AHRQ Patient Safety Network

The Collection > Active Errors

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Safety Target

•Device-related Complications (58)

•Diagnostic Errors (188)

•Identification Errors (70)

•Discontinuities, Gaps, and Hand-Off Problems (110)

•Fatigue and Sleep Deprivation (7)

•Medication Safety (382)

•Medical Complications (74)

•Nonsurgical Procedural Complications (33)

•Surgical Complications (141)

•Transfusion Complications (6)

•Psychological and Social Complications (41)

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•Africa (2)

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•Clinical Guideline (2)

•Journal Article (666)

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•Newspaper/Magazine Article (153)

•Press Release/Announcement (10)

•Special or Theme Issue (7)

•Tools/Toolkit (5)

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Error Types
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Active Errors

•Noncognitive Errors ("Slips & Lapses") (78)

•Cognitive Errors ("Mistakes") (135)

Approach to Improving Safety

•Quality Improvement Strategies (219)

•Legal and Policy Approaches (96)

•Error Reporting and Analysis (246)

•Communication Improvement (253)

•Human Factors Engineering (200)

•Teamwork (39)

•Specialization of Care (38)

•Logistical Approaches (48)

•Culture of Safety (62)

•Technologic Approaches (202)

•Education and Training (205)

Clinical Areas

•Allied Health Services (5)

•Medicine (702)

•Nursing (82)

•Pharmacy (128)

Target Audience

•Health Care Providers (715)

•Health Care Executives and Administrators (648)

•Non-Health Care Professionals (301)

•Patients (106)

Setting of Care

•Hospitals (581)

•Psychiatric Facilities (4)

•Residential Facilities (11)

•Ambulatory Care (132)

•Outpatient Surgery (15)

•Patient Transport (12)

1 - 20 of 909

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REVIEW

Medication errors in chemotherapy: incidence, types and involvement of patients in prevention. A review of the literature.

Schwappach DLB, Wernli M. Eur J Cancer Care (Engl). 2009;19:285-292.

REVIEW

Quality in cancer diagnosis.

Raab SS, Grzybicki DM. CA Cancer J Clin. 2010;60:139-165.

STUDY

Errors of diagnosis in pediatric practice: a multisite survey.

Singh H, Thomas EJ, Wilson L, et al. Pediatrics. 2010;126:70-79.

STUDY

Inaccuracies in assignment of clinical stage for localized prostate cancer.

Reese AC, Sadetsky N, Carroll PR, Cooperberg MR. Cancer. 2011;117:283-289.

STUDY

Psychiatry morbidity and mortality rounds: implementation and impact.

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

COMMENTARY

Lethal Cap.

Schillinger D. AHRQ WebM&M [serial online]. March 2004.

COMMENTARY

Safety strategies in an academic radiation oncology department and recommendations for action.

Terezakis SA, Pronovost P, Harris K, Deweese T, Ford E. Jt Comm J Qual Patient Saf. 2011;37:291-299.

STUDY

Parents' medication administration errors: role of dosing instruments and health literacy.

Yin HS, Mendelsohn AL, Wolf MS, et al. Arch Pediatr Adolesc Med. 2010;164:181-186.

STUDY

Medication reconciliation in ambulatory care: attempts at improvement.

Nassaralla CL, Naessens JM, Hunt VL, et al. Qual Saf Health Care. 2009;18:402-407.

STUDY

The role of advice in medication administration errors in the pediatric ambulatory setting.

Lemer C, Bates DW, Yoon C, Keohane C, Fitzmaurice G, Kaushal R. J Patient Saf. 2009;5:168-175.

STUDY

Results of the Medications At Transitions and Clinical Handoffs (MATCH) study: an analysis of medication reconciliation errors and risk factors at hospital admission.

Gleason KM, McDaniel MR, Feinglass J, et al. J Gen Intern Med. 2010;25:441-447.

STUDY

Checking it twice: an evaluation of checklists for detecting medication errors at the bedside using a chemotherapy model.

White RE, Trbovich PL, Easty AC, Savage P, Trip K, Hyland S. Qual Saf Health Care. 2010;19:562-567.

STUDY

Paid malpractice claims for adverse events in inpatient and outpatient settings.

Bishop TF, Ryan AK, Casalino LP. JAMA. 2011;305:2427-2431.

COMMENTARY

Sick and Pregnant

El-Ibiary S. AHRQ WebM&M [serial online]. November 2008.

STUDY

Developing and pilot testing practical measures of preanalytic surgical specimen identification defects.

Bixenstine PJ, Zarbo RJ, Holzmueller CG, et al. Am J Med Qual. 2013 Jan 15; [Epub ahead of print].

STUDY

Gossypiboma: tales of lost sponges and lessons learned.

McIntyre LK, Jurkovich GJ, Gunn MLD, Maier RV. Arch Surg. 2010;145:770-775.

STUDY

Frequency and severity of harm of medication errors related to the parenteral nutrition process in a large university teaching hospital.

Sacks GS, Rough S, Kudsk KA. Pharmacotherapy. 2009;29:966-974.

STUDY

Diagnostic error in medicine: analysis of 583 physician-reported errors.

Schiff GD, Hasan O, Kim S, et al. Arch Intern Med. 2009;169:1881-1887.

STUDY

Process changes to increase compliance with the Universal Protocol for bedside procedures.

Barsuk JH, Brake H, Caprio T, Barnard C, Anderson DY, Williams MV. Arch Intern Med. 2011;171:947-949.

STUDY

Chemotherapy patients' perceptions of drug administration safety.

Schwappach DLB, Wernli M. J Clin Oncol. 2010;28:2896-2901.

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