AHRQ Patient Safety Network

The Collection > Cognitive Errors ("Mistakes")

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Safety Target

•Device-related Complications (7)

•Diagnostic Errors (117)

•Identification Errors (8)

•Discontinuities, Gaps, and Hand-Off Problems (35)

•Fatigue and Sleep Deprivation (2)

•Medication Safety (51)

•Medical Complications (8)

•Nonsurgical Procedural Complications (7)

•Surgical Complications (20)

•Transfusion Complications (2)

•Psychological and Social Complications (8)

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•Africa (1)

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•Clinical Guideline (1)

•Journal Article (158)

•Legislation/Regulation (2)

•Meeting/Conference (1)

•Newspaper/Magazine Article (28)

•Press Release/Announcement (2)

•Special or Theme Issue (1)

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Error Types
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Cognitive Errors ("Mistakes")

Approach to Improving Safety

•Quality Improvement Strategies (56)

•Legal and Policy Approaches (22)

•Error Reporting and Analysis (59)

•Communication Improvement (55)

•Human Factors Engineering (29)

•Teamwork (11)

•Specialization of Care (12)

•Logistical Approaches (12)

•Culture of Safety (15)

•Technologic Approaches (33)

•Education and Training (70)

Clinical Areas

•Allied Health Services (1)

Target Audience

•Health Care Providers (176)

•Health Care Executives and Administrators (89)

•Non-Health Care Professionals (66)

•Patients (24)

Setting of Care

•Hospitals (131)

•Psychiatric Facilities (4)

•Residential Facilities (1)

•Ambulatory Care (34)

1 - 20 of 208

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COMMENTARY

Poor Prognosis.

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

COMMENTARY

Premature or Overdue?

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

COMMENTARY

Missed Appendicitis.

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

COMMENTARY

Not a Miscarriage.

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

COMMENTARY

Preventable Rash.

McLean C. AHRQ WebM&M [serial online]. March 2005.

COMMENTARY

The Worst Headache.

Edlow JA. AHRQ WebM&M [serial online]. July 2004.

COMMENTARY

The Dropped Lung.

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

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

An Outpatient “Zebra”

Berkowitz L. AHRQ WebM&M [serial online]. January 2006.

COMMENTARY

A "Weak" Response.

Reisman AB. AHRQ WebM&M [serial online]. December 2004.

NEWSPAPER/MAGAZINE ARTICLE

Are you a great diagnostician?

Yasgur BS. Medscape Business of Medicine. March 27, 2013.

COMMENTARY

The "Customer" Is Always Right

Sehgal NL. AHRQ WebM&M [serial online]. February 2007.

COMMENTARY

Ectopic or Not?

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

COMMENTARY

Missed TB.

FitzGerald JM, Menzies D. AHRQ WebM&M [serial online]. May 2004.

STUDY

Medication prescribing errors involving the route of administration.

Lesar TS. Hosp Pharm. 2006;41:1053-1066.

NEWSPAPER/MAGAZINE ARTICLE

For second opinion, consult a computer?

Hafner K. New York Times. December 3, 2012.

COMMENTARY

Undiagnosed Vaginal Bleeding.

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

NEWSPAPER/MAGAZINE ARTICLE

What's the trouble? How doctors think.

Groopman J. The New Yorker. January 29, 2007;47:36-41.

COMMENTARY

Suicidal Man with Gun.

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

COMMENTARY

Pregnant with Danger.

Pearlman MD, Desmond JS. WebM&M [serial online]. May 2005.

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