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 (28)

•Medication Safety (87)

•Medical Complications (15)

•Nonsurgical Procedural Complications (1)

•Surgical Complications (8)

•Psychological and Social Complications (5)

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•Asia (1)

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•Special or Theme Issue (1)

•Tools/Toolkit (20)

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•Epidemiology of Errors and Adverse Events (13)

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Approach to Improving Safety
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Patient Education

Clinical Areas

•Medicine (99)

•Nursing (3)

•Pharmacy (44)

Target Audience

•Health Care Providers (121)

•Health Care Executives and Administrators (75)

•Non-Health Care Professionals (39)

•Patients (70)

Setting of Care

•Hospitals (70)

•Residential Facilities (1)

•Ambulatory Care (48)

1 - 20 of 161

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COMMENTARY

Sick and Pregnant

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

COMMENTARY

Missed Appendicitis.

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

COMMENTARY

Undiagnosed Vaginal Bleeding.

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

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

Overriding Considerations.

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

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.

COMMENTARY

Simple strategies to avoid medication errors.

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

COMMENTARY

In Conversation with...Dean Schillinger, MD

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

COMMENTARY

Lethal Cap.

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

COMMENTARY

Failure to Latch

Rodriguez M., Mannel R., Frye D. MN AHRQ WebM&M [serial online]. September 2008.

COMMENTARY

Discharged Blindly

Iezzoni LI. AHRQ WebM&M [serial online]. December 2005.

ORGANIZATIONAL POLICY/GUIDELINES

Preventing errors relating to commonly used anticoagulants.

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

COMMENTARY

ISMP medication error report analysis.

Smetzer JL, Cohen MR. Hosp Pharm. 2008;43:869-872.

COMMENTARY

Don't Push.

Meltzer HY. AHRQ WebM&M [serial online]. November 2003.

NEWSPAPER/MAGAZINE ARTICLE

Medication errors: a year in review.

Institute for Safe Medication Practices. Pharmacy Practice News. October 2011:7-14.

STUDY

Process of care failures in breast cancer diagnosis.

Weingart SN, Saadeh MG, Simchowitz B, et al. J Gen Intern Med. 2009;24:702-709.

COMMENTARY

The 2-Week Itch.

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

REVIEW

Care transitions and home health care.

Boling PA. Clin Geriatr Med. 2009;25:135-148.

COMMENTARY

ISMP medication error report analysis.

Cohen MC. Hosp Pharm. 2009;44:374-378.

COMMENTARY

Carpe Diem (Seize the Day).

Krumholz A. AHRQ WebM&M [serial online]. December 2004.

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