{1}
##LOC[OK]##
{1}
##LOC[OK]##
##LOC[Cancel]##
{1}
##LOC[OK]##
##LOC[Cancel]##
Skip Navigation
www.ahrq.gov
search
home
whatsnew
collection
primers
glossary
newsletter
mypsnet
newsletter
The Collection
>
Latent Errors
PATIENT SAFETY PRIMERS
Narrow By
clear selections
Safety Target
•
Device-related Complications (30)
•
Diagnostic Errors (26)
•
Identification Errors (14)
•
Discontinuities, Gaps, and Hand-Off Problems (61)
•
Fatigue and Sleep Deprivation (8)
•
Medication Safety (106)
•
Medical Complications (23)
•
Nonsurgical Procedural Complications (9)
•
Surgical Complications (35)
•
Transfusion Complications (2)
•
Psychological and Social Complications (8)
Origin/Sponsor
•
Asia (1)
•
Australia and New Zealand (3)
•
Europe (25)
•
North America (290)
Resource Types
•
Audiovisual (8)
•
Book/Report (23)
•
Clinical Guideline (1)
•
Journal Article (222)
•
Legislation/Regulation (9)
•
Meeting/Conference (1)
•
Newspaper/Magazine Article (67)
•
Press Release/Announcement (3)
•
Special or Theme Issue (3)
•
Tools/Toolkit (3)
•
Web Resource (7)
Error Types
< All
Latent Errors
Approach to Improving Safety
•
Quality Improvement Strategies (69)
•
Legal and Policy Approaches (62)
•
Error Reporting and Analysis (103)
•
Communication Improvement (82)
•
Human Factors Engineering (80)
•
Teamwork (22)
•
Specialization of Care (11)
•
Logistical Approaches (40)
•
Culture of Safety (78)
•
Technologic Approaches (63)
•
Education and Training (59)
Clinical Areas
•
Allied Health Services (4)
•
Medicine (230)
•
Nursing (42)
•
Pharmacy (49)
Target Audience
•
Health Care Providers (225)
•
Health Care Executives and Administrators (257)
•
Non-Health Care Professionals (160)
•
Patients (48)
Setting of Care
•
Hospitals (225)
•
Psychiatric Facilities (2)
•
Residential Facilities (9)
•
Ambulatory Care (33)
•
Outpatient Surgery (4)
•
Patient Transport (4)
1 - 20
of 347
Show Excerpt
Don't Show Excerpt
Sort by relevance
Sort by significance
Sort by title
Sort by date
Sort by author
dropdown
COMMENTARY
Risk mitigation in large scale systems: lessons from high reliability organizations.
Grabowski M, Roberts KH. Calif Manage Rev. 1997;39:152-162.
COMMENTARY
Organizational culture as a source of high reliability.
Weick KE. Calif Manage Rev. 1987;29:112-127.
COMMENTARY
Minnesota Hospital Association Statewide Project: SAFE from FALLS.
Apold J, Quigley PA. J Nurs Care Qual. 2012;27:299-306.
NEWSPAPER/MAGAZINE ARTICLE
A long way to go.
DerGurahian J. Mod Healthc. December 7, 2009.
COMMENTARY
The role for leaders of health care organizations in patient safety.
Clarke JR, Lerner JC, Marella W. Am J Med Qual. 2007;22:311-318.
SPECIAL OR THEME ISSUE
The Criminal Edition.
The Just Culture Community. January/February 2007;1-6.
COMMENTARY
Patient safety in women's health care: a framework for progress.
Gluck PA. Best Pract Res Clin Obstet Gynaecol. 2007;21:525-36.
REVIEW
Negligence, genuine error, and litigation.
Sohn DH. Int J Gen Med. 2013;6:49-56.
BOOK/REPORT
Through the Eyes of the Workforce: Creating Joy, Meaning, and Safer Health Care.
Roundtable on Joy and Meaning in Work and Workforce Safety, The Lucian Leape Institute. Boston, MA: National Patient Safety Foundation; 2013.
COMMENTARY
The competent surgeon: individual accountability in the era of "systems" failure.
Whittemore AD. Ann Surg. 2009;250:357-362.
COMMENTARY
Do Not Disturb!
Duffy FD, Cassel CK. AHRQ WebM&M [serial online]. October 2007.
COMMENTARY
The Sorry Works! Coalition: making the case for full disclosure.
Wojcieszak D, Banja J, Houk C. Jt Comm J Qual Patient Saf. 2006;32:344-350.
STUDY
Residents' response to duty-hour regulations—a follow-up national survey.
Drolet BC, Christopher DA, Fischer SA. N Engl J Med. 2012;366:e35.
COMMENTARY
Patient safety: where is nursing education?
Gregory DM, Guse LW, Dick DD, Russell CK. J Nurs Educ. 2007;46:79-82.
NEWSPAPER/MAGAZINE ARTICLE
Raising the index of suspicion: red flags that represent credible threats to patient safety.
ISMP Medication Safety Alert! Acute Care Edition. July 26, 2012;17:1-3.
AUDIOVISUAL
Eye to eye: Donald Berwick.
"Eye to Eye with Katie Couric." CBS News Video. February 6, 2007.
AUDIOVISUAL
Good News: How Hospitals Heal Themselves [documentary].
Washington, DC: CCM, Inc.; 2006. Crawford-Mason C (producer), Dobyns L (reporter); Management Wisdom Video Series.
COMMENTARY
Facing ambiguous threats.
Roberto MA, Bohmer RM, Edmondson AC. Harv Bus Rev. 2006;84:106-113, 157.
COMMENTARY
Frontline hospital workers and the worker safety/patient safety nexus.
Sokas R, Braun B, Chenven L, et al. Jt Comm J Qual Patient Saf. 2013;39:185-192.
COMMENTARY
Tips to reduce dangerous interruptions by healthcare staff.
Lewis TP, Smith CB, Williams-Jones P. Nursing. 2012;42:65-67.
1
2
3
4
5
6
7
8
9
10
11
Next >