AHRQ Patient Safety Network

The Collection > Active Errors

Narrow By

clear selections

Safety Target

•Device-related Complications (60)

•Diagnostic Errors (128)

•Identification Errors (73)

•Discontinuities, Gaps, and Hand-Off Problems (107)

•Fatigue and Sleep Deprivation (6)

•Medication Safety (428)

•Medical Complications (77)

•Nonsurgical Procedural Complications (33)

•Surgical Complications (138)

•Transfusion Complications (8)

•Psychological and Social Complications (37)

Origin/Sponsor

•Africa (1)

•Asia (16)

•Australia and New Zealand (29)

•Central and South America (4)

Resource Types

•Clinical Guideline (2)

•Journal Article (637)

•Legislation/Regulation (6)

•Meeting/Conference (3)

•Newspaper/Magazine Article (168)

•Press Release/Announcement (12)

•Special or Theme Issue (7)

•Tools/Toolkit (7)

•Web Resource (11)

•Grant (1)

Error Types
< All

Active Errors

•Noncognitive Errors ("Slips & Lapses") (86)

•Cognitive Errors ("Mistakes") (117)

Approach to Improving Safety

•Quality Improvement Strategies (212)

•Legal and Policy Approaches (107)

•Error Reporting and Analysis (248)

•Communication Improvement (258)

•Human Factors Engineering (212)

•Teamwork (39)

•Specialization of Care (40)

•Logistical Approaches (56)

•Culture of Safety (63)

•Technologic Approaches (206)

•Education and Training (187)

Clinical Areas

•Allied Health Services (6)

Target Audience

•Health Care Providers (715)

•Health Care Executives and Administrators (633)

•Non-Health Care Professionals (278)

•Patients (115)

Setting of Care

•Hospitals (618)

•Psychiatric Facilities (4)

•Residential Facilities (15)

•Ambulatory Care (118)

•Outpatient Surgery (16)

•Patient Transport (13)

1 - 20 of 901

Show ExcerptDon't Show Excerpt

dropdown

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.

NEWSPAPER/MAGAZINE ARTICLE

Medication errors occurring with the use of bar-code administration technology.

PA-PSRS Patient Saf Advis. December 2008;5:122-126.

NEWSPAPER/MAGAZINE ARTICLE

Medication errors: a year in review.

Institute for Safe Medication Practices. Pharmacy Practice News. October 2011:7-14.

NEWSPAPER/MAGAZINE ARTICLE

Action needed to prevent dangerous heparin-insulin confusion.

ISMP Medication Safety Alert! Acute Care Edition. May 3, 2007;12:1-2.

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. 2009;44:847-853.

COMMENTARY

ISMP medication error report analysis.

Smetzer JL, Cohen MR. Hosp Pharm. 2008;43:869-872.

NEWSPAPER/MAGAZINE ARTICLE

Wrong-patient medication errors: an analysis of event reports in Pennsylvania and strategies for prevention.

Yang A, Grissinger M. PA-PSRS Patient Saf Advis. 2013;10:41-49.

COMMENTARY

ISMP medication error report analysis.

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

NEWSPAPER/MAGAZINE ARTICLE

Safeguarding the storage of drug products.

PA-PSRS Patient Saf Advis. June 2010;7:46-51.

STUDY

Origins of and solutions for neonatal medication-dispensing errors.

Sauberan JB, Dean LM, Fiedelak J, Abraham JA. Am J Health Syst Pharm. 2010;67:49-57.

NEWSPAPER/MAGAZINE ARTICLE

ISMP updates its list of drug name pairs with Tall man letters.

ISMP Medication Safety Alert! Acute Care Edition. November 18, 2010;15:1-3.

COMMENTARY

ISMP medication error report analysis.

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

STUDY

The rate and costs attributable to intravenous patient-controlled analgesia errors.

Meissner B, Nelson W, Hicks R, Sikirica V, Gagne J, Schein J. Hosp Pharm. 2009;44:312–324.

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

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:18-21.

COMMENTARY

Anatomy of an incident disclosure: the importance of dialogue.

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

BOOK/REPORT

Fluorouracil Incident Root Cause Analysis Report.

Toronto, ON, Canada: Institute for Safe Medication Practices Canada. May 8, 2007.

COMMENTARY

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:1062-1065.

NEWSPAPER/MAGAZINE ARTICLE

Oops, sorry, wrong patient! A patient verification process is needed everywhere, not just at the bedside.

ISMP Medication Safety Alert! Acute Care Edition. March 10, 2011;16:1-4.

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