AHRQ Patient Safety Network

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

Narrow By

clear selections

Safety Target

•Device-related Complications (8)

•Diagnostic Errors (18)

•Identification Errors (17)

•Discontinuities, Gaps, and Hand-Off Problems (42)

•Fatigue and Sleep Deprivation (1)

•Medication Safety (51)

•Medical Complications (18)

•Nonsurgical Procedural Complications (2)

•Surgical Complications (27)

•Transfusion Complications (2)

•Psychological and Social Complications (10)

Origin/Sponsor

•Australia and New Zealand (2)

Resource Types

•Journal Article (112)

•Legislation/Regulation (1)

•Newspaper/Magazine Article (22)

•Press Release/Announcement (1)

•Special or Theme Issue (1)

•Web Resource (3)

Error Types
< All

Noncognitive Errors ("Slips & Lapses")

Approach to Improving Safety

•Quality Improvement Strategies (45)

•Legal and Policy Approaches (14)

•Error Reporting and Analysis (29)

•Communication Improvement (66)

•Human Factors Engineering (33)

•Teamwork (9)

•Specialization of Care (9)

•Logistical Approaches (15)

•Culture of Safety (8)

•Technologic Approaches (36)

•Education and Training (35)

Clinical Areas

•Medicine (121)

•Nursing (27)

•Pharmacy (14)

Target Audience

•Health Care Providers (120)

•Health Care Executives and Administrators (70)

•Non-Health Care Professionals (58)

•Patients (12)

Setting of Care

•Hospitals (111)

•Residential Facilities (1)

•Ambulatory Care (16)

•Outpatient Surgery (1)

•Patient Transport (1)

1 - 20 of 142

Show ExcerptDon't Show Excerpt

dropdown

COMMENTARY

Counting matters: lessons from the root cause analysis of a retained surgical item.

Agrawal A. Jt Comm J Qual Patient Saf. 2012;38:566-574.

COMMENTARY

Did We Forget Something?

Gibbs VC. AHRQ WebM&M [serial online]. September 2003.

COMMENTARY

Surgical count practice variability and the potential for retained surgical items.

Edel EM. AORN J. 2012;95:228-238.

STUDY

Do micropauses prevent surgeon's fatigue and loss of accuracy associated with prolonged surgery? An experimental prospective study.

Dorion D, Darveau S. Ann Surg. 2013;257:256-259.

COMMENTARY

Environmental Safety in the OR.

Linkin DR, Lautenbach E. AHRQ WebM&M [serial online]. February 2004.

STUDY

Risk factors associated with incorrect surgical counts.

Rowlands A. AORN J. 2012;96:272-284.

COMMENTARY

The Missing Suction Tip.

Thomas EJ, Moore FA. AHRQ WebM&M [serial online]. November 2003.

COMMENTARY

A nurse-led approach to developing and implementing a collaborative count policy.

Norton EK, Micheli AJ, Gedney J, Felkerson TM. AORN J. 2012;95:222-227.

COMMENTARY

Mark My Limb.

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

COMMENTARY

Missed Appendicitis.

Adams JG. AHRQ WebM&M [serial online]. June 2003.

COMMENTARY

The Other Side.

Vincent C. AHRQ WebM&M [serial online]. October 2003.

COMMENTARY

Ectopic or Not?

Givens VM, Lipscomb GH. AHRQ WebM&M [serial online]. May 2003.

COMMENTARY

Which End is Which?

Campbell AR. AHRQ WebM&M [serial online]. April 2003.

COMMENTARY

Unexplained Apnea under Anesthesia.

Barach P. AHRQ WebM&M [serial online]. February 2003.

COMMENTARY

Inadvertent Castration.

Calland JF. AHRQ WebM&M [serial online]. January 2004.

COMMENTARY

Listen to the Family.

Campbell D Jr. AHRQ WebM&M [serial online]. June 2004.

COMMENTARY

Implementing AORN recommended practices for prevention of retained surgical items.

Goldberg JL, Feldman DL. AORN J. 2012;95:205-219.

COMMENTARY classic

Computerization can create safety hazards: a bar-coding near miss.

McDonald CJ. Ann Intern Med. 2006;144:510-516.

COMMENTARY

Making Do.

Bradley LD. AHRQ WebM&M [serial online]. September 2003.

AUDIOVISUAL PRESENTATION

Washington man's face catches fire during routine surgical procedure.

Hopperstad J. KCPQ-TV. December 5, 2011.

1 2 3 4 5 6 7 8 Next >