AHRQ Patient Safety Network

The Collection > Patient Self-Management

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Safety Target

•Device-related Complications (1)

•Diagnostic Errors (10)

•Identification Errors (6)

•Discontinuities, Gaps, and Hand-Off Problems (18)

•Medication Safety (46)

•Medical Complications (15)

•Nonsurgical Procedural Complications (3)

•Surgical Complications (11)

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•Asia (2)

•Australia and New Zealand (4)

Resource Types

•Journal Article (71)

•Legislation/Regulation (3)

•Newspaper/Magazine Article (21)

•Press Release/Announcement (1)

•Special or Theme Issue (1)

•Tools/Toolkit (7)

•Web Resource (5)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (9)

•Active Errors (26)

•Latent Errors (5)

Approach to Improving Safety
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Patient Self-Management

Clinical Areas

•Medicine (72)

•Nursing (7)

•Pharmacy (12)

Target Audience

•Health Care Providers (79)

•Health Care Executives and Administrators (84)

•Non-Health Care Professionals (39)

•Patients (38)

Setting of Care

•Hospitals (61)

•Residential Facilities (1)

•Ambulatory Care (28)

•Outpatient Surgery (3)

1 - 20 of 128

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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

Hospitalized patients' participation and its impact on quality of care and patient safety.

Weingart SN, Zhu J, Chiappetta L, et al. Int J Qual Health Care. 2011;23:269-277.

ORGANIZATIONAL POLICY/GUIDELINES

Preventing errors relating to commonly used anticoagulants.

Sentinel Event Alert. September 24, 2008;(41):1-4.

STUDY

Communication discrepancies between physicians and hospitalized patients.

Olson DP, Windish DM. Arch Intern Med. 2010;170:1302-1307.

STUDY

Can we rely on patients' reports of adverse events?

Zhu J, Stuver SO, Epstein AM, Schneider EC, Weissman JS, Weingart SN. Med Care. 2011;49:948-955.

COMMENTARY

Patient-assisted incident reporting: including the patient in patient safety.

Millman EA, Pronovost PJ, Makary MA, Wu AW. J Patient Saf. 2011;7:106-108.

STUDY

Lack of patient knowledge regarding hospital medications.

Cumbler E, Wald H, Kutner J. J Hosp Med. 2010;5-83-86.

ORGANIZATIONAL POLICY/GUIDELINES

Transitions of Care Consensus Policy Statement American College of Physicians-Society of General Internal Medicine-Society of Hospital Medicine-American Geriatrics Society-American College of Emergency Physicians-Society of Academic Emergency Medicine.

Snow V, Beck D, Budnitz T, et al. J Gen Intern Med. 2009;24:971-976.

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

Beyond service quality: the mediating role of patient safety perceptions in the patient experience–satisfaction relationship.

Rathert C, May DR, Williams ES. Health Care Manage Rev. 2011;36:359-368.

REVIEW

Promoting effective transitions of care at hospital discharge: a review of key issues for hospitalists.

Kripalani S, Jackson AT, Schnipper JL, Coleman EA. J Hosp Med. 2007;2:314-323.

COMMENTARY

Sick and Pregnant

El-Ibiary S. AHRQ WebM&M [serial online]. November 2008.

FACT SHEET/FAQS classic

Preventing Medication Errors: A $21 Billion Opportunity.

Washington, DC: National Priorities Partnership and National Quality Forum; December 2010.

STUDY

Effect of medication reconciliation with and without patient counseling on the number of pharmaceutical interventions among patients discharged from the hospital.

Karapinar-Çarkit F, Borgsteede SD, Zoer J, Smit HJ, Egberts ACG, van den Bemt PMLA. Ann Pharmacother. 2009;43:1001-1010.

STUDY

Family-centered rounds on pediatric wards: a PRIS network survey of US and Canadian hospitalists.

Mittal VS, Sigrest T, Ottolini MC, et al. Pediatrics. 2010;126:37-43.

NEWSPAPER/MAGAZINE ARTICLE

DTaP–Tdap mix-ups now affecting hundreds of patients.

ISMP Medication Safety Alert! Acute Care Edition. July 1, 2010;15:1-2.

NEWSPAPER/MAGAZINE ARTICLE

Patients, beware: 731 nurses reveal what to watch out for in the hospital.

Consumer Reports Health. September 2009.

STUDY

What happens between visits? Adverse and potential adverse events among a low-income, urban, ambulatory population with diabetes.

Sarkar U, Handley MA, Gupta R, et al. Qual Saf Health Care. 2010;19:223-228.

NEWSPAPER/MAGAZINE ARTICLE

Don't let a hospital make you sick.

Mishori R. Parade Magazine. February 8, 2009.

STUDY

The relationship between patients' perception of care and measures of hospital quality and safety.

Isaac T, Zaslavsky AM, Cleary PD, Landon BE. Health Serv Res. 2010;45:1024-1040.

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