AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (127)

•Diagnostic Errors (87)

•Identification Errors (70)

•Discontinuities, Gaps, and Hand-Off Problems (371)

•Fatigue and Sleep Deprivation (97)

•Medication Safety (954)

•Medical Complications (387)

•Nonsurgical Procedural Complications (52)

•Surgical Complications (242)

•Transfusion Complications (12)

•Psychological and Social Complications (111)

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United States of America

•United States Federal Government (151)

•State Governments and Agencies (26)

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•Audiovisual (48)

•Bibliography (2)

•Book/Report (225)

•Clinical Guideline (11)

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•Special or Theme Issue (53)

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Error Types

•Epidemiology of Errors and Adverse Events (499)

•Active Errors (291)

•Latent Errors (179)

•Near Miss (37)

Approach to Improving Safety

•Quality Improvement Strategies (916)

•Legal and Policy Approaches (426)

•Error Reporting and Analysis (780)

•Communication Improvement (762)

•Human Factors Engineering (336)

•Teamwork (329)

•Specialization of Care (250)

•Logistical Approaches (249)

•Culture of Safety (523)

•Technologic Approaches (540)

•Education and Training (556)

Clinical Areas

•Allied Health Services (6)

•Dentistry (2)

•Medicine (1843)

•Nursing (265)

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Target Audience

•Health Care Providers (1972)

•Health Care Executives and Administrators (2444)

•Non-Health Care Professionals (1143)

•Patients (340)

Setting of Care

•Hospitals (2207)

•Psychiatric Facilities (10)

•Residential Facilities (51)

•Ambulatory Care (240)

•Outpatient Surgery (34)

•Patient Transport (13)

1 - 20 of 3097

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STUDY

Reconciling medications at admission: safe practice recommendations and implementation strategies.

Rogers G, Alper E, Brunelle D, et al. Jt Comm J Qual Patient Saf. 2006;32:37-50.

ORGANIZATIONAL POLICY/GUIDELINES

Using medication reconciliation to prevent errors.

Sentinel Event Alert. January 25, 2006;(35):1-4.

NEWSPAPER/MAGAZINE ARTICLE

JCAHO tightens leash on medication reconciliation.

Perry LE. Drug Topics: Health-System Edition. March 20, 2006.

TOOLKIT

Medications at Transitions and Clinical Handoffs (MATCH) Medication Reconciliation Toolkit.

Chicago, IL: Northwestern Memorial Hospital; 2007.

BOOK/REPORT

Meeting the Joint Commission's 2013 National Patient Safety Goals.

Oakbrook Terrace, IL: The Joint Commission; September 2012. ISBN: 9781599407555.

STUDY

Multidisciplinary approach to inpatient medication reconciliation in an academic setting.

Varkey P, Cunningham J, O'Meara J, Bonacci R, Desai N, Sheeler R. Am J Health Syst Pharm. 2007;64:850-854.

COMMENTARY

Patient safety beyond the hospital.

Gandhi TK, Lee TH. N Engl J Med. 2010;363:1001-1003.

COMMENTARY

Making inpatient medication reconciliation patient centered, clinically relevant and implementable: a consensus statement on key principles and necessary first steps.

Greenwald JL, Halasyamani L, Greene J, et al. J Hosp Med. 2010;5:477-485.

TOOLKIT

Making Strides in Safety.

Chicago, IL: American Medical Association.

STUDY

National Quality Forum 30 safe practices: priority and progress in Iowa hospitals.

Ward MM, Evans TC, Spies AJ, Roberts LL, Wakefield DS. Am J Med Qual. 2006;21:101-108.

NEWSPAPER/MAGAZINE ARTICLE

Accuracy at every step: the challenge of medication reconciliation.

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

BOOK/REPORT

Recommendations for Safe Use of Insulin in Hospitals.

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

NEWSPAPER/MAGAZINE ARTICLE

Practitioners agree on medication reconciliation value, but frustration and difficulties abound.

ISMP Medication Safety Alert! Acute Care Edition. July 13, 2006;11:1-2.

NEWSPAPER/MAGAZINE ARTICLE

Five hospitals release data on inspections.

Kowalczyk L. Boston Globe. April 21, 2007:B1.

STUDY

Implementation of an electronic system for medication reconciliation.

Kramer JS, Hopkins PJ, Rosendale JC, et al. Am J Health Syst Pharm. 2007;64:404-422.

NEWSPAPER/MAGAZINE ARTICLE

Piecing together medication administration.

Anderson HJ. Health Data Manage. May 1, 2009;17:22.

NEWSPAPER/MAGAZINE ARTICLE

Ensuring medication reconciliation.

Georgia K, Kinney K, Pace A, Helton K. Patient Saf Qual Healthc. November/December 2007;4:40-42,44.

NEWSPAPER/MAGAZINE ARTICLE

Perfect is possible.

Berwick DM, Leape LL. Newsweek. October 16, 2006:70-71.

FACT SHEET/FAQS

Medication safety issue brief. Medication reconciliation.

American Hospital Association, American Society of Health-System Pharmacists, Hospitals and Health Networks. Hosp Health Netw. September 2005;79:33-34.

NEWSPAPER/MAGAZINE ARTICLE

JCAHO views medication reconciliation as adverse-event prevention.

Thompson CA. Am J Health Syst Pharm. 2005;62:1528-1532.

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