PATIENT SAFETY PRIMERS
Device-related Complications (4)
Diagnostic Errors (4)
Identification Errors (6)
Discontinuities, Gaps, and Hand-Off Problems (26)
Medication Safety (96)
Medical Complications (18)
Nonsurgical Procedural Complications (1)
Surgical Complications (9)
Psychological and Social Complications (3)
Australia and New Zealand (2)
North America (154)
Journal Article (80)
Newspaper/Magazine Article (27)
Press Release/Announcement (1)
Special or Theme Issue (1)
Web Resource (15)
Epidemiology of Errors and Adverse Events (13)
Active Errors (22)
Latent Errors (12)
Near Miss (1)
Approach to Improving Safety
Health Care Providers (119)
Health Care Executives and Administrators (81)
Non-Health Care Professionals (39)
Setting of Care
Residential Facilities (1)
Ambulatory Care (44)
Outpatient Surgery (1)
1 - 20
Don't Show Excerpt
Sort by relevance
Sort by significance
Sort by title
Sort by date
Sort by author
Lack of patient knowledge regarding hospital medications.
Cumbler E, Wald H, Kutner J. J Hosp Med. 2010;5-83-86.
Patient-Centered Care Improvement Guide.
Frampton S, Guastello S, Brady C, et al. Derby, CT: Planetree; Camden, ME: Picker Institute; 2008.
Preventing errors relating to commonly used anticoagulants.
Sentinel Event Alert. September 24, 2008;(41):1-4.
Developing a medication patient safety program, part 2: process and implementation.
Mark SM, Weber RJ. Hosp Pharm. 2007;42:249–254.
Improving America's Hospitals: The Joint Commission's Report on Quality and Safety 2008.
Oakbrook Terrace, IL: The Joint Commission; November 2008.
The Role of the Patient in Improving Patient Safety
Gibson R. AHRQ WebM&M [serial online]. March 2007.
Managing Patients' Medicines after Discharge from Hospital.
London, UK: Care Quality Commission; October 2009. CQC-039-500-ESP-102009. ISBN: 9781845622442.
Drug shortages and how they affect your healthcare.
Faye J. NBC-17 News. November 10, 2011.
How to Make Your Hospital Stay Safer and Cheaper: A Checklist.
Kane J. PBS NewsHour. October 23, 2012.
Advancing Effective Communication, Cultural Competence, and Patient- and Family-Centered Care: A Roadmap for Hospitals.
Oakbrook Terrace, IL: The Joint Commission; 2010.
10 things your hospital won't tell you.
Kapadia R. Smart Money. October 2006;15:112-114.
Health Care Leader Action Guide to Reduce Avoidable Readmissions.
Osei-Anto A, Joshi M, Audet AJ, Berman A, Jencks SF. New York, NY: The Commonwealth Fund, The John Hartford Foundation, Health Research and Educational Trust; January 25, 2010.
Hospital discharge documentation and risk of rehospitalisation.
Hansen LO, Strater A, Smith L, et al. BMJ Qual Saf. 2011;20:773-778.
ISMP medication error report analysis.
Cohen MR. Hosp Pharm. 2008;43:696–698.
A reengineered hospital discharge program to decrease rehospitalization: a randomized trial.
Jack BW, Chetty VK, Anthony D, et al. Ann Intern Med. 2009;150:178-187.
Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study.
Walker PC, Bernstein SJ, Tucker Jones JN, et al. Arch Intern Med. 2009;169:2003-2010.
Reengineering hospital discharge: a protocol to improve patient safety, reduce costs, and boost patient satisfaction.
Clancy CM. Am J Med Qual. 2009;24:344-346.
Hospitalized patients' understanding of their plan of care.
O'Leary KJ, Kulkarni N, Landler MP, et al. Mayo Clin Proc. 2010;85:47-52.
ASHP national survey of pharmacy practice in hospital settings: monitoring and patient education—2009.
Pedersen CA, Schneider PJ, Scheckelhoff DJ. Am J Health Syst Pharm. 2010;67:542-558.
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.
Produced for the
Agency for Healthcare Research and Quality
team of editors
University of California, San Francisco
with guidance from a prominent
. The AHRQ PSNet site was designed and implemented by Silverchair.
Contact AHRQ PSNet
Terms & Conditions
Freedom of Information Act
The White House
USA.gov: U.S. Government Official Web Portal
Agency for Healthcare Research and Quality • 540 Gaither Road Rockville, MD 20850 • Telephone: (301) 427-1364