AHRQ Patient Safety Network

The Collection > Error Reporting and Analysis

PATIENT SAFETY PRIMERS
Detection of Safety Hazards

Narrow By

clear selections

Safety Target

•Device-related Complications (55)

•Diagnostic Errors (46)

•Identification Errors (39)

•Discontinuities, Gaps, and Hand-Off Problems (45)

•Fatigue and Sleep Deprivation (7)

•Medication Safety (326)

•Medical Complications (111)

•Nonsurgical Procedural Complications (24)

•Surgical Complications (218)

•Transfusion Complications (9)

•Psychological and Social Complications (34)

Origin/Sponsor

•Africa (1)

•Asia (6)

•Australia and New Zealand (8)

•Central and South America (3)

Resource Types

•Clinical Guideline (1)

•Journal Article (551)

•Legislation/Regulation (4)

•Meeting/Conference (2)

•Newsletter/Journal (2)

•Newspaper/Magazine Article (142)

•Press Release/Announcement (6)

•Special or Theme Issue (15)

•Tools/Toolkit (9)

•Web Resource (23)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (282)

•Active Errors (206)

•Latent Errors (66)

•Near Miss (39)

Approach to Improving Safety
< All

Error Reporting and Analysis

•Error Reporting (364)

•Error Analysis (314)

•Patient Safety Indicators (40)

Clinical Areas

Target Audience

•Health Care Providers (522)

•Health Care Executives and Administrators (627)

•Non-Health Care Professionals (253)

•Patients (185)

Setting of Care

•Hospitals (550)

•Psychiatric Facilities (5)

•Residential Facilities (21)

•Ambulatory Care (41)

•Outpatient Surgery (21)

•Patient Transport (9)

1 - 20 of 836

Show ExcerptDon't Show Excerpt

dropdown

COMMENTARY

The competent surgeon: individual accountability in the era of "systems" failure.

Whittemore AD. Ann Surg. 2009;250:357-362.

STUDY

Direct observation approach for detecting medication errors and adverse drug events in a pediatric intensive care unit.

Buckley MS, Erstad BL, Kopp BJ, Theodorou AA, Priestley G. Pediatr Crit Care Med. 2007;8:145-152.

NEWSPAPER/MAGAZINE ARTICLE

Nearly 90 major medical mistakes logged at Utah hospitals in 2008.

May H. Salt Lake Tribune. June 26, 2009.

BOOK/REPORT

MHA Keystone Center for Patient Safety & Quality 2010 Annual Report.

Lansing, MI: Michigan Health & Hospital Association; October 2010.

NEWSPAPER/MAGAZINE ARTICLE

Latest heparin fatality speaks loudly—what have you done to stop the bleeding?

ISMP Medication Safety Alert! April 8, 2010;15:1-3.

NEWSPAPER/MAGAZINE ARTICLE

MGH faces suit over drug error that killed woman.

Valencia MJ. Boston Globe. March 10, 2011.

NEWSPAPER/MAGAZINE ARTICLE

Get me out alive.

Feldman R. The Washington Post. May 2, 2006:HE01.

NEWSPAPER/MAGAZINE ARTICLE

At VA hospital, a rogue cancer unit.

Bogdanich W. New York Times. June 20, 2009;National Desk:1.

MULTI-USE WEBSITE

Solutions for Patient Safety.

Ohio Business Roundtable. 41 S. High Street, Suite 2240, Columbus, OH, 43215.

BOOK/REPORT

To Err Is Human — To Delay Is Deadly.

Jewell K, McGiffert L. Austin, TX: Consumers Union; 2009.

NEWSPAPER/MAGAZINE ARTICLE

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

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

NEWSPAPER/MAGAZINE ARTICLE

Family of woman who died after a medical error joins hospital's safety panel.

Shelton DL. Chicago Tribune. October 7, 2011.

COMMENTARY

Executive summary of the American College of Obstetricians and Gynecologists Presidential Task Force on Patient Safety in the Office Setting: reinvigorating safety in office-based gynecologic surgery.

Erickson TB, Kirkpatrick DH, DeFrancesco MS, Lawrence HC III. Obstet Gynecol. 2010;115:147-151.

STUDY

Cardiac surgery errors: results from the UK National Reporting and Learning System.

Martinez EA, Shore A, Colantuoni E, et al. Int J Qual Health Care. 2011;23:151-158.

MULTI-USE WEBSITE

Hydraulic Fluid Facts.

Duke University Health System.

STUDY

Preventable morbidity at a mature trauma center.

Teixeira PGR, Inaba K, Salim A, et al. Arch Surg. 2009;144:536-541.

STUDY

Pediatric antidepressant medication errors in a national error reporting database.

Rinke ML, Bundy DG, Shore AD, Colantuoni E, Morlock LL, Miller MR. J Dev Behav Pediatr. 2010;31:129-136.

NEWSPAPER/MAGAZINE ARTICLE

The wrong foot, and other tales of surgical error.

Altman LK. New York Times. December 11, 2001;1:1.

NEWSPAPER/MAGAZINE ARTICLE

Avoidable mistakes rise despite hospital efforts.

Colliver V. San Francisco Chronicle. June 2, 2010;A1.

NEWSPAPER/MAGAZINE ARTICLE

Neuromuscular blocking agents: reducing associated wrong-drug errors.

PA-PSRS Patient Saf Advis. December 2009;6:109-114.

1 2 3 4 5 6 7 8 9 10 11 Next >