AHRQ Patient Safety Network

The Collection > Cognitive Errors ("Mistakes")

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Safety Target

•Device-related Complications (7)

•Diagnostic Errors (93)

•Identification Errors (8)

•Discontinuities, Gaps, and Hand-Off Problems (34)

•Fatigue and Sleep Deprivation (1)

•Medication Safety (57)

•Medical Complications (9)

•Nonsurgical Procedural Complications (8)

•Surgical Complications (19)

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•Psychological and Social Complications (9)

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•Journal Article (140)

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•Newspaper/Magazine Article (29)

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Cognitive Errors ("Mistakes")

Approach to Improving Safety

•Quality Improvement Strategies (48)

•Legal and Policy Approaches (20)

•Error Reporting and Analysis (49)

•Communication Improvement (46)

•Human Factors Engineering (34)

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•Allied Health Services (1)

Target Audience

•Health Care Providers (156)

•Health Care Executives and Administrators (76)

•Non-Health Care Professionals (64)

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Setting of Care

•Hospitals (136)

•Psychiatric Facilities (3)

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1 - 20 of 186

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COMMENTARY

Do Not Disturb!

Duffy FD, Cassel CK. AHRQ WebM&M [serial online]. October 2007.

COMMENTARY

When “Psychiatric” Symptoms are Not.

Goldberg RJ. AHRQ WebM&M [serial online]. February 2003.

COMMENTARY

Back to Basics

Hellman R. AHRQ WebM&M [serial online]. March 2007.

COMMENTARY

Suicidal Man with Gun.

Simon RI. AHRQ WebM&M [serial online]. May 2003.

COMMENTARY

Triage Time Bomb.

Washington DL. AHRQ WebM&M [serial online]. January 2004.

COMMENTARY

Missed Appendicitis.

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

COMMENTARY

Lethal Vertigo.

Furman JM. AHRQ WebM&M [serial online]. June 2004.

BOOK/REPORT

Breast Cancer Services in Trafford and North Manchester. An Investigation Into The Circumstances Surrounding A Serious Clinical Incident In Symptomatic Breast Services – The Baker Report.

Baker M. Manchester, England: NHS North West; February 2007.

COMMENTARY

On the Other Hand

Henneman EA. AHRQ WebM&M [serial online]. May 2007.

COMMENTARY

Dependence vs. Pain

Gordon AJ. AHRQ WebM&M [serial online]. July 2008.

COMMENTARY

Undiagnosed Vaginal Bleeding.

Mandelblatt J. AHRQ WebM&M [serial online]. February 2004.

COMMENTARY

Human cognition and the dynamics of failure to rescue: the Lewis Blackman case.

Acquaviva K, Haskell H, Johnson J. J Prof Nurs. 2013;29:95-101.

COMMENTARY

No Blood, Please.

Liang BA. AHRQ WebM&M [serial online]. May 2004.

COMMENTARY

Crossing the Line.

Feldman JP, Gould MK. AHRQ WebM&M [serial online]. March 2004.

COMMENTARY

Inappropriate Antibiotic Use.

Babcock HM, Fraser VJ. AHRQ WebM&M [serial online]. June 2003.

COMMENTARY

Ruptured Heterotopic Pregnancy.

Cedars MI. AHRQ WebM&M [serial online]. January 2004.

STUDY

Learning from error: identifying contributory causes of medication errors in an Australian hospital.

Nichols P, Copeland T-S, Craib IA, Hopkins P, Bruce DG. Med J Aust. 2008;188:276-279.

COMMENTARY

Discharge Fumbles.

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

COMMENTARY

Production Pressures

Carayon P. AHRQ WebM&M [serial online]. May 2007.

COMMENTARY

The Dropped Lung.

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

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