AHRQ Patient Safety Network

The Collection > Active Errors

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Safety Target

•Device-related Complications (63)

•Diagnostic Errors (137)

•Identification Errors (78)

•Discontinuities, Gaps, and Hand-Off Problems (122)

•Fatigue and Sleep Deprivation (7)

•Medication Safety (385)

•Medical Complications (80)

•Nonsurgical Procedural Complications (37)

•Surgical Complications (153)

•Transfusion Complications (7)

•Psychological and Social Complications (39)

Origin/Sponsor

•Africa (2)

•Asia (19)

•Australia and New Zealand (32)

•Central and South America (5)

Resource Types

•Clinical Guideline (2)

•Journal Article (661)

•Legislation/Regulation (6)

•Meeting/Conference (3)

•Newspaper/Magazine Article (135)

•Press Release/Announcement (12)

•Special or Theme Issue (6)

•Tools/Toolkit (5)

•Web Resource (11)

•Grant (1)

Error Types
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Active Errors

•Noncognitive Errors ("Slips & Lapses") (101)

•Cognitive Errors ("Mistakes") (112)

Approach to Improving Safety

•Quality Improvement Strategies (224)

•Legal and Policy Approaches (95)

•Error Reporting and Analysis (256)

•Communication Improvement (267)

•Human Factors Engineering (203)

•Teamwork (44)

•Specialization of Care (42)

•Logistical Approaches (57)

•Culture of Safety (71)

•Technologic Approaches (205)

•Education and Training (204)

Clinical Areas

•Allied Health Services (6)

•Medicine (701)

•Nursing (99)

•Pharmacy (121)

Target Audience

•Health Care Providers (720)

•Health Care Executives and Administrators (632)

•Non-Health Care Professionals (285)

•Patients (85)

Setting of Care

•Hospitals (624)

•Psychiatric Facilities (4)

•Residential Facilities (15)

•Ambulatory Care (113)

•Outpatient Surgery (17)

•Patient Transport (11)

1 - 20 of 883

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STUDY

Infection control assessment of ambulatory surgical centers.

Schaefer MK, Jhung M, Dahl M, et al. JAMA. 2010;303:2273-2279.

REVIEW

Nonhospital health care–associated hepatitis B and C virus transmission: United States, 1998-2008.

Thompson ND, Perz JF, Moorman AC, Holmberg SD. Ann Intern Med. 2009;150:33-39.

STUDY

Explaining ethnic disparities in patient safety: a qualitative analysis.

Suurmond J, Uiters E, De Bruijne MC, Stronks K, Essink-Bot ML. Am J Public Health. 2010;100 (suppl 1):S113-117.

COMMENTARY

Staggered Sensitivity Results

Guglielmo BJ. AHRQ WebM&M [serial online]. March 2007.

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.

COMMENTARY

Check the Wristband.

Rosenthal MM. AHRQ WebM&M [serial online]. July 2003.

NEWSPAPER/MAGAZINE ARTICLE

Diagnostic error in acute care.

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

COMMENTARY

Improving heparin safety: a multidisciplinary invited conference.

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

AUDIOVISUAL

Chasing Zero: Winning the War on Healthcare Harm.

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

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.

COMMENTARY

Learning accountability for patient outcomes.

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

COMMENTARY

As she lay dying: how I fought to stop medical errors from killing my mom.

Welch JR. Health Aff (Millwood). 2012;31:2817-2820.

NEWSPAPER/MAGAZINE ARTICLE

Medicare says it won't cover hospital errors.

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

NEWSPAPER/MAGAZINE ARTICLE

Ambulatory surgery facilities: a comprehensive review of medication error reports in Pennsylvania.

PA-PSRS Patient Saf Advis. September 2011;8:85-93.

NEWSPAPER/MAGAZINE ARTICLE

Medication errors associated with documented allergies.

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

COMMENTARY

Unintended transplantation of three organs from an HIV-positive donor: report of the analysis of an adverse event in a regional health care service in Italy.

Bellandi T, Albolino S, Tartaglia R, Filipponi F. Transplant Proc. 2010;42:2187-2189.

REVIEW

Negligence, genuine error, and litigation.

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

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 classic

Balancing "no blame" with accountability in patient safety.

Wachter RM, Pronovost PJ. N Engl J Med. 2009;361:1401-1406.

COMMENTARY

In Conversation with...Steven J. Spear, DBA, MS, MS

AHRQ WebM&M [serial online]. August 2009.

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