AHRQ Patient Safety Network

The Collection > Cognitive Errors ("Mistakes")

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Safety Target

•Device-related Complications (8)

•Diagnostic Errors (114)

•Identification Errors (12)

•Discontinuities, Gaps, and Hand-Off Problems (31)

•Fatigue and Sleep Deprivation (1)

•Medication Safety (69)

•Medical Complications (10)

•Nonsurgical Procedural Complications (8)

•Surgical Complications (28)

•Transfusion Complications (1)

•Psychological and Social Complications (11)

Origin/Sponsor

•Africa (1)

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Resource Types

•Journal Article (165)

•Legislation/Regulation (2)

•Newspaper/Magazine Article (43)

•Press Release/Announcement (5)

•Special or Theme Issue (3)

•Web Resource (2)

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Cognitive Errors ("Mistakes")

Approach to Improving Safety

•Quality Improvement Strategies (52)

•Legal and Policy Approaches (32)

•Error Reporting and Analysis (70)

•Communication Improvement (53)

•Human Factors Engineering (39)

•Teamwork (11)

•Specialization of Care (12)

•Logistical Approaches (16)

•Culture of Safety (14)

•Technologic Approaches (33)

•Education and Training (73)

Clinical Areas

•Allied Health Services (1)

Target Audience

•Health Care Providers (181)

•Health Care Executives and Administrators (93)

•Non-Health Care Professionals (71)

•Patients (39)

Setting of Care

•Hospitals (134)

•Psychiatric Facilities (4)

•Residential Facilities (1)

•Ambulatory Care (36)

•Outpatient Surgery (2)

1 - 20 of 235

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AUDIOVISUAL

Interview with Jerome Groopman.

"The Colbert Report." Comedy Central. March 19, 2007.

COMMENTARY

Poor Prognosis.

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

REVIEW

Accountability for medical error: moving beyond blame to advocacy.

Bell SK, Delbanco T, Anderson-Shaw L, McDonald TB, Gallagher TH. Chest. 2011;140:519-526.

BOOK/REPORT

When Doctors Don't Listen.

Wen L, Kosowsky J. New York, NY: St. Martin's Press; 2013. ISBN: 9780312594916.

COMMENTARY

Fallacious reasoning and complexity as root causes of clinical inertia.

Miles RW. J Am Med Dir Assoc. 2007;8:349-354.

STUDY

Management-changing errors in the recall of radiologic results—a pilot study.

Brus-Ramer M, Yerubandi V, Newhouse JH. Clin Radiol. 2012;67:574-578.

COMMENTARY

Improving heparin safety: a multidisciplinary invited conference.

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

NEWSPAPER/MAGAZINE ARTICLE

Missed signals.

Sanders L. New York Times Magazine. April 22, 2007:28, 30.

COMMENTARY

Inappropriate Antibiotic Use.

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

COMMENTARY

Missed it.

Green MJ, Rieck R. Ann Intern Med. 2013;158(5 Pt 1):357-361.

NEWSPAPER/MAGAZINE ARTICLE

The robot will see you now.

Cohn J. The Atlantic. March 2013.

COMMENTARY

Stop the silent misdiagnosis: patients' preferences matter.

Mulley AG, Trimble C, Elwyn G. BMJ. 2012;345:e6572.

REVIEW

Diagnostic errors and reflective practice in medicine.

Mamede S, Schmidt HG, Rikers R. J Eval Clin Pract. 2007;13:138-145.

COMMENTARY

Bringing diagnosis into the quality and safety equations.

Graber ML, Wachter RM, Cassel CK. JAMA. 2012;308:1211-1212.

NEWSPAPER/MAGAZINE ARTICLE

For doctors, diagnosing gets a technological boost.

Donaghue E. USA Today. September 5, 2007.

NEWSPAPER/MAGAZINE ARTICLE

Are you a great diagnostician?

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

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

Profiles in patient safety: a "perfect storm" in the emergency department.

Campbell SG, Croskerry P, Bond WF. Acad Emerg Med. 2007;14:743-9.

COMMENTARY

On the Other Hand

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

COMMENTARY

Ectopic or Not?

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

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