AHRQ Patient Safety Network

The Collection > Error Reporting

PATIENT SAFETY PRIMERS
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Safety Target

•Device-related Complications (26)

•Diagnostic Errors (12)

•Identification Errors (19)

•Discontinuities, Gaps, and Hand-Off Problems (21)

•Fatigue and Sleep Deprivation (3)

•Medication Safety (140)

•Medical Complications (53)

•Nonsurgical Procedural Complications (11)

•Surgical Complications (50)

•Transfusion Complications (7)

•Psychological and Social Complications (18)

Origin/Sponsor

•Asia (9)

•Australia and New Zealand (8)

Resource Types

•Journal Article (302)

•Legislation/Regulation (1)

•Meeting/Conference (2)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (85)

•Press Release/Announcement (6)

•Special or Theme Issue (4)

•Tools/Toolkit (7)

•Web Resource (15)

Error Types

•Epidemiology of Errors and Adverse Events (125)

•Active Errors (60)

•Latent Errors (19)

•Near Miss (23)

Approach to Improving Safety
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Error Reporting

•Governmental Reporting (14)

•Institutional Reporting (37)

•Nongovernmental Reporting (9)

•Patient Disclosure (34)

•Patient Complaints (16)

Clinical Areas

Target Audience

•Health Care Providers (259)

•Health Care Executives and Administrators (348)

•Non-Health Care Professionals (177)

•Patients (71)

Setting of Care

•Hospitals (268)

•Psychiatric Facilities (2)

•Residential Facilities (13)

•Ambulatory Care (56)

•Outpatient Surgery (7)

•Patient Transport (5)

1 - 20 of 465

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REVIEW

Patient safety systems in the primary health care of diabetes—a story of missed opportunities?

Taub N, Baker R, Khunti K, et al. Diabet Med. 2010;27:1322-1326.

STUDY

Certain uncertainties: modes of patient safety in healthcare.

Jerak-Zuiderent S. Soc Stud Sci. 2012;42:732-752.

STUDY

Barriers and motivators for making error reports from family medicine offices: a report from the American Academy of Family Physicians National Research Network (AAFP NRN).

Elder NC, Graham D, Brandt E, Hickner J. J Am Board Fam Med. 2007;20:115-123.

STUDY

Advanced practice nursing students' identification of patient safety issues in ambulatory care.

Schnall R, Larson E, Stone PW, John RM, Bakken S. J Nurs Care Qual. 2013;28:169-175.

STUDY

The Threats to Australian Patient Safety (TAPS) study: incidence of reported errors in general practice.

Makeham MA, Kidd MR, Saltman DC, et al. Med J Aust. 2006;185:95-98.

NEWSPAPER/MAGAZINE ARTICLE

Technological methods used to prevent errors aren't infallible.

Santell JP. Mater Manage Health Care. December 19, 2006;15:26-28, 30.

COMMENTARY

In Conversation with...James P. Bagian, MD

AHRQ WebM&M [serial online]. September 2006.

STUDY

Improving reporting of outpatient pediatric medical errors.

Neuspiel DR, Stubbs EH, Liggin L. Pediatrics. 2011;128:e1608-e1613.

STUDY

Incident reporting practices in the preanalytical phase: low reported frequencies in the primary health care setting.

Söderberg J, Grankvist K, Brulin C, Wallin O. Scand J Clin Lab Invest. 2009;69:731-735.

COMMENTARY

The art of apology: when and how to seek forgiveness.

Roberts RG. Fam Pract Manag. July/August 2007;14:44-49.

STUDY

The safety journal: lessons learned with an error reporting tool to stimulate systems thinking.

Singh R, Naughton B, Singh A, Anderson DR, Singh G. J Patient Saf. 2007;3:135-141.

COMMENTARY

Simple strategies to avoid medication errors.

Jenkins RH, Vaida AJ. Fam Pract Manag. 2007;14:41-47.

STUDY

Effectiveness of a graduate medical education program for improving medical event reporting attitude and behavior.

Coyle YM, Mercer SQ, Murphy-Cullen CL, Schneider GW, Hynan LS. Qual Saf Health Care. 2005;14:383-388.

BOOK/REPORT

Investigating the prevalence and causes of prescribing errors in general practice: The PRACtICe Study.

Avery T, Barber N, Ghaleb M, et al. London, UK: General Medical Council; May 2, 2012.

STUDY

Using nurses and office staff to report prescribing errors in primary care.

Kennedy AG, Littenberg B, Senders JW. Int J Qual Health Care. 2008;20:238-245.

STUDY

Doctors' views of attitudes towards peer medical error.

Asghari F, Fotouhi A, Jafarian A. Qual Saf Health Care. 2009;18:209-212.

STUDY

Challenges of making a diagnosis in the outpatient setting: a multi-site survey of primary care physicians.

Sarkar U, Bonacum D, Strull W, et al. BMJ Qual Saf. 2012;21:641-648.

STUDY

Physicians' perceptions, preparedness for reporting, and experiences related to impaired and incompetent colleagues.

DesRoches CM, Rao SR, Fromson JA, et al. JAMA. 2010;304:187-193.

REVIEW

Safety learning system development—incident reporting component for family practice.

O'Beirne M, Sterling P, Reid R, Tink W, Hohman S, Norton P. Qual Saf Health Care. 2010;19:252-257.

REVIEW

Medical error and human factors engineering: where are we now?

Gawron VJ, Drury CG, Fairbanks RJ, Berger RC. Am J Med Qual. 2006;21:57-67.

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