AHRQ Patient Safety Network

The Collection > Latent Errors

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Safety Target

•Device-related Complications (22)

•Diagnostic Errors (46)

•Identification Errors (21)

•Discontinuities, Gaps, and Hand-Off Problems (96)

•Fatigue and Sleep Deprivation (9)

•Medication Safety (111)

•Medical Complications (32)

•Nonsurgical Procedural Complications (11)

•Surgical Complications (40)

•Transfusion Complications (4)

•Psychological and Social Complications (14)

Origin/Sponsor

•Africa (1)

•Asia (4)

•Australia and New Zealand (6)

Resource Types

•Journal Article (258)

•Legislation/Regulation (8)

•Meeting/Conference (1)

•Newspaper/Magazine Article (47)

•Press Release/Announcement (8)

•Special or Theme Issue (4)

•Tools/Toolkit (4)

•Web Resource (9)

Error Types
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Latent Errors

Approach to Improving Safety

•Quality Improvement Strategies (92)

•Legal and Policy Approaches (58)

•Error Reporting and Analysis (105)

•Communication Improvement (123)

•Human Factors Engineering (84)

•Teamwork (25)

•Specialization of Care (15)

•Logistical Approaches (44)

•Culture of Safety (56)

•Technologic Approaches (77)

•Education and Training (76)

Clinical Areas

•Allied Health Services (2)

•Medicine (292)

•Nursing (36)

•Pharmacy (38)

Target Audience

•Health Care Providers (287)

•Health Care Executives and Administrators (258)

•Non-Health Care Professionals (157)

•Patients (36)

Setting of Care

•Hospitals (267)

•Psychiatric Facilities (2)

•Residential Facilities (10)

•Ambulatory Care (36)

•Outpatient Surgery (5)

•Patient Transport (4)

1 - 20 of 364

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COMMENTARY

To LP or not LP.

Landrigan CP. AHRQ WebM&M [serial online]. October 2003.

COMMENTARY

Missed Appendicitis.

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

COMMENTARY

X-ray Flip.

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

COMMENTARY

Crushing Chest Pain: A Missed Opportunity.

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

COMMENTARY

Undiagnosed Vaginal Bleeding.

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

NEWSPAPER/MAGAZINE ARTICLE

Inquiry into reporter's death finds multiple failures in care.

Stout D. New York Times. June 17, 2006;National desk:9.

COMMENTARY

Code Status Confusion.

Lo B, Tulsky JA. AHRQ WebM&M [serial online]. July 2003.

COMMENTARY

Delay in Initiating Antibiotics Leads to Fatal Error.

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

COMMENTARY

Transfusion "Slip".

Kaplan HS. AHRQ WebM&M [serial online]. February 2004.

COMMENTARY

Autopsy Revelation.

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

COMMENTARY

Inappropriate Antibiotic Use.

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

COMMENTARY

Discharge Fumbles.

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

COMMENTARY

No Blood, Please.

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

COMMENTARY

Triage Time Bomb.

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

COMMENTARY

All in the History

Fee C. AHRQ WebM&M [serial online]. February/March 2009.

COMMENTARY

Urine a Tough Position.

Gandhi TK. AHRQ WebM&M [serial online]. October 2003.

NEWSPAPER/MAGAZINE ARTICLE

Diagnostic error in acute care.

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

COMMENTARY

Do Not Disturb!

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

COMMENTARY

Check the Bags.

Caldwell M, Dracup KA. AHRQ WebM&M [serial online]. September 2003.

STUDY

Missed and delayed diagnoses in the emergency department: a study of closed malpractice claims from 4 liability insurers.

Kachalia A, Gandhi TK, Puopolo AL, et al. Ann Emerg Med. Ann Emerg Med. 2007;49:196-205.

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