer K, et al. J Gen Intern Med. 2011;26:868-874.

STUDY

Consequences of inadequate sign-out for patient care.

Horwitz LI, Moin T, Krumholz HM, Wang L, Bradley EH. Arch Intern Med. 2008;168:1755-1760.

NEWSPAPER/MAGAZINE ARTICLE

Patient safety records: silent witness.

Gould M. Health Service Journal. September 15, 2008:22-24.

STUDY

The preliminary development and testing of a global trigger tool to detect error and patient harm in primary-care records.

de Wet C, Bowie P. Postgrad Med J. 2009;85:176-180.

STUDY

Experience with a trigger tool for identifying adverse drug events among older adults in ambulatory primary care.

Singh R, McLean-Plunckett EA, Kee R, et al. Qual Saf Health Care. 2009;18:199-204.

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

How do physicians conduct medication reviews?

Tarn DM, Paterniti DA, Kravitz RL, Fein S, Wenger NS. J Gen Intern Med. 2009;24:1296-1302.

STUDY

Professionalism: a necessary ingredient in a culture of safety.

DuPree E, Anderson R, McEvoy MD, Brodman M. Jt Comm J Qual Patient Saf. 2011;37:447-455.

ORGANIZATIONAL POLICY/GUIDELINES

Using medication reconciliation to prevent errors.

Sentinel Event Alert. January 25, 2006;(35):1-4.

STUDY

'Tempos' management in primary care: a key factor for classifying adverse events, and improving quality and safety.

Amalberti R, Brami J. BMJ Qual Saf. 2012;21:729-736.

STUDY

National estimates of adverse events during nonpsychiatric hospitalizations for persons with schizophrenia.

Khaykin E, Ford DE, Pronovost PJ, Dixon L, Daumit GL. Gen Hosp Psychiatry. 2010;32:419-425.

STUDY

Miscoding, misclassification and misdiagnosis of diabetes in primary care.

de Lusignan S, Sadek N, Mulnier H, Tahir A, Russell-Jones D, Khunti K. Diabet Med. 2012;29:181-189.

STUDY

Saving lives by studying deaths: using standardized mortality reviews to improve inpatient safety.

Lau H, Litman KC. Jt Comm J Qual Patient Saf. 2011;37:400-408.

STUDY

Temporal trends in rates of patient harm resulting from medical care.

Landrigan CP, Parry GJ, Bones CB, Hackbarth AD, Goldmann DA, Sharek PJ. N Engl J Med. 2010;363:2124-2134.

COMMENTARY

Do Not Disturb!

Duffy FD, Cassel CK. AHRQ WebM&M [serial online]. October 2007.

STUDY

Patient Safety Dialogue: evaluation of an intervention aimed at achieving an improved patient safety culture.

Öhrn A, Rutberg H, Nilsen P. J Patient Saf. 2011;7:185-192.

STUDY

Identifying causes of adverse events detected by an automated trigger tool through in-depth analysis.

Muething SE, Conway PH, Kloppenborg E, et al. Qual Saf Health Care. 2010;19:435-439.

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

Quality of clinical aspects of call handling at Dutch out of hours centres: cross sectional national study.

Derkx HP, Rethans JE, Muijtjens AM, et al. BMJ. 2008;337:a1264.

STUDY

Structured interdisciplinary rounds in a medical teaching unit: improving patient safety.

O’Leary KJ, Buck R, Fligiel HM, et al. Arch Intern Med. 2011;171:678-684.

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