AHRQ Patient Safety Network

The Collection > Noncognitive Errors ("Slips & Lapses")

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Safety Target

•Device-related Complications (6)

•Diagnostic Errors (20)

•Identification Errors (18)

•Discontinuities, Gaps, and Hand-Off Problems (53)

•Fatigue and Sleep Deprivation (1)

•Medication Safety (52)

•Medical Complications (18)

•Nonsurgical Procedural Complications (2)

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•Asia (1)

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•Journal Article (118)

•Newspaper/Magazine Article (14)

•Press Release/Announcement (1)

•Special or Theme Issue (1)

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Noncognitive Errors ("Slips & Lapses")

Approach to Improving Safety

•Quality Improvement Strategies (46)

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•Error Reporting and Analysis (26)

•Communication Improvement (73)

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•Medicine (120)

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Target Audience

•Health Care Providers (122)

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•Non-Health Care Professionals (54)

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Setting of Care

•Hospitals (114)

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1 - 20 of 139

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COMMENTARY

Patient Mix-Up.

Shojania KG. AHRQ WebM&M [serial online]. February 2003.

COMMENTARY

40 of K.

Lesar TS. AHRQ WebM&M [serial online]. November 2003.

COMMENTARY

Check the Bags.

Caldwell M, Dracup KA. AHRQ WebM&M [serial online]. September 2003.

COMMENTARY

Another Fall.

Bogardus ST Jr. AHRQ WebM&M [serial online]. April 2003.

NEWSPAPER/MAGAZINE ARTICLE

RHIOs aim to transform quality of care and patient safety.

van der Grinten P. Patient Safety & Quality Healthcare. May/June 2006;3:46-48.

COMMENTARY

Privacy Gone Awry.

Pauker SG, Pauker SP. AHRQ WebM&M [serial online]. May 2004.

COMMENTARY

Mark My Limb.

O'Leary DS, Jacott WE. AHRQ WebM&M [serial online]. December 2004.

COMMENTARY

Discharge Fumbles.

Forster A. AHRQ WebM&M [serial online]. December 2004.

COMMENTARY

Not a Miscarriage.

Learman LA. AHRQ WebM&M [serial online]. June 2003.

COMMENTARY

Check the Wristband.

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

COMMENTARY

Code Status Confusion.

Lo B, Tulsky JA. AHRQ WebM&M [serial online]. July 2003.

COMMENTARY

The Dropped Lung.

Heffner JE. AHRQ WebM&M [serial online]. May 2003.

COMMENTARY

The Result Stopped Here.

Astion M. AHRQ WebM&M [serial online]. June 2004.

COMMENTARY

Medication Overdose.

Kaushal R. AHRQ WebM&M [serial online]. April 2003.

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.

STUDY

Identification of patient information corruption in the intensive care unit: using a scoring tool to direct quality improvements in handover.

Pickering BW, Hurley K, Marsh B. Crit Care Med. 2009;37:2905-2912.

COMMENTARY

Poor Prognosis.

Lamont EB. AHRQ WebM&M [serial online]. September 2004.

COMMENTARY

Bleeding Risk.

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

COMMENTARY

Premature or Overdue?

Thomas J, Hannah M. AHRQ WebM&M [serial online]. April 2003.

COMMENTARY

Right Patient, Wrong Sample

Astion M. AHRQ WebM&M [serial online]. December 2006.

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