AHRQ Patient Safety Network

The Collection > Health Care Providers

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Safety Target

•Device-related Complications (124)

•Diagnostic Errors (152)

•Identification Errors (83)

•Discontinuities, Gaps, and Hand-Off Problems (331)

•Fatigue and Sleep Deprivation (72)

•Medication Safety (880)

•Medical Complications (339)

•Nonsurgical Procedural Complications (89)

•Surgical Complications (366)

•Transfusion Complications (15)

•Psychological and Social Complications (117)

Origin/Sponsor

•Africa (2)

•Asia (26)

•Australia and New Zealand (65)

•Central and South America (5)

•Europe (246)

•North America (2642)

Resource Types

•Clinical Guideline (6)

•Journal Article (2167)

•Legislation/Regulation (53)

•Meeting/Conference (28)

•Newsletter/Journal (12)

•Newspaper/Magazine Article (278)

•Press Release/Announcement (23)

•Special or Theme Issue (52)

•Tools/Toolkit (49)

•Web Resource (97)

•Grant (8)

Error Types

•Epidemiology of Errors and Adverse Events (677)

•Active Errors (496)

•Latent Errors (160)

•Near Miss (54)

Approach to Improving Safety

•Quality Improvement Strategies (704)

•Legal and Policy Approaches (313)

•Error Reporting and Analysis (826)

•Communication Improvement (840)

•Human Factors Engineering (404)

•Teamwork (274)

•Specialization of Care (203)

•Logistical Approaches (197)

•Culture of Safety (369)

•Technologic Approaches (493)

•Education and Training (576)

Clinical Areas

•Allied Health Services (8)

Target Audience
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Health Care Providers

•Allied Health Professionals (3)

•Clinical Technologists (20)

Setting of Care

•Psychiatric Facilities (11)

•Residential Facilities (52)

•Ambulatory Care (296)

•Outpatient Surgery (33)

•Patient Transport (26)

1 - 20 of 3004

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STUDY

Disclosing harmful mammography errors to patients.

Gallagher TH, Cook AJ, Brenner RJ, et al. Radiology. 2009;253:443-452.

COMMENTARY

Drill down with root cause analysis.

McDonald A, Leyhane T. Nurs Manage. 2005;36:26-32.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2009;44:654-657.

STUDY

Wrong-site sinus surgery in otolaryngology.

Shah RK, Nussenbaum B, Kienstra M, et al. Otolaryngol Head Neck Surg. 2010;143:37-41.

BOOK/REPORT

Pediatric Patient Safety in the Emergency Department.

Krug SE, ed. Oak Brook, IL: Joint Commission Resources and the American Academy of Pediatrics; 2010. ISBN: 9781599402123.

COMMENTARY

Disclosing harmful medical errors to patients: a time for professional action.

Gallagher TH, Levinson W. Arch Intern Med. 2005;165:1819-1824.

MULTI-USE WEBSITE

Collaborating and Acting Responsibly to Ensure Safety (CARES) Alliance.

Covidien.

STUDY

Liability claims and costs before and after implementation of a medical error disclosure program.

Kachalia A, Kaufman SR, Boothman R, et al. Ann Intern Med. 2010;153:213-221.

COMMENTARY

Dealing honestly with an honest mistake.

Liang NL, Herring ME, Bush RL. J Vasc Surg. 2010;51:494-495.

COMMENTARY classic

Disclosure of medical injury to patients: an improbable risk management strategy.

Studdert DM, Mello MM, Gawande AA, Brennan TA, Wang YC. Health Aff (Millwood). 2007;26:215-226.

COMMENTARY

Crossing to safety: transforming healthcare organizations for patient safety.

Ralston JD, Larson EB. J Postgrad Med. 2005;51:61-67.

REVIEW

Does full disclosure of medical errors affect malpractice liability? The jury is still out.

Kachalia A, Shojania KG, Hofer TP, Piotrowski M, Saint S. Jt Comm J Qual Saf. 2003;29:503-511.

STUDY

Risk managers, physicians, and disclosure of harmful medical errors.

Loren DJ, Garbutt J, Dunagan WC, et al. Jt Comm J Qual Patient Saf. 2010;36:101-108.

COMMENTARY

Lawyers say 'sorry' may sink you in court.

Butcher L. Physician Exec. March-April 2006;32:20-24.

SPECIAL OR THEME ISSUE

Patient safety and quality in the pediatric intensive care unit.

Pediatr Crit Care Med. 2007;8(suppl):S1-S43.

STUDY

Toward patient-centered cancer care: patient perceptions of problematic events, impact, and response.

Mazor KM, Roblin DW, Greene SM, et al. J Clin Oncol. 2012;30:1784-1790.

COMMENTARY

What happens when things go wrong?

Brandom BW, Callahan P, Micalizzi DA. Paediatr Anaesth. 2011;21:730-736.

COMMENTARY

View the world through a different lens: shadowing another provider.

Thompson DA, Holzmueller CG, Lubomski L, Pronovost PJ. Jt Comm J Qual Patient Saf. 2008;34:614-618.

COMMENTARY

Successful remediation of patient safety incidents: a tale of two medication errors.

Helmchen LA, Richards MR, McDonald TB. Health Care Manage Rev. 2011;36:1-10.

COMMENTARY

A piece of my mind. Mistakes.

Lesnewski R. JAMA. 2006;296:1327-1328.

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