AHRQ Patient Safety Network

The Collection > Active Errors

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Safety Target

•Device-related Complications (59)

•Diagnostic Errors (137)

•Identification Errors (64)

•Discontinuities, Gaps, and Hand-Off Problems (116)

•Fatigue and Sleep Deprivation (5)

•Medication Safety (366)

•Medical Complications (72)

•Nonsurgical Procedural Complications (35)

•Surgical Complications (114)

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•Psychological and Social Complications (34)

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•Africa (2)

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Error Types
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Active Errors

•Noncognitive Errors ("Slips & Lapses") (85)

•Cognitive Errors ("Mistakes") (96)

Approach to Improving Safety

•Quality Improvement Strategies (200)

•Legal and Policy Approaches (66)

•Error Reporting and Analysis (229)

•Communication Improvement (247)

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•Teamwork (40)

•Specialization of Care (39)

•Logistical Approaches (52)

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•Technologic Approaches (187)

•Education and Training (173)

Clinical Areas

•Allied Health Services (6)

Target Audience

•Health Care Providers (677)

•Health Care Executives and Administrators (627)

•Non-Health Care Professionals (261)

•Patients (51)

Setting of Care

•Hospitals (576)

•Psychiatric Facilities (5)

•Residential Facilities (14)

•Ambulatory Care (107)

•Outpatient Surgery (15)

•Patient Transport (11)

1 - 20 of 807

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STUDY

Errare humanum est: frequency of laterality errors in radiology reports.

Sangwaiya MJ, Saini S, Blake MA, Dreyer KJ, Kalra MK. AJR Am J Roentgenol. 2009;192:W239-W244.

STUDY

Determinants of patient-reported medication errors: a comparison among seven countries.

Lu CY, Roughead E. Int J Clin Pract. 2011;65:733-740.

STUDY

Fractures of the fingers missed or misdiagnosed on poorly positioned or poorly taken radiographs: a retrospective study.

Tuncer S, Aksu N, Dilek H, Ozkan T, Hamzaoglu A. J Trauma. 2011;71:649-655.

STUDY

Diagnostic error in a national incident reporting system in the UK.

Sevdalis N, Jacklin R, Arora S, Vincent CA, Thomson RG. J Eval Clin Pract. 2010;16:1276-1281.

STUDY

Time trends in pulmonary embolism in the United States: evidence of overdiagnosis.

Wiener RS, Schwartz LM, Woloshin S. Arch Intern Med. 2011;171:831-837.

STUDY

Accuracy of radiographic readings in the emergency department.

Petinaux B, Bhat R, Boniface K, Aristizabal J. Am J Emerg Med. 2011;29:18-25.

STUDY

The frequency of diagnostic errors in radiologic reports depends on the patient's age.

Diaz S, Ekberg O. Acta Radiol. 2010;51:934-938.

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

Reducing potentially fatal errors associated with high doses of insulin: a successful multifaceted multidisciplinary prevention strategy.

Dooley MJ, Wiseman M, McRae A, et al. BMJ Qual Saf. 2011;20:637-644.

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.

BOOK/REPORT

Breast Cancer Services in Trafford and North Manchester. An Investigation Into The Circumstances Surrounding A Serious Clinical Incident In Symptomatic Breast Services – The Baker Report.

Baker M. Manchester, England: NHS North West; February 2007.

COMMENTARY

Is the Admission Drug Dose Too Low?

Kaushal R, Abramson E. AHRQ WebM&M [serial online]. August 2009.

STUDY

Does the implementation of an electronic prescribing system create unintended medication errors? A study of the sociotechnical context through the analysis of reported medication incidents.

Redwood S, Rajakumar A, Hodson J, Coleman JJ. BMC Med Inform Decis Mak. 2011;11:29.

STUDY

Critical incidents related to cardiac arrests reported to the Danish Patient Safety Database.

Andersen PO, Maaløe R, Andersen HB. Resuscitation. 2010;81:312-316.

STUDY

Medication safety initiative in reducing medication errors.

Nguyen EE, Connolly PM, Wong V. J Nurs Care Qual. 2010;25:224-230.

STUDY

Cardiovascular medication errors in children.

Alexander DC, Bundy DG, Shore AD, Morlock L, Hicks RW, Miller MR. Pediatrics. 2009;124:324-332.

STUDY

National study on the frequency, types, causes, and consequences of voluntarily reported emergency department medication errors.

Pham JC, Story JL, Hicks RW, et al. J Emerg Med. 2011;40:485-492.

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.

STUDY

Paediatric dosing errors before and after electronic prescribing.

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

REVIEW

Improving safety in the operating room: a systematic literature review of retained surgical sponges.

Wan W, Le T, Riskin L, Macario A. Curr Opin Anaesthesiol. 2009;22:207-214.

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