AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (156)

•Diagnostic Errors (303)

•Identification Errors (108)

•Discontinuities, Gaps, and Hand-Off Problems (528)

•Fatigue and Sleep Deprivation (131)

•Medication Safety (1200)

•Medical Complications (405)

•Nonsurgical Procedural Complications (87)

•Surgical Complications (366)

•Transfusion Complications (22)

•Psychological and Social Complications (155)

Origin/Sponsor

•Africa (3)

•Asia (50)

•Australia and New Zealand (85)

•Central and South America (6)

•Europe (404)

•North America (3502)

Resource Types

•Audiovisual (59)

•Award (20)

•Book/Report (208)

•Clinical Guideline (10)

•Journal Article (2983)

•Legislation/Regulation (54)

•Meeting/Conference (14)

•Newsletter/Journal (8)

•Newspaper/Magazine Article (555)

•Press Release/Announcement (17)

•Special or Theme Issue (38)

•Tools/Toolkit (62)

•Web Resource (75)

•Grant (5)

Error Types

•Epidemiology of Errors and Adverse Events (960)

•Active Errors (629)

•Latent Errors (279)

•Near Miss (68)

Approach to Improving Safety

•Quality Improvement Strategies (958)

•Legal and Policy Approaches (455)

•Error Reporting and Analysis (1407)

•Communication Improvement (916)

•Human Factors Engineering (409)

•Teamwork (243)

•Specialization of Care (258)

•Logistical Approaches (346)

•Culture of Safety (512)

•Technologic Approaches (691)

•Education and Training (736)

Clinical Areas

•Allied Health Services (12)

Target Audience

•Health Care Providers (2804)

•Health Care Executives and Administrators (2967)

•Non-Health Care Professionals (1340)

•Patients (376)

Setting of Care

•Hospitals (2906)

•Psychiatric Facilities (19)

•Residential Facilities (50)

•Ambulatory Care (520)

•Outpatient Surgery (41)

•Patient Transport (14)

1 - 20 of 4108

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STUDY

Information distortion in physicians' diagnostic judgments.

Kostopoulou O, Russo JE, Keenan G, Delaney BC, Douiri A. Med Decis Making. 2012;32:831-839.

STUDY

Preliminary assessment of pediatric health care quality and patient safety in the United States using readily available administrative data.

McDonald KM, Davies SM, Haberland CA, et al. Pediatrics. 2008;122:e416-e425.

COMMENTARY

Sir Karl Popper, swans, and the general practitioner.

Berghmans R, Schouten HC. BMJ. 2011;343:d5469.

STUDY

Outside case review of surgical pathology for referred patients: the impact on patient care.

Swapp RE, Aubry MC, Salomão DR, Cheville JC. Arch Pathol Lab Med. 2013;137:233-240.

STUDY

Signal and noise: applying a laboratory trigger tool to identify adverse drug events among primary care patients.

Brenner S, Detz A, López A, Horton C, Sarkar U. BMJ Qual Saf. 2012;21:670-675.

STUDY

Identifying diagnostic errors in primary care using an electronic screening algorithm.

Singh H, Thomas EJ, Khan MM, Petersen LA. Arch Intern Med. 2007;167:302-308.

NEWSPAPER/MAGAZINE ARTICLE

Why doctors make mistakes.

Groopman J. AARP Magazine. September/October 2008.

COMMENTARY

ISMP medication error report analysis.

Smetzer JL, Cohen MR. Hosp Pharm. 2008;43:869-872.

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

Challenges of making a diagnosis in the outpatient setting: a multi-site survey of primary care physicians.

Sarkar U, Bonacum D, Strull W, et al. BMJ Qual Saf. 2012;21:641-648.

STUDY

Causes of errors in the electrocardiographic diagnosis of atrial fibrillation by physicians.

Davidenko JM, Snyder LS. J Electrocardiol. 2007;40:450-457.

STUDY

Physicians' perceptions, preparedness for reporting, and experiences related to impaired and incompetent colleagues.

DesRoches CM, Rao SR, Fromson JA, et al. JAMA. 2010;304:187-193.

STUDY

Missed diagnoses by urologists resulting in malpractice payment.

Badger WJ, Moran ME, Abraham C, Yarlagadda B, Perrotti M. J Urol. 2007;178;2537-2539.

STUDY

Patient safety perceptions of primary care providers after implementation of an electronic medical record system.

McGuire MJ, Noronha G, Samal L, Yeh HC, Crocetti S, Kravet S. J Gen Intern Med. 2013;28:184-192.

STUDY

Clinical impact and frequency of anatomic pathology errors in cancer diagnoses.

Raab SS, Grzybicki DM, Janosky JE, et al. Cancer. 2005;104:2205-2213.

NEWSPAPER/MAGAZINE ARTICLE

Small patients, big consequences in medical errors.

Tarkan L. New York Times. September 14, 2008;Health section:7.

COMMENTARY

The art of apology: when and how to seek forgiveness.

Roberts RG. Fam Pract Manag. July/August 2007;14:44-49.

STUDY

The "Big Dog" effect: variability assessing the causes of error in diagnoses of patients with lung cancer.

Raab SS, Meier FA, Zarbo RJ, et al. J Clin Oncol. 2006;24:2808-2814.

REVIEW

Accountability for medical error: moving beyond blame to advocacy.

Bell SK, Delbanco T, Anderson-Shaw L, McDonald TB, Gallagher TH. Chest. 2011;140:519-526.

STUDY

Patient safety in out-of-hours primary care: a review of patient records.

Smits M, Huibers L, Kerssemeijer B, de Feijter E, Wensing M, Giesen P. BMC Health Serv Res. 2010;10:335.

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