AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (5)

•Diagnostic Errors (14)

•Identification Errors (6)

•Discontinuities, Gaps, and Hand-Off Problems (4)

•Fatigue and Sleep Deprivation (1)

•Medication Safety (5)

•Medical Complications (4)

•Nonsurgical Procedural Complications (6)

•Surgical Complications (10)

•Transfusion Complications (1)

Origin/Sponsor

•Australia and New Zealand (1)

•Europe (27)

•North America (26)

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Commentary

Error Types

•Epidemiology of Errors and Adverse Events (6)

•Active Errors (16)

•Latent Errors (12)

•Near Miss (3)

Approach to Improving Safety

•Quality Improvement Strategies (16)

•Legal and Policy Approaches (10)

•Error Reporting and Analysis (24)

•Communication Improvement (17)

•Human Factors Engineering (10)

•Teamwork (8)

•Specialization of Care (1)

•Logistical Approaches (3)

•Culture of Safety (15)

•Technologic Approaches (6)

•Education and Training (12)

Clinical Areas

•Medicine (49)

•Nursing (5)

•Pharmacy (2)

Target Audience

•Health Care Providers (57)

•Health Care Executives and Administrators (42)

•Non-Health Care Professionals (19)

Setting of Care

•Hospitals (34)

•Ambulatory Care (5)

•Outpatient Surgery (1)

1 - 20 of 61

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COMMENTARY

Radiology reporting—where does the radiologist's duty end?

Garvey CJ, Connolly S. Lancet. 2006;367:443-445.

COMMENTARY

Improving patient safety in radiotherapy by learning from near misses, incidents and errors.

Williams MV. Br J Radiol. 2007;80:297-301.

COMMENTARY

Mock trial at 2009 RSNA annual meeting: jury exonerates radiologist for failure to communicate abnormal finding—but...

Berlin L. Radiology. 2010;257:836-845.

COMMENTARY

Managing an acute adverse event in a radiology department.

Kruskal JB, Siewert B, Anderson SW, Eisenberg RL, Sosna J. Radiographics. 2008;28:1237-1250.

COMMENTARY

Profiles in patient safety: misplaced femoral line guidewire and multiple failures to detect the foreign body on chest radiography.

Lum TE, Fairbanks RJ, Pennington EC, Zwemer FL. Acad Emerg Med. 2005;12:658-662.

COMMENTARY

The Wet Read

Arenson RL. AHRQ WebM&M [serial online]. March 2006.

COMMENTARY

Reducing adverse events in blood transfusion.

Stainsby D, Russell J, Cohen H, Lilleyman J. Br J Haematol. 2005;131:8-12.

COMMENTARY

Doctor, Don't Treat Thyself.

Rosvold EO. AHRQ WebM&M [serial online]. September 2004.

COMMENTARY

Hidden danger, obvious opportunity: error and risk in the management of cancer.

Munro AJ. Br J Radiol. 2007;80:955-966.

COMMENTARY

Excusable neglect in malpractice suits against radiologists: a proposed jury instruction to recognize the human condition.

Caldwell C, Seamone ER. Ann Health Law. Winter 2007;16:43-77.

COMMENTARY

Anatomy and pathophysiology of errors occurring in clinical radiology practice.

Brook OR, O'Connell AM, Thornton E, Eisenberg RL, Mendiratta-Lala M, Kruskal JB. Radiographics. 2010;30:1401-1410.

COMMENTARY

Techno Trip.

Cook RI. AHRQ WebM&M [serial online]. March 2005.

COMMENTARY

Creating high reliability in health care organizations.

Pronovost PJ, Berenholtz SM, Goeschel CA, et al. Health Serv Res. 2006;41:1599-1617.

COMMENTARY

An unsuspected MR projectile: a "wooden" chair with metal bracing.

Ulaner GA, Colletti PM. J Magn Reson Imaging. 2006;23:781-782.

COMMENTARY

Applying aviation factors to oral and maxillofacial surgery—the human element.

Seager L, Smith DW, Patel A, Brunt H, Brennan PA. Br J Oral Maxillofac Surg. 2013;51:8-13.

COMMENTARY

Alliance between society and medicine: the public's stake in medical professionalism.

Cohen JJ, Cruess S, Davidson C. JAMA. 2007;298:670-673.

COMMENTARY

Is health care getting safer?

Vincent C, Aylin P, Franklin BD, et al. BMJ. 2008;337:a2426.

COMMENTARY classic

The wrong patient.

Chassin MR, Becher EC. Ann Intern Med. 2002;136:826-833.

COMMENTARY

Root cause analysis.

Stecker MS. J Vasc Interv Radiol. 2007;18:5-8.

COMMENTARY

Environmental Safety in the OR.

Linkin DR, Lautenbach E. AHRQ WebM&M [serial online]. February 2004.

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