AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (3)

•Diagnostic Errors (4)

•Identification Errors (5)

•Discontinuities, Gaps, and Hand-Off Problems (25)

•Medication Safety (78)

•Medical Complications (16)

•Surgical Complications (11)

•Psychological and Social Complications (4)

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•Asia (2)

•Australia and New Zealand (4)

Resource Types

•Journal Article (84)

•Legislation/Regulation (2)

•Meeting/Conference (1)

•Newspaper/Magazine Article (14)

•Press Release/Announcement (2)

•Tools/Toolkit (17)

•Web Resource (13)

Error Types

•Epidemiology of Errors and Adverse Events (14)

•Active Errors (27)

•Latent Errors (18)

•Near Miss (1)

Approach to Improving Safety
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Patient Education

Clinical Areas

•Medicine (98)

•Nursing (6)

•Pharmacy (36)

Target Audience

•Health Care Providers (117)

•Health Care Executives and Administrators (74)

•Non-Health Care Professionals (42)

•Patients (64)

Setting of Care

•Hospitals (68)

•Residential Facilities (1)

•Ambulatory Care (47)

1 - 20 of 154

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COMMENTARY

Undiagnosed Vaginal Bleeding.

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

COMMENTARY

Missed Appendicitis.

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

COMMENTARY

Allergy to Holter.

Williams MV. AHRQ WebM&M [serial online]. July 2004.

COMMENTARY

Overriding Considerations.

Holtzman, NA. AHRQ WebM&M [serial online]. December 2004.

COMMENTARY

Lethal Cap.

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

STUDY

Approaches to reducing the most important patient errors in primary health-care: patient and professional perspectives.

Buetow S, Kiata L, Liew T, Kenealy T, Dovey S, Elwyn G. Health Soc Care Community. 2010;18:296-303.

COMMENTARY

Making Do.

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

COMMENTARY

Recurrent Hypoglycemia: A Care Transition Failure?

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

STUDY

Patient report on information given, consultation time and safety in primary care.

Mira JJ, Nebot C, Lorenzo S, Pérez-Jover V. Qual Saf Health Care. 2010;19:e33.

COMMENTARY

The 2-Week Itch.

Cohen MR. AHRQ WebM&M [serial online]. April 2003.

STUDY

Patient reported receipt of medication instructions for warfarin is associated with reduced risk of serious bleeding events.

Metlay JP, Hennessy S, Localio AR, et al. J Gen Intern Med. 2008;23:1589-1594.

COMMENTARY

Simple strategies to avoid medication errors.

Jenkins RH, Vaida AJ. Fam Pract Manag. 2007;14:41-47.

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.

STUDY

Patient education to prevent falls among older hospital inpatients: a randomized controlled trial.

Haines TP, Hill A-M, Hill KD, et al. Arch Intern Med. 2011;171:516-524.

STUDY

A qualitative exploration of patients' attitudes towards the 'Participate Inform Notice Know' (PINK) patient safety video.

Pinto A, Vincent C, Darzi A, Davis R. Int J Qual Health Care. 2013;25:29-34.

TOOLKIT

Developing a Community-Based Patient Safety Advisory Council.

Leonhardt K, Bonin K, Pagel P. Rockville, MD: Agency for Healthcare Research and Quality; April 2008. AHRQ Publication Nos. 080048.

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.

BOOK/REPORT

Prescription for Improving Patient Safety: Addressing Medication Errors.

The Medication Errors Panel. Sacramento, CA: California State Senate; March 2007.

MULTI-USE WEBSITE

Getting Safer Care.

Agency for Healthcare Research and Quality.

COMMENTARY

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

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

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