AHRQ Patient Safety Network

The Collection > Active Errors

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Safety Target

•Device-related Complications (56)

•Diagnostic Errors (94)

•Identification Errors (57)

•Discontinuities, Gaps, and Hand-Off Problems (95)

•Fatigue and Sleep Deprivation (4)

•Medication Safety (363)

•Medical Complications (51)

•Nonsurgical Procedural Complications (25)

•Surgical Complications (99)

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•Psychological and Social Complications (23)

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•Africa (2)

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•Clinical Guideline (2)

•Journal Article (569)

•Legislation/Regulation (5)

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•Newspaper/Magazine Article (94)

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•Special or Theme Issue (5)

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Error Types
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Active Errors

•Noncognitive Errors ("Slips & Lapses") (84)

•Cognitive Errors ("Mistakes") (70)

Approach to Improving Safety

•Quality Improvement Strategies (178)

•Legal and Policy Approaches (55)

•Error Reporting and Analysis (207)

•Communication Improvement (192)

•Human Factors Engineering (200)

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•Technologic Approaches (179)

•Education and Training (156)

Clinical Areas

•Allied Health Services (5)

•Medicine (566)

•Nursing (110)

•Pharmacy (119)

Target Audience

•Health Care Providers (589)

•Health Care Executives and Administrators (590)

•Non-Health Care Professionals (242)

•Patients (49)

Setting of Care

•Hospitals (507)

•Psychiatric Facilities (2)

•Residential Facilities (12)

•Ambulatory Care (87)

•Outpatient Surgery (10)

•Patient Transport (10)

1 - 20 of 722

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STUDY

Errors in the administration of intravenous medications in hospital and the role of correct procedures and nurse experience.

Westbrook JI, Rob MI, Woods A, Parry D. BMJ Qual Saf. 2011;20:1027-1034.

STUDY

Medication safety initiative in reducing medication errors.

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

STUDY

The application of Aronson's taxonomy to medication errors in nursing.

Johnson M, Young H. J Nurs Care Qual. 2011;26:128-135.

REVIEW

Work interruptions and their contribution to medication administration errors: an evidence review.

Biron AD, Loiselle CG, Lavoie-Tremblay M. Worldviews Evid Based Nurs. 2009;6:70-86.

STUDY

No interruptions please: impact of a no interruption zone on medication safety in intensive care units.

Anthony K, Wiencek C, Bauer C, Daly B, Anthony MK. Crit Care Nurse. 2010;30:21-29.

STUDY

Bar code medication administration technology: characterization of high-alert medication triggers and clinician workarounds.

Miller DF, Fortier CR, Garrison KL. Ann Pharmacother. 2011;45:162-168.

STUDY

The impact of type of manual medication cart filling method on the frequency of medication administration errors: a prospective before and after study.

Schimmel AM, Becker ML, van den Bout T, Taxis K, van den Bemt PM. Int J Nurs Stud. 2011;48:791-797.

NEWSPAPER/MAGAZINE ARTICLE

Following the patient journey to improve medicines management and reduce errors.

Crocker C. Nurs Times. 2009 Nov 24;105:12-15.

STUDY

Empowering frontline nurses: a structured intervention enables nurses to improve medication administration accuracy.

Kliger J, Blegen MA, Gootee D, O'Neil E. Jt Comm J Qual Patient Saf. 2009;35:604-612.

STUDY

The impact of traditional and smart pump infusion technology on nurse medication administration performance in a simulated inpatient unit.

Trbovich PL, Pinkney S, Cafazzo JA, Easty AC. Qual Saf Health Care. 2010;19:430-434.

STUDY

A human factors framework and study of the effect of nursing workload on patient safety and employee quality of working life.

Holden RJ, Scanlon MC, Patel NR, et al. BMJ Qual Saf. 2011;20:15-24.

STUDY

Accuracy of medication documentation in hospital discharge summaries: a retrospective analysis of medication transcription errors in manual and electronic discharge summaries.

Callen J, McIntosh J, Li J. Int J Med Inform. 2010;79:58-64.

COMMENTARY

Using simulation to teach nursing students and licensed clinicians obstetric emergencies.

Alderman JT. MCN Am J Matern Child Nurs. 2012;37:394-400.

STUDY

Interruptions and multitasking in nursing care.

Kalisch BJ, Aebersold M. Jt Comm J Qual Patient Saf. 2010;36:126-132.

STUDY

Effect of bar-code technology on the safety of medication administration.

Poon EG, Keohane CA, Yoon CS, et al. N Engl J Med. 2010;362:1698-1707.

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

Multimodal system designed to reduce errors in recording and administration of drugs in anaesthesia: prospective randomised clinical evaluation.

Merry AF, Webster CS, Hannam J, et al. BMJ. 2011;343:d5543.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2008;43:696–698.

STUDY

Does user-centred design affect the efficiency, usability and safety of CPOE order sets?

Chan J, Shojania KG, Easty AC, Etchells EE. J Am Med Inform Assoc. 2011;18:276-281.

STUDY

Wristbands as aids to reduce misidentification: an ethnographically guided task analysis.

Smith AF, Casey K, Wilson J, Fischbacher-Smith D. Int J Qual Health Care. 2011;23:590-599.

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