AHRQ Patient Safety Network

The Collection > Error Analysis

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Safety Target

•Device-related Complications (31)

•Diagnostic Errors (96)

•Identification Errors (21)

•Discontinuities, Gaps, and Hand-Off Problems (68)

•Fatigue and Sleep Deprivation (12)

•Medication Safety (274)

•Medical Complications (62)

•Nonsurgical Procedural Complications (20)

•Surgical Complications (104)

•Transfusion Complications (5)

•Psychological and Social Complications (31)

Origin/Sponsor

•Asia (22)

•Australia and New Zealand (38)

•Central and South America (3)

Resource Types

•Journal Article (761)

•Legislation/Regulation (3)

•Meeting/Conference (2)

•Newsletter/Journal (2)

•Newspaper/Magazine Article (55)

•Press Release/Announcement (3)

•Special or Theme Issue (9)

•Tools/Toolkit (8)

•Web Resource (9)

Error Types

•Epidemiology of Errors and Adverse Events (384)

•Active Errors (133)

•Latent Errors (76)

•Near Miss (26)

Approach to Improving Safety
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Error Analysis

•Root Cause Analysis (89)

•Failure Mode Effects Analysis (41)

•Morbidity and Mortality Conferences (24)

•Narrative/Storytelling (17)

Clinical Areas

•Allied Health Services (4)

Target Audience

•Health Care Providers (553)

•Health Care Executives and Administrators (702)

•Non-Health Care Professionals (273)

•Patients (42)

Setting of Care

•Hospitals (529)

•Psychiatric Facilities (3)

•Residential Facilities (16)

•Ambulatory Care (82)

•Outpatient Surgery (8)

•Patient Transport (5)

1 - 20 of 898

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STUDY

The association between frequency of self-reported medical errors and anesthesia trainee supervision: a survey of United States anesthesiology residents-in-training.

De Oliveira GS Jr, Rahmani R, Fitzgerald PC, Chang R, McCarthy RJ. Anesth Analg. 2013;116:892-897.

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.

NEWSPAPER/MAGAZINE ARTICLE

Are you a great diagnostician?

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

STUDY

Causes of errors in the electrocardiographic diagnosis of atrial fibrillation by physicians.

Davidenko JM, Snyder LS. J Electrocardiol. 2007;40:450-457.

STUDY

The risk of adverse drug events and hospital-related morbidity and mortality among older adults with potentially inappropriate medication use.

Page RL 2nd, Ruscin JM. Am J Geriatr Pharmacother. 2006;4:297-305.

NEWSPAPER/MAGAZINE ARTICLE

Medication administration in anesthesia: time for a paradigm shift.

Stabile M, Webster CS, Merry AF. APSF Newsletter. Fall 2007;22:44-47.

STUDY

Medication-error reporting and pharmacy resident experience during implementation of computerized prescriber order entry.

Weant KA, Cook AM, Armitstead JA. Am J Health Syst Pharm. 2007;64:526-530.

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.

STUDY

Diagnostic errors in orthopedic surgery: evaluation of resident documentation of neurovascular examinations for orthopedic trauma patients.

Tan EW, Ting BL, Jia XF, Skolasky RL, McFarland EG. Am J Med Qual. 2013;28:60-68.

STUDY

Analysis of deaths related to anesthesia in the period 1996-2004 from closed claims registered by the Danish Patient Insurance Association.

Hove LD, Steinmetz J, Christoffersen JK, Moller A, Nielsen J, Schmidt H. Anesthesiology. 2007;106:675-680.

STUDY

Uncharted territory: measuring costs of diagnostic errors outside the medical record.

Schwartz A, Weiner SJ, Weaver F, et al. BMJ Qual Saf. 2012;21:918-924.

STUDY

"Learning by Doing"—resident perspectives on developing competency in high-quality discharge care.

Greysen SR, Schiliro D, Curry L, Bradley EH, Horwitz LI. J Gen Intern Med. 2012;27:1188-1194.

STUDY

Patient harm in general surgery--a prospective study.

Kaul AK, McCulloch PG. J Patient Saf. 2007;3:22-26.

STUDY

Identifying diagnostic errors in primary care using an electronic screening algorithm.

Singh H, Thomas EJ, Khan MM, Petersen LA. Arch Intern Med. 2007;167:302-308.

STUDY

Types and origins of diagnostic errors in primary care settings.

Singh H, Giardina TD, Meyer AND, Forjuoh SN, Reis MD, Thomas EJ. JAMA Intern Med. 2013;173:418-425.

STUDY

Relating faults in diagnostic reasoning with diagnostic errors and patient harm.

Zwaan L, Thijs A, Wagner C, van der Wal G, Timmermans DR. Acad Med. 2012;87:149-156.

COMMENTARY

What happens when things go wrong?

Brandom BW, Callahan P, Micalizzi DA. Paediatr Anaesth. 2011;21:730-736.

STUDY

Antiretroviral medication errors among hospitalized patients with HIV infection.

Rastegar DA, Knight AM, Monolakis JS. Clin Infect Dis. 2006;43:933-38.

STUDY

Surgical specimen identification errors: a new measure of quality in surgical care.

Makary MA, Epstein J, Pronovost PJ, Millman EA, Hartmann EC, Freischlag JA. Surgery. 2007;141:450-455.

STUDY

Relationship between patient complaints and surgical complications.

Murff HJ, France DJ, Blackford J, et al. Qual Saf Health Care. 2006;15:13-16.

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