AHRQ Patient Safety Network

The Collection > Active Errors

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Safety Target

•Device-related Complications (33)

•Diagnostic Errors (89)

•Identification Errors (53)

•Discontinuities, Gaps, and Hand-Off Problems (62)

•Fatigue and Sleep Deprivation (4)

•Medication Safety (291)

•Medical Complications (47)

•Nonsurgical Procedural Complications (22)

•Surgical Complications (81)

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•Clinical Guideline (2)

•Journal Article (473)

•Legislation/Regulation (4)

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•Special or Theme Issue (4)

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Active Errors

•Noncognitive Errors ("Slips & Lapses") (20)

•Cognitive Errors ("Mistakes") (37)

Approach to Improving Safety

•Quality Improvement Strategies (144)

•Legal and Policy Approaches (35)

•Error Reporting and Analysis (153)

•Communication Improvement (169)

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•Technologic Approaches (134)

•Education and Training (141)

Clinical Areas

•Allied Health Services (4)

Target Audience

•Health Care Providers (512)

•Health Care Executives and Administrators (474)

•Non-Health Care Professionals (208)

•Patients (22)

Setting of Care

•Hospitals (378)

•Psychiatric Facilities (2)

•Residential Facilities (11)

•Ambulatory Care (80)

•Outpatient Surgery (12)

•Patient Transport (9)

1 - 20 of 582

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STUDY

Error tracking in a clinical biochemistry laboratory.

Szecsi PB, Ødum L. Clin Chem Lab Med. 2009;47:1253-1257.

STUDY

Surgeon's vigilance in the operating room.

Zheng B, Tien G, Atkins SM, et al. Am J Surg. 2011;201:667-671.

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

Patient safety: numerical skills and drug calculation abilities of nursing students and Registered Nurses.

McMullan M, Jones R, Lea S. J Adv Nurs. 2010;66:891-899.

STUDY

Incorrect surgical procedures within and outside of the operating room: a follow-up report.

Neily J, Mills PD, Eldridge N, et al. Arch Surg. 2011;146 1235-1239.

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

Medication safety initiative in reducing medication errors.

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

STUDY

Potential unintended consequences due to Medicare's "No Pay for Errors Rule"? A randomized controlled trial of an educational intervention with internal medicine residents.

Mookherjee S, Vidyarthi AR, Ranji SR, Maselli J, Wachter RM, Baron RB. J Gen Intern Med. 2010;25:1097-1101.

COMMENTARY

Cutting out human error.

Feinmann J. BMJ. 2008;337:a2370.

STUDY

More to teamwork than knowledge, skill and attitude.

Siassakos D, Draycott TJ, Crofts JF, Hunt LP, Winter C, Fox R. BJOG. 2010;117:1262-1269.

STUDY

Medicines reconciliation using a shared electronic health care record.

Moore P, Armitage G, Wright J, Dobrzanski S, Ansari N, Hammond I, Scally A. J Patient Saf. 2011;7:147-153.

BOOK/REPORT

Commission of Inquiry on Hormone Receptor Testing.

Cameron M. St. John's, NL: Government of Newfoundland and Labrador; 2009. ISBN: 978551463537.

STUDY

Pharmacists' interventions in prescribing errors at hospital discharge: an observational study in the context of an electronic prescribing system in a UK teaching hospital.

Abdel-Qader DH, Harper L, Cantrill JA, Tully MP. Drug Saf. 2010;33:1027-1044.

STUDY

High risk prescribing in primary care patients particularly vulnerable to adverse drug events: cross sectional population database analysis in Scottish general practice.

Guthrie B, McCowan C, Davey P, Simpson CR, Dreischulte T, Barnett K. BMJ. 2011;342:d3514.

STUDY

Eight CT lessons that we learned the hard way: an analysis of current patterns of radiological error and discrepancy with particular emphasis on CT.

McCreadie G, Oliver TB. Clin Radiol. 2009;64:491-499; discussion 500-501.

STUDY

Care homes' use of medicines study: prevalence, causes and potential harm of medication errors in care homes for older people.

Barber ND, Alldred DP, Raynor DK, et al. Qual Saf Health Care. 2009;18:341-346.

STUDY

Accuracy of interpretation of preparticipation screening electrocardiograms.

Hill AC, Miyake CY, Grady S, Dubin AM. J Pediatr. 2011;159:783-788.

STUDY

Patient misidentification in laboratory medicine: a qualitative analysis of 227 root cause analysis reports in the Veterans Health Administration.

Dunn EJ, Moga PJ. Arch Pathol Lab Med. 2010;134:244-255.

STUDY

Paediatric dosing errors before and after electronic prescribing.

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

STUDY

Decreasing mislabeled laboratory specimens using barcode technology and bedside printers.

Brown JE, Smith N, Sherfy BR. J Nurs Care Qual. 2011;26:13-21.

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