AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (170)

•Diagnostic Errors (198)

•Identification Errors (126)

•Discontinuities, Gaps, and Hand-Off Problems (453)

•Fatigue and Sleep Deprivation (98)

•Medication Safety (1128)

•Medical Complications (458)

•Nonsurgical Procedural Complications (88)

•Surgical Complications (434)

•Transfusion Complications (25)

•Psychological and Social Complications (151)

Origin/Sponsor
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United States of America

•United States Federal Government (342)

•State Governments and Agencies (52)

Resource Types

•Audiovisual (55)

•Bibliography (3)

•Book/Report (293)

•Clinical Guideline (7)

•Journal Article (2847)

•Legislation/Regulation (61)

•Meeting/Conference (42)

•Newsletter/Journal (14)

•Newspaper/Magazine Article (506)

•Press Release/Announcement (31)

•Special or Theme Issue (66)

•Tools/Toolkit (72)

•Web Resource (140)

Error Types

•Epidemiology of Errors and Adverse Events (1048)

•Active Errors (521)

•Latent Errors (238)

•Near Miss (90)

Approach to Improving Safety

•Quality Improvement Strategies (1033)

•Legal and Policy Approaches (509)

•Error Reporting and Analysis (1309)

•Communication Improvement (944)

•Human Factors Engineering (463)

•Teamwork (326)

•Specialization of Care (264)

•Logistical Approaches (314)

•Culture of Safety (767)

•Technologic Approaches (775)

•Education and Training (750)

Clinical Areas

•Allied Health Services (12)

•Dentistry (4)

•Medicine (2726)

•Nursing (271)

•Pharmacy (427)

Target Audience

•Health Care Providers (2963)

•Health Care Executives and Administrators (3238)

•Non-Health Care Professionals (1614)

•Patients (375)

Setting of Care

•Hospitals (2473)

•Psychiatric Facilities (14)

•Residential Facilities (82)

•Ambulatory Care (433)

•Outpatient Surgery (50)

•Patient Transport (23)

1 - 20 of 4194

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STUDY

Better medical office safety culture is not associated with better scores on quality measures.

Hagopian B, Singer ME, Curry-Smith AC, Nottingham K, Hickner J. J Patient Saf. 2012;8:15-21.

STUDY

The relationship of self-report of quality to practice size and health information technology.

Gorman PN, O'Malley JP, Fagnan LJ. J Am Board Fam Med. 2012;25:614-624.

STUDY

Patient safety climate in primary care: age matters.

Holden LM, Watts DD, Hinton WP. J Patient Saf. 2009;5:23-28.

STUDY

Are opioid dependence and methadone maintenance treatment (MMT) documented in the medical record? A patient safety issue.

Walley AY, Farrar D, Cheng DM, Alford DP, Samet JH. J Gen Intern Med. 2009;24:1007-1011.

STUDY

Identifying discrepancies in electronic medical records through pharmacist medication reconciliation.

Stewart AL, Lynch KJ. J Am Pharm Assoc (2003). 2012;52:59-66.

STUDY

Improving medication safety in primary care using electronic health records.

Nemeth LS, Wessell AM. J Patient Saf. 2010;6:238-243.

STUDY

Managed care penetration and other factors affecting computerized physician order entry in the ambulatory setting.

Menachemi N, Ford EW, Chukmaitov A, Brooks RG. Am J Manag Care. 2006;12:738-744.

STUDY

Medication prescribing and monitoring errors in primary care: a report from the Practice Partner Research Network.

Wessell AM, Litvin C, Jenkins RG, Nietert PJ, Nemeth LS, Ornstein SM. Qual Saf Health Care. 2010;19:e21.

STUDY

Types and origins of diagnostic errors in primary care settings.

Singh H, Giardina TD, Meyer AND, Forjuoh SN, Reis MD, Thomas EJ. JAMA Intern Med. 2013;173:418-425.

STUDY

Medication errors reported by US family physicians and their office staff.

Kuo GM, Phillips RL, Graham D, Hickner JM. Qual Saf Health Care. 2008;17:286-290.

STUDY

Impact of implementing alerts about medication black-box warnings in electronic health records.

Yu DT, Seger DL, Lasser KE, et al. Pharmacoepidemiol Drug Saf. 2011;20:192-202.

STUDY

Advanced practice nursing students' identification of patient safety issues in ambulatory care.

Schnall R, Larson E, Stone PW, John RM, Bakken S. J Nurs Care Qual. 2013;28:169-175.

BOOK/REPORT

2012 User Comparative Database Report: Medical Office Survey on Patient Safety Culture.

Sorra J, Famolaro T, Dyer N, Smith S, Liu H, Ragan M. Rockville, MD: Agency for Healthcare Research and Quality; May 2012. AHRQ Publication No. 12-0052.

STUDY

Transitioning between electronic health records: effects on ambulatory prescribing safety.

Abramson EL, Malhotra S, Fischer K, et al. J Gen Intern Med. 2011;26:868-874.

BOOK/REPORT

Coordination Between Emergency and Primary Care Physicians.

Carrier E, Yee T, Holtzwart RA. Washington, DC: National Institute for Health Care Reform; 2011.

STUDY

Diagnostic errors in primary care: lessons learned.

Ely JW, Kaldjian LC, D'Alessandro DM. J Am Board Fam Med. 2012;25:87-97.

STUDY

classic

The care transitions intervention: translating from efficacy to effectiveness.

Voss R, Gardner R, Baier R, Butterfield K, Lehrman S, Gravenstein S. Arch Intern Med. 2011;171:1232-1237.

STUDY

Ambulatory prescribing errors among community-based providers in two states.

Abramson EL, Bates DW, Jenter C, et al. J Am Med Inform Assoc. 2012;19:644-648.

STUDY

Management of test results in family medicine offices.

Elder NC, McEwen TR, Flach JM, Gallimore JJ. Ann Fam Med. 2009;7:343-351.

COMMENTARY

Simple strategies to avoid medication errors.

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

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