AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (3)

•Diagnostic Errors (4)

•Identification Errors (7)

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

•Medication Safety (97)

•Medical Complications (18)

•Nonsurgical Procedural Complications (1)

•Surgical Complications (10)

•Psychological and Social Complications (5)

Origin/Sponsor

•Asia (1)

•Australia and New Zealand (4)

Resource Types

•Journal Article (97)

•Legislation/Regulation (2)

•Meeting/Conference (1)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (28)

•Press Release/Announcement (2)

•Special or Theme Issue (1)

•Tools/Toolkit (18)

•Web Resource (11)

Error Types

•Epidemiology of Errors and Adverse Events (14)

•Active Errors (28)

•Latent Errors (16)

•Near Miss (1)

Approach to Improving Safety
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Patient Education

Clinical Areas

•Medicine (118)

•Nursing (6)

•Pharmacy (50)

Target Audience

•Health Care Providers (139)

•Health Care Executives and Administrators (87)

•Non-Health Care Professionals (45)

•Patients (80)

Setting of Care

•Hospitals (88)

•Residential Facilities (1)

•Ambulatory Care (50)

•Outpatient Surgery (1)

1 - 20 of 186

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REVIEW

Medication errors in chemotherapy: incidence, types and involvement of patients in prevention. A review of the literature.

Schwappach DLB, Wernli M. Eur J Cancer Care (Engl). 2009;19:285-292.

COMMENTARY

Lethal Cap.

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

COMMENTARY

Health literacy and quality: focus on chronic illness care and patient safety.

Rothman RL, Yin HS, Mulvaney S, Co JPT, Homer C, Lannon C. Pediatrics. 2009;124(suppl 3):S315-S326.

STUDY

The role of advice in medication administration errors in the pediatric ambulatory setting.

Lemer C, Bates DW, Yoon C, Keohane C, Fitzmaurice G, Kaushal R. J Patient Saf. 2009;5:168-175.

COMMENTARY

The Role of Health Literacy in Patient Safety

Wolf MS, Cooper Bailey S. AHRQ WebM&M [serial online]. February/March 2009.

COMMENTARY

Sick and Pregnant

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

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

Randomized controlled trial of a pictogram-based intervention to reduce liquid medication dosing errors and improve adherence among caregivers of young children.

Yin HS, Dreyer BP, van Schaick L, et al. Arch Pediatr Adolesc Med. 2008;162:814-822.

STUDY

Out-of-hospital medication errors: a 6-year analysis of the national poison data system.

Shah K, Barker KA. Pharmacoepidemiol Drug Saf. 2009;18:1080-1085.

STUDY

Applying root cause analysis to improve patient safety: decreasing falls in postpartum women.

Chen KH, Chen LR, Su S. Qual Saf Health Care. 2010;19:138-143.

REVIEW

Patient empowerment and multimodal hand hygiene promotion: a win–win strategy.

McGuckin M, Storr J, Longtin Y, Allegranzi B, Pittet D. Am J Med Qual. 2011;26:10-17.

STUDY

"Sign right here and you're good to go": a content analysis of audiotaped emergency department discharge instructions.

Vashi A, Rhodes KV. Ann Emerg Med. 2011;57:315-322.e1.

COMMENTARY

Recurrent Hypoglycemia: A Care Transition Failure?

Eytan T. AHRQ WebM&M [serial online]. October 2008.

COMMENTARY

Undiagnosed Vaginal Bleeding.

Mandelblatt J. AHRQ WebM&M [serial online]. February 2004.

STUDY

Am I (un)safe here? Chemotherapy patients' perspectives towards engaging in their safety.

Schwappach DLB, Wernli M. Qual Saf Health Care. 2010;19:e9.

COMMENTARY

In Conversation with...Dean Schillinger, MD

AHRQ WebM&M [serial online]. February/March 2009.

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.

STUDY

Predictors of misunderstanding pediatric liquid medication instructions.

Bailey SC, Pandit AU, Yin S, et al. Fam Med. 2009;41:715-721.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2008;43:696–698.

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