AHRQ Patient Safety Network

The Collection > Cognitive Errors ("Mistakes")

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Safety Target

•Device-related Complications (7)

•Diagnostic Errors (97)

•Identification Errors (8)

•Discontinuities, Gaps, and Hand-Off Problems (33)

•Fatigue and Sleep Deprivation (1)

•Medication Safety (60)

•Medical Complications (9)

•Nonsurgical Procedural Complications (7)

•Surgical Complications (20)

•Transfusion Complications (2)

•Psychological and Social Complications (9)

Origin/Sponsor

•Africa (1)

•Asia (4)

•Australia and New Zealand (6)

•Central and South America (3)

Resource Types

•Journal Article (143)

•Legislation/Regulation (1)

•Meeting/Conference (1)

•Newspaper/Magazine Article (27)

•Press Release/Announcement (5)

•Special or Theme Issue (3)

•Web Resource (1)

Error Types
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Cognitive Errors ("Mistakes")

Approach to Improving Safety

•Quality Improvement Strategies (49)

•Legal and Policy Approaches (22)

•Error Reporting and Analysis (50)

•Communication Improvement (48)

•Human Factors Engineering (36)

•Teamwork (9)

•Specialization of Care (12)

•Logistical Approaches (13)

•Culture of Safety (14)

•Technologic Approaches (33)

•Education and Training (69)

Clinical Areas

•Allied Health Services (1)

Target Audience

•Health Care Providers (161)

•Health Care Executives and Administrators (83)

•Non-Health Care Professionals (64)

•Patients (22)

Setting of Care

•Hospitals (126)

•Psychiatric Facilities (3)

•Residential Facilities (1)

•Ambulatory Care (29)

•Outpatient Surgery (1)

1 - 20 of 194

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COMMENTARY

Inappropriate Antibiotic Use.

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

COMMENTARY

Do Not Disturb!

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

COMMENTARY

X-ray Flip.

Shapiro MJ. AHRQ WebM&M [serial online]. February 2004.

COMMENTARY

Shake Well.

Flynn EA. AHRQ WebM&M [serial online]. September 2003.

NEWSPAPER/MAGAZINE ARTICLE

Diagnostic error in acute care.

PA-PSRS Patient Saf Advis. 2010;7:76-86.

COMMENTARY

Delay in Initiating Antibiotics Leads to Fatal Error.

Bellini LM. AHRQ WebM&M [serial online]. February 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

Missed Appendicitis.

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

COMMENTARY

Poor Prognosis.

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

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

Code Blue—Where To?

Adams BD. AHRQ WebM&M [serial online]. October 2007.

COMMENTARY

Autopsy Revelation.

Shojania KG. AHRQ WebM&M [serial online]. March 2004.

COMMENTARY

Which End is Which?

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

COMMENTARY

No Blood, Please.

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

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

When “Psychiatric” Symptoms are Not.

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

COMMENTARY

Crushing Chest Pain: A Missed Opportunity.

Graber M. AHRQ WebM&M [serial online]. January 2004.

COMMENTARY

Discharge Fumbles.

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

COMMENTARY

Doctor, Don't Treat Thyself.

Rosvold EO. AHRQ WebM&M [serial online]. September 2004.

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