AHRQ Patient Safety Network

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•Device-related Complications (40)

•Diagnostic Errors (24)

•Identification Errors (34)

•Discontinuities, Gaps, and Hand-Off Problems (43)

•Fatigue and Sleep Deprivation (10)

•Medication Safety (185)

•Medical Complications (48)

•Nonsurgical Procedural Complications (13)

•Surgical Complications (97)

•Transfusion Complications (2)

•Psychological and Social Complications (12)

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•Europe (6)

•North America (464)

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Newspaper/Magazine Article

Error Types

•Epidemiology of Errors and Adverse Events (30)

•Active Errors (159)

•Latent Errors (45)

•Near Miss (10)

Approach to Improving Safety

•Quality Improvement Strategies (125)

•Legal and Policy Approaches (101)

•Error Reporting and Analysis (124)

•Communication Improvement (138)

•Human Factors Engineering (124)

•Teamwork (25)

•Specialization of Care (31)

•Logistical Approaches (39)

•Culture of Safety (63)

•Technologic Approaches (99)

•Education and Training (75)

Clinical Areas

•Allied Health Services (1)

•Medicine (298)

•Nursing (28)

•Pharmacy (95)

Target Audience

•Health Care Providers (314)

•Health Care Executives and Administrators (293)

•Non-Health Care Professionals (136)

•Patients (193)

Setting of Care

•Hospitals (307)

•Psychiatric Facilities (3)

•Residential Facilities (6)

•Ambulatory Care (32)

•Outpatient Surgery (13)

•Patient Transport (5)

1 - 20 of 471

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NEWSPAPER/MAGAZINE ARTICLE

Patient safety in the OR.

Stempniak M. Hosp Health Netw. 2012 Oct;86:8 p following 40.

NEWSPAPER/MAGAZINE ARTICLE

Lost surgical specimens, lost opportunities.

PA-PSRS Patient Saf Advis. September 2005;2:1-5.

NEWSPAPER/MAGAZINE ARTICLE

DTaP–Tdap mix-ups now affecting hundreds of patients.

ISMP Medication Safety Alert! Acute Care Edition. July 1, 2010;15:1-2.

NEWSPAPER/MAGAZINE ARTICLE

Preventing catheter/tubing misconnections: much needed help is on the way.

ISMP Medication Safety Alert! Acute Care Edition. July 15, 2010;15:1-2.

NEWSPAPER/MAGAZINE ARTICLE

Hospitals collaborate to prevent wrong-site surgery.

Pelczarski KM, Braun PA, Young E. Patient Saf Qual Healthc. Sept/Oct 2010;7:20-22,25-26.

NEWSPAPER/MAGAZINE ARTICLE

Another tragic parenteral nutrition compounding error.

ISMP Medication Safety Alert! Acute Care Edition. April 21, 2011;16:1-3.

NEWSPAPER/MAGAZINE ARTICLE

Oops, sorry, wrong patient! A patient verification process is needed everywhere, not just at the bedside.

ISMP Medication Safety Alert! Acute Care Edition. March 10, 2011;16:1-4.

NEWSPAPER/MAGAZINE ARTICLE

No more blame & shame: developing event-reporting systems may go a long way to reducing patient care errors in EMS.

Rajasekaran K, Fairbanks RJ, Shah MN. EMS Magazine. September 2008.

NEWSPAPER/MAGAZINE ARTICLE

Fires during surgeries a bigger risk than thought.

Kowalczyk L. Boston Globe. November 7, 2007;Health/Science section:1A.

NEWSPAPER/MAGAZINE ARTICLE

Action needed to prevent dangerous heparin-insulin confusion.

ISMP Medication Safety Alert! Acute Care Edition. May 3, 2007;12:1-2.

NEWSPAPER/MAGAZINE ARTICLE

A hospital races to learn lessons of Ferrari pit stop.

Naik G. Wall Street Journal. November 14, 2006:A1. [reprinted on Post-gazette.com].

NEWSPAPER/MAGAZINE ARTICLE

Misidentification of alphanumeric symbols in both handwritten and computer-generated information.

ISMP Medication Safety Alert! Acute Care Edition. July 2, 2009;14:1-2.

NEWSPAPER/MAGAZINE ARTICLE

Doctor removes ovaries from wrong patient.

Bramson K, Mooney T. Providence Journal. August 18, 2006.

NEWSPAPER/MAGAZINE ARTICLE

Oral syringes: a crucial and economical risk-reduction strategy that has not been fully utilized.

ISMP Medication Safety Alert! Acute Care Edition. October 22, 2009;14:1-3.

NEWSPAPER/MAGAZINE ARTICLE

Medication errors occurring with the use of bar-code administration technology.

PA-PSRS Patient Saf Advis. December 2008;5:122-126.

NEWSPAPER/MAGAZINE ARTICLE

The day Joy died.

Brandeland GP. Med Econ. 2006 Oct 20;83:50, 52-53.

NEWSPAPER/MAGAZINE ARTICLE

Preventing wrong-site surgery in Minnesota: a 5-year journey.

Rydrych D, Apold J, Harder K. Patient Saf Qual Healthc. November/December 2012;9:24-27,30-32,34.

NEWSPAPER/MAGAZINE ARTICLE

Misadministration of IV insulin associated with dose measurement and hyperkalemia treatment.

ISMP Medication Safety Alert! Acute Care Edition. August 11, 2011;16:1-3.

NEWSPAPER/MAGAZINE ARTICLE

5 sure-fire methods: complying with NPSG.03.04.01.

Joint Commission: The Source. January 2012;10:5-6.

NEWSPAPER/MAGAZINE ARTICLE

ISMP updates its list of drug name pairs with Tall man letters.

ISMP Medication Safety Alert! Acute Care Edition. November 18, 2010;15:1-3.

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