AHRQ Patient Safety Network

The Collection > Error Analysis

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Safety Target

•Device-related Complications (19)

•Diagnostic Errors (99)

•Identification Errors (10)

•Discontinuities, Gaps, and Hand-Off Problems (57)

•Fatigue and Sleep Deprivation (9)

•Medication Safety (161)

•Medical Complications (37)

•Nonsurgical Procedural Complications (16)

•Surgical Complications (73)

•Transfusion Complications (4)

•Psychological and Social Complications (23)

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•Africa (1)

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•Journal Article (506)

•Legislation/Regulation (2)

•Meeting/Conference (2)

•Newspaper/Magazine Article (21)

•Press Release/Announcement (1)

•Special or Theme Issue (6)

•Tools/Toolkit (6)

•Web Resource (4)

Error Types

•Epidemiology of Errors and Adverse Events (241)

•Active Errors (90)

•Latent Errors (52)

•Near Miss (15)

Approach to Improving Safety
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Error Analysis

•Root Cause Analysis (36)

•Failure Mode Effects Analysis (18)

•Morbidity and Mortality Conferences (9)

•Narrative/Storytelling (7)

Clinical Areas

•Allied Health Services (1)

•Medicine (420)

•Nursing (41)

•Pharmacy (48)

Target Audience

•Health Care Providers (366)

•Health Care Executives and Administrators (492)

•Non-Health Care Professionals (159)

•Patients (12)

Setting of Care

•Hospitals (317)

•Psychiatric Facilities (2)

•Residential Facilities (8)

•Ambulatory Care (49)

•Outpatient Surgery (2)

•Patient Transport (6)

1 - 20 of 571

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STUDY

Surgeon commitment to trauma care decreases missed injuries.

Lin YK, Lin CJ, Chan HM, et al. Injury. 2012 Nov 3; [Epub ahead of print].

STUDY

Missed and delayed diagnoses in the emergency department: a study of closed malpractice claims from 4 liability insurers.

Kachalia A, Gandhi TK, Puopolo AL, et al. Ann Emerg Med. Ann Emerg Med. 2007;49:196-205.

COMMENTARY

Database construction for improving patient safety by examining pathology errors.

Grzybicki DM, Turcsanyi B, Becich MJ, Gupta D, Gilbertson JR, Raab SS. Am J Clin Pathol. 2005;124:500-509.

STUDY

Preventable deaths in patients admitted from emergency department.

Lu T-C, Tsai C-L, Lee C-C, et al. Emerg Med J. 2006;23:452-455.

STUDY

Outside case review of surgical pathology for referred patients: the impact on patient care.

Swapp RE, Aubry MC, Salomão DR, Cheville JC. Arch Pathol Lab Med. 2013;137:233-240.

STUDY

Accuracies of diagnostic methods for acute appendicitis.

Park JS, Jeong JH, Lee JI, Lee JH, Park JK, Moon HJ. Am Surg. 2013;79:101-106.

REVIEW

Radiologic errors and malpractice: a blurry distinction.

Berlin L. AJR Am J Roentgenol. 2007;189:517-522.

STUDY

CT for suspected appendicitis in children: an analysis of diagnostic errors.

Taylor GA, Callahan MJ, Rodriguez D, Smink DS. Pediatr Radiol. 2006;36:331-337.

STUDY

Understanding diagnostic errors in medicine: a lesson from aviation.

Singh H, Petersen LA, Thomas EJ. Qual Saf Health Care. 2006;15:159-164.

NEWSPAPER/MAGAZINE ARTICLE

Are you a great diagnostician?

Yasgur BS. Medscape Business of Medicine. March 27, 2013.

STUDY

EMS helicopter crashes: what influences fatal outcome?

Baker SP, Grabowski JG, Dodd RS, Shanahan DF, Lamb MW, Li GH. Ann Emerg Med. 2006;47:351-356.

STUDY

Child-specific risk factors and patient safety.

Woods DM, Holl JL, Shonkoff JP, Mehra M, Ogata ES, Weiss KB. J Patient Saf. 2005;1:17-22.

STUDY

An overview of intravenous-related medication administration errors as reported to MEDMARX^(R), a national medication error-reporting program.

Hicks RW, Becker SC. J Infus Nurs. 2006;29:20-27.

NEWSPAPER/MAGAZINE ARTICLE

Medical simulations identify potential problems before they can pose a real threat.

Kleefeld E. Wisconsin Technology Network. June 15, 2005.

STUDY

Use of medical emergency team responses to reduce hospital cardiopulmonary arrests.

DeVita MA, Braithwaite RS, Mahidhara R, et al. Qual Saf Health Care. 2004;13:251-254.

STUDY

Use of medical emergency team (MET) responses to detect medical errors.

Braithwaite RS, DeVita MA, Mahidhara R, et al. Qual Saf Health Care. 2004;13:255-259.

STUDY

The "Big Dog" effect: variability assessing the causes of error in diagnoses of patients with lung cancer.

Raab SS, Meier FA, Zarbo RJ, et al. J Clin Oncol. 2006;24:2808-2814.

STUDY

Undiagnosed breast cancer at MR imaging: analysis of causes.

Pages EB, Millet I, Hoa D, Doyon FC, Taourel P. Radiology. 2012;264:40-50.

COMMENTARY

MRI suites: safety outside the bore.

Gilk T. Patient Saf Qual Healthc. September/October 2006;3:16-18, 20-21.

STUDY

Correlation of workload with disagreement and amendment rates in surgical pathology and nongynecologic cytology.

Renshaw AA, Gould EW. Am J Clin Pathol. 2006;125:820-822.

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