AHRQ Patient Safety Network

The Collection > Active Errors

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Safety Target

•Device-related Complications (65)

•Diagnostic Errors (139)

•Identification Errors (80)

•Discontinuities, Gaps, and Hand-Off Problems (123)

•Fatigue and Sleep Deprivation (7)

•Medication Safety (443)

•Medical Complications (80)

•Nonsurgical Procedural Complications (37)

•Surgical Complications (165)

•Transfusion Complications (7)

•Psychological and Social Complications (42)

Origin/Sponsor

•Africa (2)

•Asia (16)

•Australia and New Zealand (25)

•Central and South America (4)

Resource Types

•Clinical Guideline (3)

•Journal Article (694)

•Legislation/Regulation (7)

•Meeting/Conference (3)

•Newspaper/Magazine Article (171)

•Press Release/Announcement (11)

•Special or Theme Issue (5)

•Tools/Toolkit (6)

•Web Resource (12)

•Grant (1)

Error Types
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Active Errors

•Noncognitive Errors ("Slips & Lapses") (125)

•Cognitive Errors ("Mistakes") (140)

Approach to Improving Safety

•Quality Improvement Strategies (233)

•Legal and Policy Approaches (114)

•Error Reporting and Analysis (265)

•Communication Improvement (287)

•Human Factors Engineering (225)

•Teamwork (44)

•Specialization of Care (47)

•Logistical Approaches (61)

•Culture of Safety (74)

•Technologic Approaches (229)

•Education and Training (204)

Clinical Areas

•Allied Health Services (6)

Target Audience

•Health Care Providers (767)

•Health Care Executives and Administrators (646)

•Non-Health Care Professionals (302)

•Patients (121)

Setting of Care

•Hospitals (660)

•Psychiatric Facilities (4)

•Residential Facilities (16)

•Ambulatory Care (127)

•Outpatient Surgery (17)

•Patient Transport (11)

1 - 20 of 961

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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

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2010;45:13-17.

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.

COMMENTARY

ISMP medication error report analysis.

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

NEWSPAPER/MAGAZINE ARTICLE

Epidural-IV route mix-ups: reducing the risk of deadly errors.

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

BOOK/REPORT

Patient Safety Authority Annual Reports.

Harrisburg, PA: Patient Safety Authority; April 2012.

COMMENTARY

ISMP medication error report analysis.

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

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2008;43:618-621.

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.

COMMENTARY

Bleeding Risk.

Crowther MA. AHRQ WebM&M [serial online]. July 2003.

NEWSPAPER/MAGAZINE ARTICLE

Design for reliability: barcoded medication administration.

Hayden AC, Lanoue ET, Still CJ. Patient Saf Qual Healthc. July/August 2011;8:12-20.

STUDY

Medication safety initiative in reducing medication errors.

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

STUDY

Cardiovascular medication errors in children.

Alexander DC, Bundy DG, Shore AD, Morlock L, Hicks RW, Miller MR. Pediatrics. 2009;124:324-332.

COMMENTARY

Language Barrier

Flores G. AHRQ WebM&M [serial online]. April 2006.

COMMENTARY

Implementing a safe and reliable process for medication administration.

Richardson B, Bromirski B, Hayden A. Clin Nurse Spec. 2012;26:169-176.

COMMENTARY

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:937-938, 945.

STUDY

Bar-code technology for medication administration: medication errors and nurse satisfaction.

Fowler SB, Sohler P, Zarillo DF. MedSurg Nursing. 2009;18:103-110.

NEWSPAPER/MAGAZINE ARTICLE

Fatal outcome after inadvertent injection of topical epinephrine.

ISMP Medication Safety Alert! Acute Care Edition. March 26, 2009;14:1-2.

BOOK/REPORT

External Inquiry into the adverse incident that occurred at Queen's Medical Centre, Nottingham, 4th January 2001.

Toft B. London, England: Department of Health; 2001.

COMMENTARY

XL or Smaller?

Kozer E. AHRQ WebM&M [serial online]. June 2003.

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