{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 (20)
•
Diagnostic Errors (31)
•
Identification Errors (9)
•
Discontinuities, Gaps, and Hand-Off Problems (53)
•
Fatigue and Sleep Deprivation (5)
•
Medication Safety (74)
•
Medical Complications (8)
•
Nonsurgical Procedural Complications (9)
•
Surgical Complications (23)
•
Transfusion Complications (3)
•
Psychological and Social Complications (7)
Origin/Sponsor
•
Asia (4)
•
Australia and New Zealand (7)
•
Europe (54)
•
North America (171)
Resource Types
•
Book/Report (18)
•
Journal Article (205)
•
Legislation/Regulation (5)
•
Meeting/Conference (1)
•
Newspaper/Magazine Article (19)
•
Press Release/Announcement (2)
•
Special or Theme Issue (1)
•
Tools/Toolkit (1)
•
Web Resource (1)
Error Types
< All
Latent Errors
Approach to Improving Safety
•
Quality Improvement Strategies (56)
•
Legal and Policy Approaches (25)
•
Error Reporting and Analysis (102)
•
Communication Improvement (64)
•
Human Factors Engineering (55)
•
Teamwork (15)
•
Specialization of Care (5)
•
Logistical Approaches (25)
•
Culture of Safety (36)
•
Technologic Approaches (44)
•
Education and Training (43)
Clinical Areas
•
Allied Health Services (2)
•
Medicine (181)
•
Nursing (33)
•
Pharmacy (25)
Target Audience
•
Health Care Providers (177)
•
Health Care Executives and Administrators (224)
•
Non-Health Care Professionals (119)
•
Patients (9)
Setting of Care
•
Hospitals (175)
•
Residential Facilities (4)
•
Ambulatory Care (19)
•
Patient Transport (3)
1 - 20
of 253
Show Excerpt
Don't Show Excerpt
Sort by relevance
Sort by significance
Sort by title
Sort by date
Sort by author
dropdown
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.
STUDY
Insufficient communication about medication use at the interface between hospital and primary care.
Glintborg B, Andersen SE, Dalhoff K. Qual Saf Health Care. 2007;16:34-39.
STUDY
'Tempos' management in primary care: a key factor for classifying adverse events, and improving quality and safety.
Amalberti R, Brami J. BMJ Qual Saf. 2012;21:729-736.
STUDY
Doctors' thinking about 'the system' as a threat to patient safety.
Waring JJ. Health (London). 2007;11:29-46.
CONGRESSIONAL TESTIMONY
Oversight hearing on recent patient safety issues.
Subcommittee on Oversight and Investigations, 109th Cong, 2nd Sess (June 15, 2006). (Testimony of James P. Bagian, MD, PE; John D. Daigh, Jr., MD; Daniel Schultz, MD; Laurie Ekstrand).
STUDY
The effect of the fit between organizational culture and structure on medication errors in medical group practices.
Kaissi A, Kralewski J, Dowd B, Heaton A. Health Care Manage Rev. 2007;32:12-21.
REVIEW
Interruptions during nurses' work: a state-of-the-science review.
Hopkinson SG, Jennings BM. Res Nurs Health. 2013;36:38-53.
REVIEW
Nature of human error: implications for surgical practice.
Cuschieri A. Ann Surg. 2006;244:642-648.
STUDY
System weaknesses as contributing causes of accidents in health care.
Ternov S, Akselsson R. Int J Qual Health Care. 2005;17:5-13.
STUDY
Patient safety culture in home care: experiences of home-care nurses.
Berland A, Holm AL, Gundersen D, Bentsen SB. J Nurs Manag. 2012;20:794-801.
REVIEW
Overriding of drug safety alerts in computerized physician order entry.
van der Sijs H, Aarts J, Vulto A, Berg M. J Am Med Inform Assoc. 2006;13:138-147.
NEWSPAPER/MAGAZINE ARTICLE
Ding-a-ling-a-ling: ambulances can be dangerous places.
Meisel Z. Slate. November 8, 2005.
STUDY
Complexity of medication-related verbal orders.
Wakefield DS, Ward MM, Groath D, et al. Am J Med Qual. 2008;23:7-17.
REVIEW
A literature review of the individual and systems factors that contribute to medication errors in nursing practice.
Brady AM, Malone AM, Fleming S. J Nurs Manag. 2009;17:679-697.
COMMENTARY
Diagnostic errors—The next frontier for patient safety.
Newman-Toker DE, Pronovost PJ. JAMA. 2009;301:1060-1062.
COMMENTARY
In Conversation with...Allan Frankel, MD
AHRQ WebM&M [serial online]. July 2006.
REVIEW
The effects of patient handoff characteristics on subsequent care: a systematic review and areas for future research.
Foster S, Manser T. Acad Med. 2012;87:1105-1124.
COMMENTARY
Reason's accident causation model: application to adverse events in acute care.
Elliott M, Page K, Worrall-Carter L. Contemp Nurse. 2012;43:22-28.
COMMENTARY
Complexity and safety.
Carrillo RA. J Saf Res. 2011;42:293-300.
REVIEW
Understanding factors that impact on health care professionals' risk perceptions and responses toward
Clostridium difficile
and methicillin-resistant
Staphylococcus aureus
: a structured literature review.
Burnett E, Kearney N, Johnston B, Corlett J, Macgillivray S. Am J Infect Control. 2013;41:394-400.
1
2
3
4
5
6
7
8
9
10
11
Next >