AHRQ Patient Safety Network

The Collection > Cognitive Errors ("Mistakes")

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Safety Target

•Device-related Complications (7)

•Diagnostic Errors (72)

•Identification Errors (8)

•Discontinuities, Gaps, and Hand-Off Problems (25)

•Fatigue and Sleep Deprivation (1)

•Medication Safety (48)

•Medical Complications (10)

•Nonsurgical Procedural Complications (6)

•Surgical Complications (18)

•Transfusion Complications (1)

•Psychological and Social Complications (8)

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•Journal Article (118)

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•Newspaper/Magazine Article (17)

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•Special or Theme Issue (2)

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Cognitive Errors ("Mistakes")

Approach to Improving Safety

•Quality Improvement Strategies (42)

•Legal and Policy Approaches (16)

•Error Reporting and Analysis (33)

•Communication Improvement (39)

•Human Factors Engineering (32)

•Teamwork (8)

•Specialization of Care (10)

•Logistical Approaches (11)

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Clinical Areas

•Allied Health Services (1)

Target Audience

•Health Care Providers (133)

•Health Care Executives and Administrators (62)

•Non-Health Care Professionals (49)

•Patients (13)

Setting of Care

•Hospitals (105)

•Psychiatric Facilities (3)

•Ambulatory Care (21)

•Outpatient Surgery (2)

1 - 20 of 148

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COMMENTARY

X-ray Flip.

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

COMMENTARY

The Dropped Lung.

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

COMMENTARY

Ruptured Heterotopic Pregnancy.

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

COMMENTARY

Crushing Chest Pain: A Missed Opportunity.

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

COMMENTARY

XL or Smaller?

Kozer E. AHRQ WebM&M [serial online]. June 2003.

COMMENTARY

Undiagnosed Vaginal Bleeding.

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

COMMENTARY

Lethal Vertigo.

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

COMMENTARY

Missed Appendicitis.

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

COMMENTARY

Triage Time Bomb.

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

COMMENTARY

Don't Push.

Meltzer HY. AHRQ WebM&M [serial online]. November 2003.

COMMENTARY

Ectopic or Not?

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

COMMENTARY

A Little Shuteye.

Farion KJ. AHRQ WebM&M [serial online]. July 2003.

COMMENTARY

Shake Well.

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

COMMENTARY

Intubation Mishap.

Weinger MB, Blike GT. AHRQ WebM&M [serial online]. September 2003.

COMMENTARY

Inappropriate Antibiotic Use.

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

COMMENTARY

Improving heparin safety: a multidisciplinary invited conference.

Peterson C, Ham CW, Vanderveen T. Hosp Pharm. 2008;43:491-497.

COMMENTARY

Delay in Initiating Antibiotics Leads to Fatal Error.

Bellini LM. AHRQ WebM&M [serial online]. February 2004.

COMMENTARY

Autopsy Revelation.

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

COMMENTARY

Back to Basics

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

COMMENTARY

Novel Drug Misuse.

Angus DC, Milbrandt EB. AHRQ WebM&M [serial online]. July 2004.

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