AHRQ Patient Safety Network

The Collection > Risk Managers

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Safety Target

•Device-related Complications (31)

•Diagnostic Errors (63)

•Identification Errors (31)

•Discontinuities, Gaps, and Hand-Off Problems (64)

•Fatigue and Sleep Deprivation (41)

•Medication Safety (208)

•Medical Complications (42)

•Nonsurgical Procedural Complications (25)

•Surgical Complications (95)

•Transfusion Complications (5)

•Psychological and Social Complications (22)

Origin/Sponsor

•Asia (7)

•Australia and New Zealand (13)

Resource Types

•Journal Article (549)

•Legislation/Regulation (8)

•Meeting/Conference (2)

•Newsletter/Journal (2)

•Newspaper/Magazine Article (64)

•Press Release/Announcement (4)

•Special or Theme Issue (6)

•Tools/Toolkit (5)

•Web Resource (7)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (219)

•Active Errors (126)

•Latent Errors (35)

•Near Miss (17)

Approach to Improving Safety

•Quality Improvement Strategies (143)

•Legal and Policy Approaches (93)

•Error Reporting and Analysis (294)

•Communication Improvement (128)

•Human Factors Engineering (85)

•Teamwork (31)

•Specialization of Care (29)

•Logistical Approaches (62)

•Culture of Safety (48)

•Technologic Approaches (112)

•Education and Training (77)

Clinical Areas

•Allied Health Services (2)

•Medicine (446)

•Nursing (28)

•Pharmacy (75)

Target Audience
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Risk Managers

Setting of Care

•Hospitals (352)

•Psychiatric Facilities (2)

•Residential Facilities (11)

•Ambulatory Care (44)

•Outpatient Surgery (10)

•Patient Transport (6)

1 - 20 of 674

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COMMENTARY

Documentation bad habits: shortcuts in electronic records pose risk.

Dimick C. J AHIMA. 2008;79:40-43.

STUDY

Effect of a comprehensive obstetric patient safety program on compensation payments and sentinel events.

Grunebaum A, Chervenak F, Skupski D. Am J Obstet Gynecol. 2011;204:97-105.

STUDY

Characteristics of medical professional liability claims in patients with cardiovascular diseases.

Oetgen WJ, Parikh PD, Cacchione JG, et al. Am J Cardiol. 2010;105:745-752.

REVIEW

Radiologic errors and malpractice: a blurry distinction.

Berlin L. AJR Am J Roentgenol. 2007;189:517-522.

STUDY

"It's not our ass": medical resident sense-making regarding lawsuits.

Noland C, Carl WJ. Health Commun. 2006;20:81-89.

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

Transparent and open discussion of errors does not increase malpractice risk in trauma patients.

Stewart RM, Corneille MG, Johnston J, et al. Ann Surg. 2006;243:645-651.

STUDY

Risk of medication errors at hospital discharge and barriers to problem resolution.

Enguidanos SM, Brumley RD. Home Health Care Serv Q. 2005;24:123-135.

NEWSPAPER/MAGAZINE ARTICLE

Medical simulations identify potential problems before they can pose a real threat.

Kleefeld E. Wisconsin Technology Network. June 15, 2005.

COMMENTARY

Passing the "Yo' Mama" test.

Blair R. Health Manage Tech. June 2006;27:16.

STUDY

Neurologic patient safety: an in-depth study of malpractice claims.

Glick TH, Cranberg LD, Hanscom RB, Sato L. Neurology. 2005;65:1284-1286.

STUDY

Copying and pasting of examinations within the electronic medical record.

Thielke S, Hammond K, Helbig S. Int J Med Inform. 2007;76(suppl 1):122-28.

REVIEW

The spectrum of medical errors: when patients sue.

Kels BD, Grant-Kels JM. Int J Gen Med. 2012;5:613-619.

NEWSPAPER/MAGAZINE ARTICLE

Follow-up tips for a safe, efficient practice.

Weiss GG. Med Econ. May 19, 2006; 83:47-49.

STUDY

E-prescribing, efficiency, quality: lessons from the computerization of UK family practice.

Schade CP, Sullivan FM, de Lusignan S, Madeley J. J Am Med Inform Assoc. 2006;13:470-475.

NEWSPAPER/MAGAZINE ARTICLE

10 ways to guarantee a lawsuit.

Rice B. Med Econ. 2005 Jul 8;82:66-69

COMMENTARY

A multifaceted approach to improve patient safety, prevent medical errors and resolve the professional liability crisis.

Weinstein L. Am J Obstet Gynecol. 2006;194:1160-1165; discussion 1165-1167.

STUDY

Decreasing errors in pediatric continuous intravenous infusions.

Lehmann CU, Kim GR, Gujral R, Veltri MA, Clark JS, Miller MR. Pediatr Crit Care Med. 2006;7:225-230.

STUDY

Patients use an internet technology to report when things go wrong.

Wasson JH, MacKenzie TA, Hall M. Qual Saf Health Care. 2007;16:213-215.

BOOK/REPORT

Practicing Medicine in Difficult Times: Protecting Physicians from Malpractice Litigation.

Thomas MO, Quinn CJ, Donohue GM. Sudbury, MA: Jones Bartlett; 2009. ISBN: 100763748560.

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