AHRQ Patient Safety Network

The Collection > Error Reporting and Analysis

PATIENT SAFETY PRIMERS
Detection of Safety Hazards

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Safety Target

•Device-related Complications (44)

•Diagnostic Errors (43)

•Identification Errors (25)

•Discontinuities, Gaps, and Hand-Off Problems (56)

•Fatigue and Sleep Deprivation (8)

•Medication Safety (267)

•Medical Complications (135)

•Nonsurgical Procedural Complications (19)

•Surgical Complications (102)

•Transfusion Complications (9)

•Psychological and Social Complications (46)

Origin/Sponsor

•Africa (1)

•Asia (19)

•Australia and New Zealand (43)

•Central and South America (1)

Resource Types

•Clinical Guideline (1)

•Journal Article (647)

•Legislation/Regulation (13)

•Meeting/Conference (10)

•Newsletter/Journal (4)

•Newspaper/Magazine Article (109)

•Press Release/Announcement (16)

•Special or Theme Issue (28)

•Tools/Toolkit (26)

•Web Resource (34)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (259)

•Active Errors (118)

•Latent Errors (83)

•Near Miss (39)

Approach to Improving Safety
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Error Reporting and Analysis

•Error Reporting (464)

•Error Analysis (417)

•Patient Safety Indicators (77)

Clinical Areas

•Allied Health Services (5)

•Complementary and Alternative Medicine (1)

Target Audience

•Health Care Providers (706)

•Health Care Executives and Administrators (902)

•Non-Health Care Professionals (451)

•Patients (104)

Setting of Care

•Hospitals (656)

•Psychiatric Facilities (7)

•Residential Facilities (15)

•Ambulatory Care (91)

•Outpatient Surgery (15)

•Patient Transport (7)

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BOOK/REPORT classic

Advances in Patient Safety: New Directions and Alternative Approaches.

Rockville, MD: Agency for Healthcare Research and Quality; July 2008. AHRQ Publication Nos. 080034 (1-4).

SPECIAL OR THEME ISSUE

Patient Safety Papers 5.

Baker GR, ed. Healthc Q. 2010;13:1-136.

MEETING/CONFERENCE PROCEEDINGS

AHRQ 2009 Annual Conference.

Rockville, MD: Agency for Healthcare Research and Quality; December 2009.

MEETING/CONFERENCE PROCEEDINGS

AHRQ 2008 Annual Conference.

Rockville, MD: Agency for Healthcare Research and Quality; February 2009.

BOOK/REPORT

Review of Patient Safety for Children and Young People.

London, UK: National Patient Safety Agency; 2009. ISBN: 978906624071.

COMMENTARY

Disruptive clinician behavior: a persistent threat to patient safety.

Porto G, Lauve R. Patient Safety Qual Healthc. July/August 2006;3:16-24.

BOOK/REPORT

Assessment of the AHRQ Patient Safety Initiative: Focus on Implementation and Dissemination Evaluation Report III.

Farley DO, Damberg CL, Ridgely MS, et al. Santa Monica, CA: RAND Corporation; 2007. ISBN: 9780833042170

MEETING/CONFERENCE PROCEEDINGS

2005 Annual Patient Safety and Health Information Technology Conference: Making the Health Care System Safer through Implementation and Innovation.

Agency for Healthcare Research and Quality. June 6-10, 2005.

NEWSPAPER/MAGAZINE ARTICLE

Get me out alive.

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

SPECIAL OR THEME ISSUE

Patient Safety Papers 4.

Baker GR, ed. Healthc Q. 2009;12:1-198.

BOOK/REPORT

Advancing Patient Safety: A Decade of Evidence, Design, and Implementation.

Rockville, MD; Agency for Healthcare Research and Quality; November 2009. AHRQ Publication No. 09(10)-0084.

BOOK/REPORT classic

Patient Safety, 2nd edition.

Vincent C. West Sussex, UK: Wiley-Blackwell; 2010. ISBN: 9781405192217.

MULTI-USE WEBSITE

AHRQ's Quality Challenge.

Rockville, MD: Agency for Healthcare Research and Quality; April 2005.

BOOK/REPORT

Tennessee Center for Patient Safety Annual Report 2010.

Nashville, TN: Tennessee Center for Patient Safety; August 2011.

BOOK/REPORT

Practical Patient Safety.

Reynard J, Reynolds J, Stevenson P. Oxford, UK: Oxford University Press; 2009. ISBN: 9780199239931.

NEWSPAPER/MAGAZINE ARTICLE

Fixing America's hospitals.

Newsweek. October 16, 2006:44-68, 72.

BOOK/REPORT

Patient Safety.

Sixth Report of Session 2008–09. House of Commons Health Committee. London, England: The Stationery Office; July 3, 2009. Publication HC 151-I.

SPECIAL OR THEME ISSUE

Medication Errors.

Brit J Clin Pharmacol. 2009;67:589-695.

MULTI-USE WEBSITE

Impact Case Studies and Knowledge Transfer Case Studies: Patient Safety.

Agency for Healthcare Research and Quality; November 2011.

BOOK/REPORT

High Quality Care for All: NHS Next Stage Review Final Report.

Darzi A. National Health Service. London, England: Crown Publishing; June 2008. ISBN: 9780101743228.

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