AHRQ Patient Safety Network

The Collection > Patient Self-Management

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Safety Target

•Device-related Complications (1)

•Diagnostic Errors (11)

•Identification Errors (6)

•Discontinuities, Gaps, and Hand-Off Problems (17)

•Medication Safety (45)

•Medical Complications (16)

•Nonsurgical Procedural Complications (3)

•Surgical Complications (11)

Origin/Sponsor

•Asia (2)

•Australia and New Zealand (4)

Resource Types

•Journal Article (67)

•Legislation/Regulation (3)

•Newspaper/Magazine Article (21)

•Press Release/Announcement (1)

•Special or Theme Issue (1)

•Tools/Toolkit (8)

•Web Resource (5)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (9)

•Active Errors (27)

•Latent Errors (4)

Approach to Improving Safety
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Patient Self-Management

Clinical Areas

•Medicine (71)

•Nursing (6)

•Pharmacy (13)

Target Audience

•Health Care Providers (78)

•Health Care Executives and Administrators (77)

•Non-Health Care Professionals (33)

•Patients (40)

Setting of Care

•Hospitals (61)

•Residential Facilities (1)

•Ambulatory Care (28)

•Outpatient Surgery (4)

1 - 20 of 124

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ORGANIZATIONAL POLICY/GUIDELINES

Preventing errors relating to commonly used anticoagulants.

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

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.

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

Communication discrepancies between physicians and hospitalized patients.

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

STUDY

Lack of patient knowledge regarding hospital medications.

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

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.

BOOK/REPORT

2009 Utah Sentinel Events Data Report.

Salt Lake City, UT: Utah Department of Health, Utah Hospitals & Health Systems Association, and HealthInsight; March 10, 2010.

REVIEW

Adverse events in hospitals: the patient's point of view.

Massó Guijarro P, Aranaz Andrés JM, Mira JJ, Perdiguero E, Aibar C. Qual Saf Health Care. 2010;19:144-147.

COMMENTARY

Lethal Cap.

Schillinger D. AHRQ WebM&M [serial online]. March 2004.

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.

NEWSPAPER/MAGAZINE ARTICLE

Patient engagement in patient safety: barriers and facilitators.

Scobie AC, Persaud DD. Patient Saf Qual Healthc. March/April 2010;7:42-47.

NEWSPAPER/MAGAZINE ARTICLE

Small patients, big consequences in medical errors.

Tarkan L. New York Times. September 14, 2008;Health section:7.

NEWSPAPER/MAGAZINE ARTICLE

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

Consumer Reports Health. September 2009.

BOOK/REPORT

Patients as Partners: How to Involve Patients and Families in Their Own Care.

Oakbrook Terrace, IL: Joint Commission Resources; 2006. ISBN: 0866889965.

COMMENTARY

What 'patient-centered' should mean: confessions of an extremist.

Berwick DM. Health Aff (Millwood). 2009;28:w555-w565.

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.

AUDIOVISUAL

Take Charge of Your Hospital Stay to Avoid Medical Mistakes.

Clarke S, Savard M. Good Morning America. ABC News. March 22, 2010.

NEWSPAPER/MAGAZINE ARTICLE

Don't let a hospital make you sick.

Mishori R. Parade Magazine. February 8, 2009.

NEWSPAPER/MAGAZINE ARTICLE

Staying safe during a hospital stay.

Graham J. Los Angeles Times. May 11, 2011.

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