AHRQ Patient Safety Network

The Collection > Latent Errors

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Safety Target

•Device-related Complications (23)

•Diagnostic Errors (39)

•Identification Errors (16)

•Discontinuities, Gaps, and Hand-Off Problems (90)

•Fatigue and Sleep Deprivation (9)

•Medication Safety (95)

•Medical Complications (26)

•Nonsurgical Procedural Complications (12)

•Surgical Complications (31)

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•Clinical Guideline (1)

•Journal Article (231)

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Latent Errors

Approach to Improving Safety

•Quality Improvement Strategies (89)

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•Error Reporting and Analysis (95)

•Communication Improvement (119)

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Clinical Areas

•Allied Health Services (4)

•Medicine (246)

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Target Audience

•Health Care Providers (227)

•Health Care Executives and Administrators (231)

•Non-Health Care Professionals (129)

•Patients (35)

Setting of Care

•Hospitals (270)

•Psychiatric Facilities (2)

•Residential Facilities (9)

•Ambulatory Care (28)

•Outpatient Surgery (4)

•Patient Transport (4)

1 - 20 of 323

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BOOK/REPORT

Breast Cancer Services in Trafford and North Manchester. An Investigation Into The Circumstances Surrounding A Serious Clinical Incident In Symptomatic Breast Services – The Baker Report.

Baker M. Manchester, England: NHS North West; February 2007.

COMMENTARY

Do Not Disturb!

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

COMMENTARY

Delay in Initiating Antibiotics Leads to Fatal Error.

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

COMMENTARY

The Result Stopped Here.

Astion M. AHRQ WebM&M [serial online]. June 2004.

COMMENTARY

Right? Left? Neither!

Howell EA, Chassin MR. AHRQ WebM&M [serial online]. May 2006.

BOOK/REPORT

External Inquiry into the adverse incident that occurred at Queen's Medical Centre, Nottingham, 4th January 2001.

Toft B. London, England: Department of Health; 2001.

COMMENTARY

Discharge Fumbles.

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

COMMENTARY

Quality indicators to detect pre-analytical errors in laboratory testing.

Plebani M. Clin Biochem Rev. 2012;33:85-88.

COMMENTARY

Missed Appendicitis.

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

COMMENTARY

The Dangerous Detour.

Gibson J, Taylor D. AHRQ WebM&M [serial online]. June 2003.

COMMENTARY

Deciphering the Code

Goldstein MK. AHRQ WebM&M [serial online]. Febuary 2006.

COMMENTARY

Lethal Vertigo.

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

COMMENTARY

Unreported errors in the intensive care unit: a case study of the way we work.

Henneman EA. Crit Care Nurse. 2007;27:27-34.

COMMENTARY

No Blood, Please.

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

COMMENTARY

Staggered Sensitivity Results

Guglielmo BJ. AHRQ WebM&M [serial online]. March 2007.

COMMENTARY

Handovers from the OR to the ICU.

Bonifacio AS, Segall N, Barbeito A, Taekman J, Schroeder R, Mark JB. Int Anesthesiol Clin. 2013;51:43-61.

COMMENTARY

Code Blue—Where To?

Adams BD. AHRQ WebM&M [serial online]. October 2007.

COMMENTARY

Undiagnosed Vaginal Bleeding.

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

COMMENTARY

An Outpatient “Zebra”

Berkowitz L. AHRQ WebM&M [serial online]. January 2006.

NEWSPAPER/MAGAZINE ARTICLE

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

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

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