AHRQ Patient Safety Network

The Collection > Error Reporting

PATIENT SAFETY PRIMERS
Never Events
Systems Approach

Narrow By

clear selections

Safety Target

•Device-related Complications (34)

•Diagnostic Errors (24)

•Identification Errors (32)

•Discontinuities, Gaps, and Hand-Off Problems (24)

•Fatigue and Sleep Deprivation (6)

•Medication Safety (184)

•Medical Complications (59)

•Nonsurgical Procedural Complications (15)

•Surgical Complications (73)

•Transfusion Complications (5)

•Psychological and Social Complications (29)

Origin/Sponsor

•Africa (1)

•Asia (17)

•Australia and New Zealand (27)

Resource Types

•Journal Article (424)

•Legislation/Regulation (7)

•Meeting/Conference (3)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (53)

•Press Release/Announcement (9)

•Special or Theme Issue (8)

•Tools/Toolkit (8)

•Web Resource (23)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (211)

•Active Errors (113)

•Latent Errors (37)

•Near Miss (42)

Approach to Improving Safety
< All

Error Reporting

•Governmental Reporting (25)

•Institutional Reporting (61)

•Nongovernmental Reporting (13)

•Patient Disclosure (98)

•Patient Complaints (18)

•Never Events (31)

Clinical Areas

•Allied Health Services (5)

•Complementary and Alternative Medicine (2)

Target Audience

•Health Care Providers (413)

•Health Care Executives and Administrators (496)

•Non-Health Care Professionals (209)

•Patients (68)

Setting of Care

•Hospitals (304)

•Psychiatric Facilities (3)

•Residential Facilities (16)

•Ambulatory Care (55)

•Outpatient Surgery (12)

•Patient Transport (9)

1 - 20 of 585

Show ExcerptDon't Show Excerpt

dropdown

STUDY

Medication error reporting in nursing homes: identifying targets for patient safety improvement.

Greene SB, Williams CE, Pierson S, Hansen RA, Carey TS. Qual Saf Health Care. 2010;19:218-222.

COMMENTARY

Taking aim at infusion confusion.

Burdeu G, Crawford R, van de Vreede M, McCann J. J Nurs Care Qual. 2006;21:151-159.

STUDY

A comparison of voluntarily reported medication errors in intensive care and general care units.

Kane-Gill SL, Kowiatek JG, Weber RJ. Qual Saf Health Care. 2010;19:55-59.

STUDY

Intraoperative adverse events and related postoperative complications in spine surgery: implications for enhancing patient safety founded on evidence-based protocols.

Rampersaud YR, Moro ER, Neary MA, et al. Spine. 2006;31:1503-1510.

COMMENTARY

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2010:45;352-355.

STUDY

Barriers to adverse event and error reporting in anesthesia.

Heard GC, Sanderson PM, Thomas RD. Anesth Analg. 2012;114:604-614.

STUDY

The incidence and nature of prescribing and medication administration errors in paediatric inpatients.

Ghaleb MA, Barber N, Franklin BD, Wong ICK. Arch Dis Child. 2010;95:113-118.

STUDY

Characteristics of medication errors and adverse drug events in hospitals participating in the California Pediatric Patient Safety Initiative.

Takata GS, Taketomo CK, Waite S; for the California Pediatric Patient Safety Initiative. Am J Health Syst Pharm. 2008;65:2036-2044.

STUDY

Patient safety incidents associated with equipment in critical care: a review of reports to the UK National Patient Safety Agency.

Thomas AN, Galvin I. Anaesthesia. 2008;63:1193-1197.

STUDY

Risk factors and outcomes for foreign body left during a procedure: analysis of 413 incidents after 1,946,831 operations in children.

Camp M, Chang DC, Zhang Y, Chrouser K, Colombani PM, Abdullah F. Arch Surg. 2010;145:1085-1090.

STUDY

Scrutinizing incident reporting in anaesthesia: why is an incident perceived as critical?

Maaloe R, la Cour M, Hansen A, et al. Acta Anaesthesiol Scand. 2006;50:1005-1013.

STUDY

Quality of traditional surveillance for public reporting of nosocomial bloodstream infection rates.

Lin MY, Hota B, Khan YM, et al; CDC Prevention Epicenter Program. JAMA. 2010;304:2035-2041.

BOOK/REPORT

Building a Memory: Preventing Harm, Reducing Risks and Improving Patient Safety.

Scobie S, Thomson R. London, England: National Patient Safety Agency; 2005.

STUDY

Incidence and root cause analysis of wrong-site pain management procedures: a multicenter study.

Cohen SP, Hayek SM, Datta S, et al. Anesthesiology. 2010;112:711-718.

STUDY

Disclosure of hospital adverse events and its association with patients' ratings of the quality of care.

López L, Weissman JS, Schneider EC, Weingart SN, Cohen AP, Epstein AM. Arch Intern Med. 2009;169:1888-1894.

NEWSPAPER/MAGAZINE ARTICLE

Ambulatory surgery facilities: a comprehensive review of medication error reports in Pennsylvania.

PA-PSRS Patient Saf Advis. September 2011;8:85-93.

STUDY

Medication errors involving oral chemotherapy.

Weingart SN, Toro J, Spencer J, et al. Cancer. 2010;116:2455-2464.

COMMENTARY

Successful remediation of patient safety incidents: a tale of two medication errors.

Helmchen LA, Richards MR, McDonald TB. Health Care Manage Rev. 2011;36:1-10.

NEWSPAPER/MAGAZINE ARTICLE

Double key bounce and double keying errors.

ISMP Medication Safety Alert! Acute Care Edition. January 12, 2006;11:1-2.

REVIEW

Nature of human error: implications for surgical practice.

Cuschieri A. Ann Surg. 2006;244:642-648.

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