AHRQ Patient Safety Network

The Collection > Active Errors

Narrow By

clear selections

Safety Target

•Device-related Complications (61)

•Diagnostic Errors (145)

•Identification Errors (72)

•Discontinuities, Gaps, and Hand-Off Problems (118)

•Fatigue and Sleep Deprivation (4)

•Medication Safety (364)

•Medical Complications (72)

•Nonsurgical Procedural Complications (36)

•Surgical Complications (119)

•Transfusion Complications (8)

•Psychological and Social Complications (35)

Origin/Sponsor

•Africa (2)

•Asia (18)

•Australia and New Zealand (30)

•Central and South America (5)

Resource Types

•Clinical Guideline (2)

•Journal Article (636)

•Legislation/Regulation (6)

•Meeting/Conference (3)

•Newspaper/Magazine Article (109)

•Press Release/Announcement (11)

•Special or Theme Issue (5)

•Tools/Toolkit (5)

•Web Resource (12)

•Grant (1)

Error Types
< All

Active Errors

•Noncognitive Errors ("Slips & Lapses") (94)

•Cognitive Errors ("Mistakes") (104)

Approach to Improving Safety

•Quality Improvement Strategies (216)

•Legal and Policy Approaches (73)

•Error Reporting and Analysis (229)

•Communication Improvement (245)

•Human Factors Engineering (215)

•Teamwork (38)

•Specialization of Care (39)

•Logistical Approaches (53)

•Culture of Safety (68)

•Technologic Approaches (191)

•Education and Training (196)

Clinical Areas

•Allied Health Services (6)

Target Audience

•Health Care Providers (692)

•Health Care Executives and Administrators (618)

•Non-Health Care Professionals (279)

•Patients (60)

Setting of Care

•Hospitals (596)

•Psychiatric Facilities (4)

•Residential Facilities (14)

•Ambulatory Care (102)

•Outpatient Surgery (14)

•Patient Transport (14)

1 - 20 of 824

Show ExcerptDon't Show Excerpt

dropdown

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.

COMMENTARY

Flying Object Hits MRI.

Gosbee J, Gosbee LL. AHRQ WebM&M [serial online]. February 2003.

COMMENTARY

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2010;45:191-195.

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.

COMMENTARY

Back to Basics

Hellman R. AHRQ WebM&M [serial online]. March 2007.

STUDY

Auroy Y, Benhamou D, Péquignot F, Bovet M, Jougla E, Lienhart A. Anaesthesia. 2009;64:366-370.

NEWSPAPER/MAGAZINE ARTICLE

Medication errors: a year in review.

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

NEWSPAPER/MAGAZINE ARTICLE

Misadministration of IV insulin associated with dose measurement and hyperkalemia treatment.

ISMP Medication Safety Alert! Acute Care Edition. August 11, 2011;16:1-3.

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.

STUDY

Evaluation of consistency in dosing directions and measuring devices for pediatric nonprescription liquid medications.

Yin HS, Wolf MS, Dreyer BP, Sanders LM, Parker RM. JAMA. 2010;304:2595-2602.

NEWSPAPER/MAGAZINE ARTICLE

Medication errors associated with documented allergies.

PA-PSRS Patient Saf Advis. September 2008;5:75-80.

STUDY

A "back to basics" approach to reduce ED medication errors.

Blank FSJ, Tobin J, Macomber S, Jaouen M, Dinoia M, Visintainer P. J Emerg Nurs. 2011;37:141-147.

AUDIOVISUAL

Chasing Zero: Winning the War on Healthcare Harm.

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

COMMENTARY

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:847-853.

COMMENTARY

Code Blue—Where To?

Adams BD. AHRQ WebM&M [serial online]. October 2007.

PRESS RELEASE/ANNOUNCEMENT

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

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

COMMENTARY

Preparing your hospital for compliance with The Joint Commission's National Patient Safety Goals.

Murdaugh L, Jordin R. Hosp Pharm. 2008;43:728-733.

PRESS RELEASE/ANNOUNCEMENT

Relenza (zanamivir) inhalation powder.

MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; October 9, 2009.

STUDY

Uncovering system errors using a rapid response team: cross-coverage caught in the crossfire.

Kaplan LJ, Maerz LL, Schuster K, et al. J Trauma. 2009;67:173-179.

COMMENTARY

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2010;45:282-287.

1 2 3 4 5 6 7 8 9 10 11 Next >