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 (47)

•Medical Complications (16)

•Nonsurgical Procedural Complications (3)

•Surgical Complications (11)

Origin/Sponsor

•Asia (2)

•Australia and New Zealand (4)

Resource Types

•Journal Article (69)

•Legislation/Regulation (3)

•Newspaper/Magazine Article (20)

•Press Release/Announcement (1)

•Special or Theme Issue (1)

•Tools/Toolkit (9)

•Web Resource (5)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (10)

•Active Errors (28)

•Latent Errors (4)

Approach to Improving Safety
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Patient Self-Management

Clinical Areas

•Medicine (72)

•Nursing (7)

•Pharmacy (13)

Target Audience

•Health Care Providers (77)

•Health Care Executives and Administrators (81)

•Non-Health Care Professionals (36)

•Patients (41)

Setting of Care

•Hospitals (62)

•Residential Facilities (1)

•Ambulatory Care (27)

•Outpatient Surgery (4)

1 - 20 of 129

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ORGANIZATIONAL POLICY/GUIDELINES

Preventing errors relating to commonly used anticoagulants.

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

NEWSPAPER/MAGAZINE ARTICLE

Small patients, big consequences in medical errors.

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

NEWSPAPER/MAGAZINE ARTICLE

To be safe, keep track of pills.

Foreman J. Los Angeles Times. September 4, 2006:F3.

STUDY

Results of the Medications At Transitions and Clinical Handoffs (MATCH) study: an analysis of medication reconciliation errors and risk factors at hospital admission.

Gleason KM, McDaniel MR, Feinglass J, et al. J Gen Intern Med. 2010;25:441-447.

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

Sick and Pregnant

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

STUDY

Effects of nursing rounds on patients' call light use, satisfaction, and safety.

Meade CM, Bursell AL, Ketelsen L. Am J Nurs. 2006;106:58-70.

STUDY

Lack of patient knowledge regarding hospital medications.

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

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

Afraid in the hospital: parental concern for errors during a child's hospitalization.

Tarini BA, Lozano P, Christakis DA. J Hosp Med. 2009;4:521-527.

AUDIOVISUAL

Take Charge of Your Hospital Stay to Avoid Medical Mistakes.

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

FACT SHEET/FAQS classic

Preventing Medication Errors: A $21 Billion Opportunity.

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

NEWSPAPER/MAGAZINE ARTICLE

Medication mistakes that can kill.

Haiken M. Caring.com. August 17, 2009.

NEWSPAPER/MAGAZINE ARTICLE

The wrong foot, and other tales of surgical error.

Altman LK. New York Times. December 11, 2001;1:1.

NEWSPAPER/MAGAZINE ARTICLE

Medical mystery: alcoholism didn’t cause man’s diabetes and cirrhosis.

Boodman SG. Washington Post. June 13, 2011:E1.

NEWSPAPER/MAGAZINE ARTICLE

Staying safe during a hospital stay.

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

COMMENTARY

Lethal Cap.

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

NEWSPAPER/MAGAZINE ARTICLE

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

Consumer Reports Health. September 2009.

STUDY

Acute care patients discuss the patient role in patient safety.

Rathert C, Huddleston N, Pak Y. Health Care Manage Rev. 2011;36:134-144.

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