AHRQ Patient Safety Network

The Collection > Active Errors

Narrow By

clear selections

Safety Target

•Device-related Complications (55)

•Diagnostic Errors (132)

•Identification Errors (65)

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

•Fatigue and Sleep Deprivation (6)

•Medication Safety (371)

•Medical Complications (71)

•Nonsurgical Procedural Complications (29)

•Surgical Complications (110)

•Transfusion Complications (7)

•Psychological and Social Complications (47)

Origin/Sponsor

•Africa (2)

•Asia (17)

•Australia and New Zealand (30)

•Central and South America (5)

Resource Types

•Clinical Guideline (2)

•Journal Article (633)

•Legislation/Regulation (6)

•Meeting/Conference (3)

•Newspaper/Magazine Article (105)

•Press Release/Announcement (8)

•Special or Theme Issue (7)

•Tools/Toolkit (5)

•Web Resource (10)

•Grant (1)

Error Types
< All

Active Errors

•Noncognitive Errors ("Slips & Lapses") (91)

•Cognitive Errors ("Mistakes") (94)

Approach to Improving Safety

•Quality Improvement Strategies (208)

•Legal and Policy Approaches (78)

•Error Reporting and Analysis (234)

•Communication Improvement (247)

•Human Factors Engineering (181)

•Teamwork (42)

•Specialization of Care (43)

•Logistical Approaches (53)

•Culture of Safety (64)

•Technologic Approaches (193)

•Education and Training (179)

Clinical Areas

•Allied Health Services (7)

•Medicine (642)

•Nursing (89)

•Pharmacy (119)

Target Audience

•Health Care Providers (677)

•Health Care Executives and Administrators (607)

•Non-Health Care Professionals (292)

•Patients (58)

Setting of Care

•Hospitals (574)

•Psychiatric Facilities (4)

•Residential Facilities (14)

•Ambulatory Care (115)

•Outpatient Surgery (13)

•Patient Transport (11)

1 - 20 of 816

Show ExcerptDon't Show Excerpt

dropdown

BOOK/REPORT

Patient Safety Authority Annual Reports.

Harrisburg, PA: Patient Safety Authority; April 2013.

BOOK/REPORT classic

Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries.

Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; November 2010. Report No. OEI-06-09-00090.

NEWSPAPER/MAGAZINE ARTICLE

Distractions and their impact on patient safety.

Feil M. PA-PSRS Patient Saf Advis. March 2013;10:1-10.

STUDY

The relationship between organizational leadership for safety and learning from patient safety events.

Ginsburg LR, Chuang YT, Berta WB, et al. Health Serv Res. 2010;45:607-632.

COMMENTARY

Human cognition and the dynamics of failure to rescue: the Lewis Blackman case.

Acquaviva K, Haskell H, Johnson J. J Prof Nurs. 2013;29:95-101.

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.

REVIEW

Medication safety in acute care in Australia: where are we now? Part 1: a review of the extent and causes of medication problems 2002-2008.

Roughead EE, Semple SJ. Aust New Zealand Health Policy. 2009;6:18.

STUDY

Disclosure of hospital adverse events and its association with patients' ratings of the quality of care.

López L, Weissman JS, Schneider EC, Weingart SN, Cohen AP, Epstein AM. Arch Intern Med. 2009;169:1888-1894.

COMMENTARY

No Blood, Please.

Liang BA. AHRQ WebM&M [serial online]. May 2004.

BOOK/REPORT

Organisational Failure: An Exploratory Study in the Steel Industry and Medical Domain.

van Vuuren W. [dissertation]. Eindhoven, The Netherlands: Eindhoven University of Technology; 1998.

BOOK/REPORT

Second Victim: Error, Guilt, Trauma, and Resilience.

Dekker S. Boca Raton, FL: CRC Press; 2013. ISBN: 9781466583412.

BOOK/REPORT classic

The Silent Treatment: Why Safety Tools and Checklists Aren't Enough to Save Lives.

Maxfield D, Grenny J, Lavandero R, Groah L. Provo, UT: VitalSmarts; 2011.

NEWSPAPER/MAGAZINE ARTICLE

Proper positioning of pharmacy label on Hospira PCA vials will avoid interference with scanning.

ISMP Medication Safety Alert! Acute Care Edition. August 14, 2008;13:1-3.

REVIEW

Negligence, genuine error, and litigation.

Sohn DH. Int J Gen Med. 2013;6:49-56.

STUDY

Variation in the rates of adverse events between hospitals and hospital departments.

Zegers M, de Bruijne MC, Spreeuwenberg P, Wagner C, van der Wal G, Groenewegen PP. Int J Qual Health Care. 2011;23:126-133.

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.

COMMENTARY

Improving heparin safety: a multidisciplinary invited conference.

Peterson C, Ham CW, Vanderveen T. Hosp Pharm. 2008;43:491-497.

REVIEW

Hospital do-not-resuscitate orders: why they have failed and how to fix them.

Yuen JK, Reid MC, Fetters MD. J Gen Intern Med. 2011;26:791-797.

COMMENTARY

Anatomy of an incident disclosure: the importance of dialogue.

Iedema R, Allen S. Jt Comm J Qual Patient Saf. 2012;38:435-442.

NEWSPAPER/MAGAZINE ARTICLE

Diagnostic error in acute care.

PA-PSRS Patient Saf Advis. 2010;7:76-86.

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