AHRQ Patient Safety Network

The Collection > Error Reporting

PATIENT SAFETY PRIMERS
Never Events
Systems Approach

Narrow By

clear selections

Safety Target

•Device-related Complications (28)

•Diagnostic Errors (19)

•Identification Errors (30)

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

•Fatigue and Sleep Deprivation (6)

•Medication Safety (178)

•Medical Complications (68)

•Nonsurgical Procedural Complications (13)

•Surgical Complications (77)

•Transfusion Complications (6)

•Psychological and Social Complications (38)

Origin/Sponsor

•Asia (7)

•Australia and New Zealand (19)

Resource Types

•Journal Article (411)

•Legislation/Regulation (8)

•Meeting/Conference (4)

•Newsletter/Journal (2)

•Newspaper/Magazine Article (89)

•Press Release/Announcement (12)

•Special or Theme Issue (8)

•Tools/Toolkit (13)

•Web Resource (27)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (147)

•Active Errors (90)

•Latent Errors (29)

•Near Miss (29)

Approach to Improving Safety
< All

Error Reporting

•Governmental Reporting (33)

•Institutional Reporting (49)

•Nongovernmental Reporting (12)

•Patient Disclosure (128)

•Patient Complaints (23)

•Never Events (41)

Clinical Areas

•Allied Health Services (2)

•Complementary and Alternative Medicine (1)

Target Audience

•Health Care Providers (468)

•Health Care Executives and Administrators (517)

•Non-Health Care Professionals (249)

•Patients (88)

Setting of Care

•Hospitals (310)

•Psychiatric Facilities (5)

•Residential Facilities (18)

•Ambulatory Care (51)

•Outpatient Surgery (12)

•Patient Transport (7)

1 - 20 of 644

Show ExcerptDon't Show Excerpt

dropdown

STUDY

Using patient safety morbidity and mortality conferences to promote transparency and a culture of safety.

Szekendi MK, Barnard C, Creamer J, Noskin GA. Jt Comm J Qual Patient Saf. 2010;36:3-9, AP1-AP2.

NEWSPAPER/MAGAZINE ARTICLE

USP initiatives for the safe use of medical gases.

Zaidi K, Curry PD Jr, Becker SC. Pharmaceutical Technology. November 2, 2005;29:102-103.

BOOK/REPORT

VA Patient Safety Program: A Cultural Perspective at Four Medical Facilities.

US Government Accountability Office. Washington, DC: US Government Accountability Office; 2004. Publication GAO-05-83.

NEWSPAPER/MAGAZINE ARTICLE

Hospitals' bid to heal selves saves thousands.

P-I Staff and News Services. Seattle Post-Intelligencer. June 15, 2006:A1.

COMMENTARY

Capturing more emergency department errors via an anonymous web-based reporting system.

Khare RK, Uren B, Wears RL. Qual Manag Health Care. 2005;14:91-94.

COMMENTARY

Liability reform should make patients safer: "Avoidable classes of events" are a key improvement.

Bovbjerg RR, Tancredi LR. J Law Med Ethics. 2005;33:478-500.

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.

NEWSPAPER/MAGAZINE ARTICLE

Nurse error spotlights drug's danger.

Greene L. St. Petersburg Times. June 15, 2006:A1.

COMMENTARY

Path to safety: benefits of the 2005 Patient Safety and Quality Improvement Act.

McBride D, Greening A, Redmond D. Healthc Financ Manage. June 2006;60:84-88.

NEWSPAPER/MAGAZINE ARTICLE

Plan would compile, analyze medical errors.

Gaul GM. The Washington Post. July 29, 2005:A06.

COMMENTARY classic

Accountability measures—using measurement to promote quality improvement.

Chassin MR, Loeb JM, Schmaltz SP, Wachter RM. N Engl J Med. 2010;363:683-688.

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.

NEWSPAPER/MAGAZINE ARTICLE

Sarasota Memorial Hospital reviewed after restrained patient dies.

Gulliver D. Sarasota Herald Tribune. November 7, 2006:BS1.

STUDY

Hospital process compliance and surgical outcomes in Medicare beneficiaries.

Nicholas LH, Osborne NH, Birkmeyer JD, Dimick JB. Arch Surg. 2010;145:999-1004.

NEWSPAPER/MAGAZINE ARTICLE

Global goal: reduce medical errors.

Szabo L. USA Today. August 23, 2005.

BOOK/REPORT

Adverse Health Events in Minnesota: Ninth Annual Public Report.

St. Paul, MN: Minnesota Department of Health; January 2013.

AUDIOVISUAL

Good News: How Hospitals Heal Themselves [documentary].

Washington, DC: CCM, Inc.; 2006. Crawford-Mason C (producer), Dobyns L (reporter); Management Wisdom Video Series.

STUDY

Patterns in nursing home medication errors: disproportionality analysis as a novel method to identify quality improvement opportunities.

Hansen RA, Cornell PY, Ryan PB, Williams CE, Pierson S, Greene SB. Pharmacoepidemiol Drug Saf. 2010;19:1087-1094.

NEWSPAPER/MAGAZINE ARTICLE

Pump up the volume—tips for increasing error reporting.

ISMP Medication Safety Alert! Acute Care Edition. February 9, 2006;11:1-2,4.

COMMENTARY

Underreporting of patient safety incidents reduces health care's ability to quantify and accurately measure harm reduction.

Noble DJ, Pronovost PJ. J Patient Saf. 2010;6:247-250.

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