AHRQ Patient Safety Network

The Collection > Active Errors

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Safety Target

•Device-related Complications (53)

•Diagnostic Errors (101)

•Identification Errors (65)

•Discontinuities, Gaps, and Hand-Off Problems (86)

•Fatigue and Sleep Deprivation (3)

•Medication Safety (306)

•Medical Complications (57)

•Nonsurgical Procedural Complications (23)

•Surgical Complications (112)

•Transfusion Complications (6)

•Psychological and Social Complications (34)

Origin/Sponsor

•Asia (7)

•Australia and New Zealand (10)

Resource Types

•Clinical Guideline (2)

•Journal Article (454)

•Legislation/Regulation (5)

•Meeting/Conference (1)

•Newspaper/Magazine Article (170)

•Press Release/Announcement (4)

•Special or Theme Issue (4)

•Tools/Toolkit (6)

•Web Resource (10)

•Grant (1)

Error Types
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Active Errors

•Noncognitive Errors ("Slips & Lapses") (51)

•Cognitive Errors ("Mistakes") (87)

Approach to Improving Safety

•Quality Improvement Strategies (161)

•Legal and Policy Approaches (104)

•Error Reporting and Analysis (211)

•Communication Improvement (212)

•Human Factors Engineering (148)

•Teamwork (24)

•Specialization of Care (28)

•Logistical Approaches (37)

•Culture of Safety (49)

•Technologic Approaches (147)

•Education and Training (129)

Clinical Areas

•Allied Health Services (6)

Target Audience

•Health Care Providers (523)

•Health Care Executives and Administrators (471)

•Non-Health Care Professionals (207)

•Patients (136)

Setting of Care

•Hospitals (484)

•Psychiatric Facilities (2)

•Residential Facilities (8)

•Ambulatory Care (108)

•Outpatient Surgery (14)

•Patient Transport (8)

1 - 20 of 705

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NEWSPAPER/MAGAZINE ARTICLE

Brigham and Women's airing medical mistakes.

Kowalczyk L. Boston Globe. April 9, 2013.

NEWSPAPER/MAGAZINE ARTICLE

'Alarm fatigue’ a factor in 2nd death.

Kowalczyk L. Boston Globe. September 21, 2011.

NEWSPAPER/MAGAZINE ARTICLE

Medical errors leave devastating impact on families, professionals.

Bernhard B. St. Louis Post-Dispatch. May 5, 2013:A10.

NEWSPAPER/MAGAZINE ARTICLE

Hospitals tally their avoidable mistakes.

Rein L. Washington Post. July 21, 2009:E1.

COMMENTARY

Leading a highly visible hospital through a serious reportable event.

Erickson JI. J Nurs Adm. 2012;42:131-133.

NEWSPAPER/MAGAZINE ARTICLE

First do no harm.

Allen M. Washington Monthly. March/April 2011.

NEWSPAPER/MAGAZINE ARTICLE

Nearly 90 major medical mistakes logged at Utah hospitals in 2008.

May H. Salt Lake Tribune. June 26, 2009.

NEWSPAPER/MAGAZINE ARTICLE

Medical errors harm huge number of patients. What will it take to make America's hospitals safer?

Sternberg S. US News & World Report. August 28, 2012.

NEWSPAPER/MAGAZINE ARTICLE

Medicare says it won't cover hospital errors.

Pear R. New York Times. August 19, 2007.

NEWSPAPER/MAGAZINE ARTICLE

Minnesota hospitals are testing ways to reduce return trips.

Lerner M. Star Tribune. October 11, 2012.

AUDIOVISUAL

Chasing Zero: Winning the War on Healthcare Harm.

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

NEWSPAPER/MAGAZINE ARTICLE

Don't let a hospital make you sick.

Mishori R. Parade Magazine. February 8, 2009.

NEWSPAPER/MAGAZINE ARTICLE

Why don't doctors wash their hands more?

Chen PW. New York Times. September 17, 2009.

COMMENTARY

Learning accountability for patient outcomes.

Pronovost PJ. JAMA. 2010;304:204-205.

COMMENTARY

ISMP medication error report analysis.

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

BOOK/REPORT

Patient Safety Authority Annual Reports.

Harrisburg, PA: Patient Safety Authority; April 2012.

STUDY

Medication safety initiative in reducing medication errors.

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

REVIEW

Bar code technology and medication administration error.

Young J, Slebodnik M, Sands L. J Patient Saf. 2010;6;115-120.

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.

NEWSPAPER/MAGAZINE ARTICLE

The 'second victims' of medication errors begin to gain support.

Blum K. Pharm Pract News. November 2011.

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