AHRQ Patient Safety Network

The Collection > Error Analysis

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Safety Target

•Device-related Complications (20)

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•Identification Errors (20)

•Discontinuities, Gaps, and Hand-Off Problems (62)

•Fatigue and Sleep Deprivation (7)

•Medication Safety (228)

•Medical Complications (54)

•Nonsurgical Procedural Complications (15)

•Surgical Complications (88)

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•Journal Article (612)

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Error Types

•Epidemiology of Errors and Adverse Events (377)

•Active Errors (94)

•Latent Errors (64)

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Approach to Improving Safety
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Error Analysis

•Root Cause Analysis (47)

•Failure Mode Effects Analysis (22)

•Morbidity and Mortality Conferences (15)

•Narrative/Storytelling (5)

Clinical Areas

•Allied Health Services (3)

Target Audience

•Health Care Providers (467)

•Health Care Executives and Administrators (575)

•Non-Health Care Professionals (196)

•Patients (32)

Setting of Care

•Hospitals (411)

•Psychiatric Facilities (4)

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•Ambulatory Care (72)

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•Patient Transport (9)

1 - 20 of 705

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STUDY

Medication errors among acutely ill and injured children treated in rural emergency departments.

Marcin JP, Dharmar M, Cho M, et al. Ann Emerg Med. 2007;50:361-367.e1-2.

STUDY

Factors associated with medication errors in the pediatric emergency department.

Vilà-de-Muga M, Colom-Ferrer L, Gonzàlez-Herrero M, Luaces-Cubells C. Pediatr Emerg Care. 2011;27:290-294.

STUDY

Patient safety factors in children dying in a paediatric intensive care unit (PICU): a case notes review study.

Monroe K, Wang D, Vincent C, Woloshynowych M, Neale G, Inwald DP. BMJ Qual Saf. 2011;20:863-868.

STUDY

Emergency hospitalizations for adverse drug events in older Americans.

Budnitz DS, Lovegrove MC, Shehab N, Richards CL. N Engl J Med. 2011;365:2002-2012.

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

Using prospective clinical surveillance to identify adverse events in hospital.

Forster AJ, Worthington JR, Hawken S, et al. BMJ Qual Saf. 2011;20:756-763.

STUDY

Emergency department crowding and risk of preventable medical errors.

Epstein SK, Huckins DS, Liu SW, et al. Intern Emerg Med. 2012;7:173-180.

STUDY

A prospective, multicenter study of pharmacist activities resulting in medication error interception in the emergency department.

Patanwala AE, Sanders AB, Thomas MC, et al. Ann Emerg Med. 2012;59:369-373.

STUDY

Challenges and opportunities to prevent transfusion errors: a Qualitative Evaluation for Safer Transfusion (QUEST).

Heddle NM, Fung M, Hervig T, et al; BEST Collaborative. Transfusion. 2012;52:1687-1695.

STUDY

Reevaluating recovery: perceived violations and preemptive interventions on emergency psychiatry rounds.

Cohen T, Blatter B, Almeida C, Patel VL. J Am Med Inform Assoc. 2007;14:312-319.

STUDY

The nature and occurrence of registration errors in the emergency department.

Hakimzada AF, Green RA, Sayan OR, Zhang J, Patel VL. Int J Med Inform. 2008;77:169-175.

BOOK/REPORT

2011 Annual Benchmarking Report: Malpractice Risks in Emergency Medicine.

Ruoff G, ed. Cambridge, MA: CRICO Strategies; 2012.

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

Regional surveillance of emergency-department visits for outpatient adverse drug events.

Capuano A, Irpino A, Gallo M, et al. Eur J Clin Pharmacol. 2009;65:721-728.

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.

REVIEW

Patient safety in emergency medical services: a systematic review of the literature.

Bigham BL, Buick JE, Brooks SC, Morrison M, Shojania KG, Morrison LJ. Prehosp Emerg Care. 2012;16:20-35.

STUDY

Severity and probability of harm of medication errors intercepted by an emergency department pharmacist.

Patanwala AE, Hays DP, Sanders AB, Erstad BL. Int J Pharm Pract. 2011;19:358-362.

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

Venous thromboembolism after trauma: a never event?

Thorson CM, Ryan ML, Van Haren RM, et al. Crit Care Med. 2012;40:2967-2973.

BOOK/REPORT

Patient Safety in Canada: An Update.

Ottawa, ON, Canada: Canadian Institute for Health Information; August 14, 2007.

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