AHRQ Patient Safety Network

The Collection > Medical Oncology

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Safety Target

•Device-related Complications (8)

•Diagnostic Errors (25)

•Identification Errors (1)

•Discontinuities, Gaps, and Hand-Off Problems (14)

•Medication Safety (48)

•Medical Complications (4)

•Nonsurgical Procedural Complications (13)

•Surgical Complications (2)

•Psychological and Social Complications (3)

Origin/Sponsor

•Africa (2)

•Asia (2)

•Australia and New Zealand (3)

•Central and South America (2)

Resource Types

•Journal Article (83)

•Legislation/Regulation (3)

•Newspaper/Magazine Article (15)

•Press Release/Announcement (1)

•Tools/Toolkit (2)

•Web Resource (1)

Error Types

•Epidemiology of Errors and Adverse Events (32)

•Active Errors (30)

•Latent Errors (13)

•Near Miss (4)

Approach to Improving Safety

•Quality Improvement Strategies (34)

•Legal and Policy Approaches (10)

•Error Reporting and Analysis (45)

•Communication Improvement (29)

•Human Factors Engineering (18)

•Teamwork (6)

•Specialization of Care (9)

•Logistical Approaches (4)

•Culture of Safety (8)

•Technologic Approaches (16)

•Education and Training (23)

Clinical Areas
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Medical Oncology

Target Audience

•Health Care Providers (85)

•Health Care Executives and Administrators (79)

•Non-Health Care Professionals (33)

•Patients (14)

Setting of Care

•Hospitals (51)

•Psychiatric Facilities (1)

•Residential Facilities (1)

•Ambulatory Care (24)

1 - 20 of 113

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BOOK/REPORT

The Rebecca O'Malley Report.

Cork, Ireland: Health Information and Quality Authority; March 21, 2008.

BOOK/REPORT

Unintended exposure of patient Lisa Norris during radiotherapy treatment at the Beatson Oncology Centre, Glasgow in January 2006.

Johnson AM. Edinburgh, Scotland: Scottish Executive; 2006.

BOOK/REPORT

External Inquiry into the adverse incident that occurred at Queen's Medical Centre, Nottingham, 4th January 2001.

Toft B. London, England: Department of Health; 2001.

BOOK/REPORT

Why Current Breast Pathology Practices Must Be Evaluated.

Dallas, TX: Susan G. Komen Breast Cancer Foundation; June 2006.

REVIEW

Missed breast cancers at US-guided core needle biopsy: how to reduce them.

Youk JH, Kim EK, Kim MJ, Lee JY, Oh KK. Radiographics. 2007;27:79-94.

STUDY

Cognitive errors and logistical breakdowns contributing to missed and delayed diagnoses of breast and colorectal cancers: a process analysis of closed malpractice claims.

Poon EG, Kachalia A, Puopolo AL, Gandhi TK, Studdert DM. J Gen Intern Med. 2012;27:1416-1423.

STUDY

Missed lesions at abdominal oncologic CT: lessons learned from quality assurance.

Siewert B, Sosna J, McNamara A, Raptopoulos V, Kruskal JB. Radiographics. 2008;28:623-638.

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.

MEASUREMENT TOOL/INDICATOR

2012 ISMP International Medication Safety Self Assessment for Oncology.

Institute for Safe Medication Practices and Institute for Safe Medication Practices Canada.

COMMENTARY

Undiagnosed Vaginal Bleeding.

Mandelblatt J. AHRQ WebM&M [serial online]. February 2004.

STUDY

Quantitative assessment of workload and stressors in clinical radiation oncology.

Mazur LM, Mosaly PR, Jackson M, et al. Int J Radiat Oncol Biol Phys. 2012;83:e571-e576.

NEWSPAPER/MAGAZINE ARTICLE

Radiation offers new cures, and ways to do harm.

Bogdanich W. New York Times. January 24, 2010:A1.

STUDY

Errors in the MRI evaluation of musculoskeletal tumors and tumorlike lesions.

Heck RK, O'Malley AM, Kellum EL, Donovan TB, Ellzey A, Witte DA. Clin Orthop Rel Res. 2007;459:28-33.

COMMENTARY

When “Psychiatric” Symptoms are Not.

Goldberg RJ. AHRQ WebM&M [serial online]. February 2003.

STUDY

Characteristics and predictors of missed opportunities in lung cancer diagnosis: an electronic health record-based study.

Singh H, Hirani K, Kadiyala H, et al. J Clin Oncol. 2010;28:3307-3315.

COMMENTARY

Sir Karl Popper, swans, and the general practitioner.

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

STUDY

One-stop diagnostic breast clinics: how often are breast cancers missed?

Britton P, Duffy SW, Sinnatamby R, et al. Br J Cancer. 2009;100:1873-1878.

BOOK/REPORT

Fluorouracil Incident Root Cause Analysis Report.

Toronto, ON, Canada: Institute for Safe Medication Practices Canada. May 8, 2007.

NEWSPAPER/MAGAZINE ARTICLE

Medical misdiagnoses can have fatal consequences.

Olsen D. State Journal-Register. June 26, 2011.

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.

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