AHRQ Patient Safety Network

The Collection > Error Analysis

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Safety Target

•Device-related Complications (19)

•Diagnostic Errors (68)

•Identification Errors (12)

•Discontinuities, Gaps, and Hand-Off Problems (55)

•Fatigue and Sleep Deprivation (8)

•Medication Safety (228)

•Medical Complications (43)

•Nonsurgical Procedural Complications (13)

•Surgical Complications (73)

•Transfusion Complications (4)

•Psychological and Social Complications (17)

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•Africa (1)

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•Journal Article (548)

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•Newspaper/Magazine Article (19)

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•Special or Theme Issue (6)

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Error Types

•Epidemiology of Errors and Adverse Events (372)

•Active Errors (76)

•Latent Errors (51)

•Near Miss (17)

Approach to Improving Safety
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Error Analysis

•Root Cause Analysis (28)

•Failure Mode Effects Analysis (11)

•Morbidity and Mortality Conferences (9)

•Narrative/Storytelling (3)

Clinical Areas

•Allied Health Services (3)

Target Audience

•Health Care Providers (352)

•Health Care Executives and Administrators (493)

•Non-Health Care Professionals (166)

•Patients (16)

Setting of Care

•Hospitals (362)

•Psychiatric Facilities (2)

•Residential Facilities (10)

•Ambulatory Care (63)

•Outpatient Surgery (3)

•Patient Transport (8)

1 - 20 of 604

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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

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

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

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.

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].

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.

REVIEW

Methods for assessing the preventability of adverse drug events: a systematic review.

Hakkarainen KM, Anderson Sundell K, Petzold M, Hägg S. Drug Saf. 2012;35:105-126.

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

Factors associated with adverse events resulting from medical errors in the emergency department: two work better than one.

Freund Y, Goulet H, Bokobza J, et al. J Emerg Med. 2013 Feb 20; [Epub ahead of print].

STUDY

Identifying medical errors: developing consensus on classifications and consequences.

Hobgood C, Eaton J, Weiner BJ. J Patient Saf. 2005;1:138-144.

STUDY

National surveillance of emergency department visits for outpatient adverse drug events.

Budnitz DS, Pollock DA, Weidenbach KN, et al. JAMA. 2006;296:1858-1866.

COMMENTARY

Medication errors in nursing—part 1 and part 2.

Leufer T, Cleary-Holdforth J. Nurse Educ Pract. 2013;13:213-220.

STUDY

Adverse events following an emergency department visit.

Forster AJ, Rose NGW, van Walraven C, Stiell I. Qual Saf Health Care 2007;16:17-22.

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.

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

Patient safety in intensive care: results from the multinational Sentinel Events Evaluation (SEE) study.

Valentin A, Capuzzo M, Guidet B, et al. Intensive Care Med. 2006;32:1591-1598.

STUDY

Unanticipated death after discharge home from the emergency department.

Sklar DP, Crandall CS, Loeliger E, Edmunds K, Paul I, Helitzer DL. Ann Emerg Med. 2007;49:735-745.

STUDY

The costs of adverse drug events in community hospitals.

Hug BL, Keohane C, Seger DL, Yoon C, Bates DW. Jt Comm J Qual Patient Saf. 2012;38:120-126.

REVIEW

Systematic review of the incidence and characteristics of preventable adverse drug events in ambulatory care.

Thomsen LA, Winterstein AG, Søndergaard B, Haugbølle LS, Melander A. Ann Pharmacother. 2007;41:1411-1426.

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