AHRQ Patient Safety Network

The Collection > Active Errors

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Safety Target

•Device-related Complications (54)

•Diagnostic Errors (137)

•Identification Errors (61)

•Discontinuities, Gaps, and Hand-Off Problems (89)

•Fatigue and Sleep Deprivation (7)

•Medication Safety (378)

•Medical Complications (62)

•Nonsurgical Procedural Complications (30)

•Surgical Complications (133)

•Transfusion Complications (5)

•Psychological and Social Complications (31)

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•Africa (1)

•Asia (17)

•Australia and New Zealand (23)

•Central and South America (3)

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•Clinical Guideline (2)

•Journal Article (605)

•Legislation/Regulation (5)

•Meeting/Conference (3)

•Newspaper/Magazine Article (149)

•Press Release/Announcement (9)

•Special or Theme Issue (6)

•Tools/Toolkit (5)

•Web Resource (9)

•Grant (1)

Error Types
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Active Errors

•Noncognitive Errors ("Slips & Lapses") (53)

•Cognitive Errors ("Mistakes") (105)

Approach to Improving Safety

•Quality Improvement Strategies (189)

•Legal and Policy Approaches (95)

•Error Reporting and Analysis (241)

•Communication Improvement (211)

•Human Factors Engineering (176)

•Teamwork (36)

•Specialization of Care (32)

•Logistical Approaches (42)

•Culture of Safety (55)

•Technologic Approaches (187)

•Education and Training (182)

Clinical Areas

•Allied Health Services (6)

Target Audience

•Health Care Providers (632)

•Health Care Executives and Administrators (631)

•Non-Health Care Professionals (281)

•Patients (94)

Setting of Care

•Hospitals (537)

•Psychiatric Facilities (2)

•Residential Facilities (11)

•Ambulatory Care (109)

•Outpatient Surgery (14)

•Patient Transport (13)

1 - 20 of 833

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STUDY

Identifying causes of adverse events detected by an automated trigger tool through in-depth analysis.

Muething SE, Conway PH, Kloppenborg E, et al. Qual Saf Health Care. 2010;19:435-439.

STUDY

Quality improvement project to reduce perioperative opioid oversedation events in a paediatric hospital.

Vermaire D, Caruso MC, Lesko A, et al. BMJ Qual Saf. 2011;20:895-902.

STUDY

Impact of implementing alerts about medication black-box warnings in electronic health records.

Yu DT, Seger DL, Lasser KE, et al. Pharmacoepidemiol Drug Saf. 2011;20:192-202.

STUDY

An intervention to decrease patient identification band errors in a children's hospital.

Hain PD, Joers B, Rush M, et al. Qual Saf Health Care. 2010;19:244-247.

STUDY

Psychiatry morbidity and mortality rounds: implementation and impact.

Goldman S, Demaso DR, Kemler B. Acad Psychiatry. 2009;33:383-388.

STUDY

Assessing the impact of an educational program on decreasing prescribing errors at a university hospital.

Peeters MJ, Pinto SL. J Hosp Med. 2009;4:97-101.

STUDY

Using an enhanced oral chemotherapy computerized provider order entry system to reduce prescribing errors and improve safety.

Collins CM, Elsaid KA. Int J Qual Health Care. 2011;23:36-43.

STUDY

Pediatric antidepressant medication errors in a national error reporting database.

Rinke ML, Bundy DG, Shore AD, Colantuoni E, Morlock LL, Miller MR. J Dev Behav Pediatr. 2010;31:129-136.

STUDY

Preprinted order sets as a safety intervention in pediatric sedation.

Broussard M, Bass PF 3rd, Arnold CL, McLarty JW, Bocchini JA Jr. J Pediatr. 2009;154:865-868.

BOOK/REPORT

An In Depth Investigation into Causes of Prescribing Errors by Foundation Trainees in Relation to Their Medical Education—EQUIP Study.

Dornan T, Ashcroft D, Heathfield H, et al. London: General Medical Council; 2009.

STUDY

Medication error reporting in nursing homes: identifying targets for patient safety improvement.

Greene SB, Williams CE, Pierson S, Hansen RA, Carey TS. Qual Saf Health Care. 2010;19:218-222.

STUDY

A human factors framework and study of the effect of nursing workload on patient safety and employee quality of working life.

Holden RJ, Scanlon MC, Patel NR, et al. BMJ Qual Saf. 2011;20:15-24.

STUDY

Paediatric dosing errors before and after electronic prescribing.

Jani YH, Barber N, Wong ICK. Qual Saf Health Care. 2010;19:337-340.

STUDY

Characteristics of medication errors and adverse drug events in hospitals participating in the California Pediatric Patient Safety Initiative.

Takata GS, Taketomo CK, Waite S; for the California Pediatric Patient Safety Initiative. Am J Health Syst Pharm. 2008;65:2036-2044.

STUDY

Medication errors recovered by emergency department pharmacists.

Rothschild JM, Churchill W, Erickson A, et al. Ann Emerg Med. 2010;55:513-521.

STUDY

Medical errors in orthopaedics. Results of an AAOS member survey.

Wong DA, Herndon JH, Canale ST, et al. J Bone Joint Surg Am. 2009;91:547-557.

STUDY

Patient-specific electronic decision support reduces prescription of excessive doses.

Seidling HM, Schmitt SPW, Bruckner T, et al. Qual Saf Health Care. 2010;19:e15.

STUDY

Sustaining and spreading the reduction of adverse drug events in a multicenter collaborative.

Tham E, Calmes HM, Poppy A, et al. Pediatrics. 2011;128:e438-e445.

STUDY

Mislabeled units of umbilical cord blood detected by a quality assurance program at the transplantation center.

McCullough J, McKenna D, Kadidlo D, et al. Blood. 2009:114:1684-1688.

STUDY

Mislabeling of cases, specimens, blocks, and slides: a College of American Pathologists study of 136 institutions.

Nakhleh RE, Idowu MO, Souers RJ, Meier FA, Bekeris LG. Arch Pathol Lab Med. 2011;135:969-974.

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