AHRQ Patient Safety Network

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•Device-related Complications (2)

•Diagnostic Errors (3)

•Identification Errors (1)

•Discontinuities, Gaps, and Hand-Off Problems (6)

•Medication Safety (24)

•Medical Complications (5)

•Surgical Complications (3)

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•Asia (1)

•Australia and New Zealand (2)

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•Journal Article (30)

•Newspaper/Magazine Article (6)

•Tools/Toolkit (1)

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•Epidemiology of Errors and Adverse Events (3)

•Active Errors (7)

•Latent Errors (4)

Approach to Improving Safety
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Patient Education

Clinical Areas

•Medicine (28)

•Nursing (4)

•Pharmacy (12)

Target Audience

•Health Care Providers (39)

•Health Care Executives and Administrators (17)

•Non-Health Care Professionals (8)

•Patients (13)

Setting of Care

•Hospitals (16)

•Ambulatory Care (11)

•Outpatient Surgery (1)

1 - 20 of 39

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NEWSPAPER/MAGAZINE ARTICLE

Accuracy at every step: the challenge of medication reconciliation.

Institute for Healthcare Improvement Web site. March 20, 2006.

STUDY

Incidence, patterns, and prevention of wrong-site surgery.

Kwaan MR, Studdert DM, Zinner MJ, Gawande AA. Arch Surg. 2006;141:353-358.

NEWSPAPER/MAGAZINE ARTICLE

Tablet splitting: Do it only if you "half" to, and then do it safely.

ISMP Medication Safety Alert! Acute Care Edition. May 18, 2006;11:1-2.

STUDY

Engaging patients and family members in patient safety—the experience of the New York City Health and Hospitals Corporation.

Wale JB, Moon RR. Psychiatr Q. Spring 2005;76:85-95.

BOOK/REPORT

Recommendations for Safe Use of Insulin in Hospitals.

Bethesda, MD: American Society of Health-System Pharmacists; 2006.

NEWSPAPER/MAGAZINE ARTICLE

To be safe, keep track of pills.

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

COMMENTARY

Patient Safety in the Physician Office Setting

Elder NC. AHRQ WebM&M [serial online]. May 2006.

COMMENTARY

Drug errors, qualitative research and some reflections on ethics.

Armitage G. J Clin Nurs. 2005;14:869-875.

COMMENTARY

Changing the work environment in ICUs to achieve patient-focused care: the time has come.

McCauley K, Irwin RS. Chest. 2006;130:1571-1578.

COMMENTARY

The development of a patient safety program across the continuum of care.

Wertenberger S, Wilson J. Nurs Adm Q. 2005;29:303-307.

COMMENTARY

Development of a patient safety web-based education curriculum for physicians, nurses, and patients.

Hendee WR, Keating-Christensen C, Loh YH. J Patient Saf. 2005;1:90-99.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2005;40:556-557.

REVIEW

Promoting a culture of patient safety: a review of the Florida moratoria data: what we have learned in 6 years and the need for continued patient education.

Clayman MA, Clayman SM, Steele MH, Seagle MB. Ann Plastic Surg. 2007;58:288-291.

NEWSPAPER/MAGAZINE ARTICLE

To protect against drug errors, ask questions.

Brody JE. New York Times. January 2, 2007:F7.

STUDY

Implementation of Condition Help: family teaching and evaluation of family understanding.

Hueckel RM, Mericle JM, Frush K, Martin PL, Champagne MT. J Nurs Care Qual. 2012;27:176-181.

COMMENTARY

Undiagnosed Vaginal Bleeding.

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

STUDY

Physician communication when prescribing new medications.

Tarn DM, Heritage J, Paterniti DA, Hays RD, Kravitz RL, Wenger NS. Arch Intern Med. 2006;166:1855-1862.

COMMENTARY

To tell the truth, the whole truth, may do patients harm: the problem of the nocebo effect for informed consent.

Wells RE, Kaptchuk TJ. Am J Bioeth. 2012;12:22-29.

COMMENTARY

Making Do.

Bradley LD. AHRQ WebM&M [serial online]. September 2003.

COMMENTARY

Missed Appendicitis.

Adams JG. AHRQ WebM&M [serial online]. June 2003.

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