U.S. Department of Health & Human Services
PATIENT SAFETY PRIMERS
Device-related Complications (27)
Diagnostic Errors (29)
Identification Errors (33)
Discontinuities, Gaps, and Hand-Off Problems (26)
Fatigue and Sleep Deprivation (4)
Medication Safety (162)
Medical Complications (54)
Nonsurgical Procedural Complications (10)
Surgical Complications (76)
Transfusion Complications (3)
Psychological and Social Complications (32)
Australia and New Zealand (18)
North America (378)
Journal Article (370)
Newspaper/Magazine Article (58)
Press Release/Announcement (5)
Special or Theme Issue (4)
Web Resource (21)
Epidemiology of Errors and Adverse Events (216)
Active Errors (140)
Latent Errors (53)
Near Miss (35)
Approach to Improving Safety
Governmental Reporting (25)
Institutional Reporting (39)
Nongovernmental Reporting (10)
Patient Disclosure (75)
Patient Complaints (19)
Never Events (26)
Allied Health Services (4)
Complementary and Alternative Medicine (1)
Health Care Providers (392)
Health Care Executives and Administrators (409)
Non-Health Care Professionals (205)
Setting of Care
Psychiatric Facilities (5)
Residential Facilities (14)
Ambulatory Care (55)
Outpatient Surgery (15)
Patient Transport (6)
1 - 20
Don't Show Excerpt
Sort by relevance
Sort by significance
Sort by title
Sort by date
Sort by author
Failure to Report
Spath PL. AHRQ WebM&M [serial online]. March 2007.
Error tracking in a clinical biochemistry laboratory.
Szecsi PB, Ødum L. Clin Chem Lab Med. 2009;47:1253-1257.
Patient Safety Authority Annual Reports.
Harrisburg, PA: Patient Safety Authority; April 2014.
Incorrect surgical procedures within and outside of the operating room.
Neily J, Mills PD, Eldridge N, et al. Arch Surg. 2009;144:1028-1034.
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.
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.
Wrong-site sinus surgery in otolaryngology.
Shah RK, Nussenbaum B, Kienstra M, et al. Otolaryngol Head Neck Surg. 2010;143:37-41.
The Role of the Patient in Improving Patient Safety
Gibson R. AHRQ WebM&M [serial online]. March 2007.
Check the Wristband.
Rosenthal MM. AHRQ WebM&M [serial online]. July 2003.
Eliminating Serious, Preventable, and Costly Medical Errors - Never Events.
Baltimore, MD: Centers for Medicare & Medicaid Services (CMS) Office of Public Affairs; May 18, 2006.
Internally-developed online adverse drug reaction and medication error reporting systems.
Smith KM, Trapskin PJ, Empey PE, Hecht KA, Armitstead JA. Hosp Pharm. 2006;41:428-436.
ISMP medication error report analysis.
Cohen MR. Hosp Pharm. 2006;41:405-406.
Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: are they preventable?
Seiden SC, Barach P. Arch Surg. 2006;141:931-939.
Adverse Health Events in Minnesota: Tenth Annual Public Report.
St. Paul, MN: Minnesota Department of Health; January 2014.
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.
Monitoring for medication errors in outpatient settings.
Balkrishnan R, Foss CE, Pawaskar M, Uhas AA, Feldman SR. J Dermatolog Treat. 2009;20:229-232.
Learning from different lenses: reports of medical errors in primary care by clinicians, staff, and patients: a project of the American Academy of Family Physicians National Research Network.
Phillips RL, Dovey SM, Graham D, Elder NC, Hickner JM. J Patient Saf. 2006;2:140-146.
Journal reporting of medical errors: the wisdom of Solomon, the bravery of Achilles, and the foolishness of Pan.
Murphy JG, Stee L, McEvoy MT, Oshiro J. Chest. 2007;131:890-896.
Surgical mistakes persist in Bay State: still a tiny fraction of total procedures.
Kowalczyk L. Boston Globe. October 26, 2007;Metro section:1A.
SPECIAL OR THEME ISSUE
The safety and quality of health care: where are we now?
Med J Aust. 2006;184:S37-S72.
Terms & Conditions
Produced for the
Agency for Healthcare Research and Quality
team of editors
University of California, San Francisco
with guidance from a prominent
. The AHRQ PSNet site was designed and implemented by Silverchair.