U.S. Department of Health and Human Services
Agency for Healthcare Research and Quality: Advancing Excellence in Health Care
Sign up for a Free Account
Shehab N, Patel PR, Srinivasan A, Budnitz DS. Clin Infect Dis. 2008;47:735-743.
Shehab N ; Patel PR ; Srinivasan A; et al. Emergency department visits for antibiotic-associated adverse events. Clin Infect Dis. 2008; 47: 735-743
This study found that adverse drug events from antibiotic use result in nearly 150,000 emergency department visits per year. An ultimately fatal case of an antibiotic adverse drug event is discussed in an AHRQ WebM&M commentary.
The effects of electronic prescribing by community-based providers on ambulatory medication safety.
Abramson EL, Pfoh ER, Barrón Y, Quaresimo J, Kaushal R. Jt Comm J Qual Patient Saf. 2013;39:545-552.
AHRQ Risk-informed Intervention Development and Implementation of Safe Practices in Ambulatory Care.
Rockville, MD: Agency for Healthcare Research and Quality; October 2008.
Sources and types of discrepancies between electronic medical records and actual outpatient medication use.
Orrico KB. J Manag Care Pharm. 2008;14:626-631.
Failed Interpretation of Screening Tool: Delayed Treatment
Casey A. Cable, MD; David J. Murphy, MD, PhD; and Greg S. Martin, MD, MSc
Identifying discrepancies in electronic medical records through pharmacist medication reconciliation.
Stewart AL, Lynch KJ. J Am Pharm Assoc (2003). 2012;52:59-66.
Medication use leading to emergency department visits for adverse drug events in older adults.
Budnitz DS, Shehab N, Kegler SR, Richards CL. Ann Intern Med. 2007;147:755-765.
Adverse drug events resulting from patient errors in older adults.
Field TS, Mazor KM, Briesacher B, Debellis KR, Gurwitz JH. J Am Geriatr Soc. 2007;55:271-276.
Literacy and misunderstanding prescription drug labels.
Davis TC, Wolf MS, Bass PF III, et al. Ann Intern Med. 2006;145:887-94.
Emergency department visits for outpatient adverse drug events: demonstration for a national surveillance system.
Budnitz DS, Pollock DA, Mendelsohn AB, Weidenbach KN, McDonald AK, Annest JL. Ann Emerg Med. 2005;45:197-206.
Despite Clues, Failed to Rescue
Amir A. Ghaferi, MD, MS
Primary care physician communication at hospital discharge reduces medication discrepancies.
Lindquist LA, Yamahiro A, Garrett A, Zei C, Feinglass JM. J Hosp Med. 2013;8:672-677.
E-prescribing: a focused review and new approach to addressing safety in pharmacies and primary care.
Odukoya OK, Chui MA. Res Social Adm Pharm. 2013;9:996-1003.
National surveillance of emergency department visits for outpatient adverse drug events in children and adolescents.
Cohen AL, Budnitz DS, Weidenbach KN, et al. J Pediatr. 2008;152:416-421.e2.
Frequency of risk factors that potentially increase harm from medications in older adults receiving primary care.
McCarthy L, Dolovich L, Haq M, Thabane L, Kaczorowski J. Can J Clin Pharmacol. 2007;14:e283-e290.
Academic detailing to improve laboratory testing among outpatient medication users.
Lafata JE, Gunter MJ, Hsu J, et al. Med Care. 2007;45:966-972.
The burden and risk factors for adverse drug events in older patients--a prospective cross-sectional study.
Tipping B, Kalula S, Badri M. S Afr Med J. 2006;96:1255-1259.
Patient Safety 101
Ambulatory computerized prescribing and preventable adverse drug events.
Overhage JM, Gandhi TK, Hope C, et al. J Patient Saf. 2016;12:69-74.
Cost-effectiveness of a computerized provider order entry system in improving medication safety ambulatory care.
Forrester SH, Hepp Z, Roth JA, Wirtz HS, Devine EB. Value Health. 2014;17:340-349.
Root cause analysis of ambulatory adverse drug events that present to the emergency department.
Gertler SA, Coralic Z, López A, Stein JC, Sarkar U. J Patient Saf. 2016;12:119-124
Adverse drug event nonrecognition in emergency departments: an exploratory study on factors related to patients and drugs.
Roulet L, Ballereau F, Hardouin JB, Chiffoleau A, Potel G, Asseray N. J Emerg Med. 2014;46:857-864.
Telemedicine consultations and medication errors in rural emergency departments.
Dharmar M, Kuppermann N, Romano PS, et al. Pediatrics. 2013;132:1090-1097.
Using a patient internet portal to prevent adverse drug events: a randomized, controlled trial.
Weingart SN, Carbo A, Tess A, et al. J Patient Saf. 2013;9:169-175.
Usability of a computerised drug monitoring programme to detect adverse drug events and non-compliance in outpatient ambulatory care.
Auger C, Forster AJ, Oake N, Tamblyn R. BMJ Qual Saf. 2013;22:306-316.
Improving medication safety with accurate preadmission medication lists and postdischarge education.
Gardella JE, Cardwell TB, Nnadi M. Jt Comm J Qual Patient Saf. 2012;38:452-458.
PSNET: Patient Safety Network
PSNet is produced for the Agency for Healthcare Research and Quality by a team of editors at the University of California, San Francisco with guidance from a prominent Technical Expert/Advisory Panel. The AHRQ PSNet site was designed and implemented by Silverchair.
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
Telephone: (301) 427-1364