AHRQ Patient Safety Network

The Collection > Device-related Complications

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Device-related Complications

•Indwelling Tubes and Catheters (34)

•Infusion Pumps (31)

•Restraints (4)

Origin/Sponsor

•Asia (2)

•Australia and New Zealand (1)

Resource Types

•Journal Article (107)

•Legislation/Regulation (7)

•Meeting/Conference (1)

•Newspaper/Magazine Article (55)

•Press Release/Announcement (10)

•Special or Theme Issue (2)

•Tools/Toolkit (4)

•Web Resource (7)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (35)

•Active Errors (61)

•Latent Errors (36)

•Near Miss (5)

Approach to Improving Safety

•Quality Improvement Strategies (57)

•Legal and Policy Approaches (22)

•Error Reporting and Analysis (62)

•Communication Improvement (24)

•Human Factors Engineering (114)

•Teamwork (6)

•Specialization of Care (3)

•Logistical Approaches (5)

•Culture of Safety (22)

•Technologic Approaches (30)

•Education and Training (61)

Clinical Areas

•Allied Health Services (4)

•Medicine (137)

•Nursing (23)

•Pharmacy (20)

Target Audience

•Health Care Providers (126)

•Health Care Executives and Administrators (140)

•Non-Health Care Professionals (75)

•Patients (44)

Setting of Care

•Hospitals (131)

•Psychiatric Facilities (1)

•Ambulatory Care (14)

•Outpatient Surgery (2)

•Patient Transport (2)

1 - 20 of 205

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NEWSPAPER/MAGAZINE ARTICLE

Four patients say Cedars-Sinai did not tell them they had received a radiation overdose.

Zarembo A. Los Angeles Times. October 15, 2009:A1.

AUDIOVISUAL

Chasing Zero: Winning the War on Healthcare Harm.

Austin, TX: Texas Medical Institute for Technology and the Quaid Foundation; 2010.

NEWSPAPER/MAGAZINE ARTICLE

M.R.I.'s strong magnets cited in accidents.

McNeil DG Jr. New York Times. August 19, 2005;National Desk section:1.

PRESS RELEASE/ANNOUNCEMENT

Safety Investigation of CT Brain Perfusion Scans: Update 11/9/2010.

Rockville, MD: US Food and Drug Administration; November 9, 2010.

NEWSPAPER/MAGAZINE ARTICLE

MGH death spurs review of patient monitors.

Kowalczyk L. Boston Globe. February 21, 2010.

COMMENTARY

Practice advisory on anesthetic care for magnetic resonance imaging: a report by the American Society of Anesthesiologists Task Force on Anesthetic Care for Magnetic Resonance Imaging.

Anesthesiology. 2009;110:459-479.

NEWSPAPER/MAGAZINE ARTICLE

Hospitals tally their avoidable mistakes.

Rein L. Washington Post. July 21, 2009:E1.

NEWSPAPER/MAGAZINE ARTICLE

For patients, a list of hospital hazards.

Landro L. Wall Street Journal (Eastern edition). December 23, 2008;D2.

NEWSPAPER/MAGAZINE ARTICLE

Fallible medicine: responding to errors in emergency care.

Whitehead S. Emergency Medical Services. July 2007.

NEWSPAPER/MAGAZINE ARTICLE

ALERT: reports of severe harm after intravenous administration of breast milk to infants.

ISMP Canada Safety Bulletin. July 31, 2011;11:1-2.

AUDIOVISUAL

Software glitches pose new, potentially dangerous problems for medical devices.

Kennedy D. "iHealthBeat." California Healthcare Foundation. July 25, 2008.

NEWSPAPER/MAGAZINE ARTICLE

Doctors see flaw in device recalls.

Kerber R. The Boston Globe. June 23, 2005;Business section:E1.

ORGANIZATIONAL POLICY/GUIDELINES

Radiation risks of diagnostic imaging.

Sentinel Event Alert #47. August 24, 2011.

COMMENTARY

Resuscitation Errors: A Shocking Problem

Abella BS, Edelson DP. AHRQ WebM&M [serial online]. July 2007.

NEWSPAPER/MAGAZINE ARTICLE

Latest heparin fatality speaks loudly—what have you done to stop the bleeding?

ISMP Medication Safety Alert! April 8, 2010;15:1-3.

NEWSPAPER/MAGAZINE ARTICLE

Baby's death spotlights safety risks linked to computerized systems.

Graham J, Dizikes C. Chicago Tribune. June 27, 2011.

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.

NEWSPAPER/MAGAZINE ARTICLE

Medication errors: a year in review.

Institute for Safe Medication Practices. Pharmacy Practice News. October 2011:7-14.

NEWSPAPER/MAGAZINE ARTICLE

Preventing catheter/tubing misconnections: much needed help is on the way.

ISMP Medication Safety Alert! Acute Care Edition. July 15, 2010;15:1-2.

NEWSPAPER/MAGAZINE ARTICLE

Woman who died at Alta Bates may be victim of medical error not medication mistake.

Woodall A. Oakland Tribune. September 27, 2011.

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