AHRQ Patient Safety Network

The Collection > United States of America

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Safety Target

•Device-related Complications (111)

•Diagnostic Errors (232)

•Identification Errors (93)

•Discontinuities, Gaps, and Hand-Off Problems (322)

•Fatigue and Sleep Deprivation (83)

•Medication Safety (796)

•Medical Complications (252)

•Nonsurgical Procedural Complications (72)

•Surgical Complications (338)

•Transfusion Complications (16)

•Psychological and Social Complications (99)

Origin/Sponsor
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United States of America

•United States Federal Government (53)

•State Governments and Agencies (5)

Resource Types

•Audiovisual (27)

•Award (7)

•Book/Report (82)

•Clinical Guideline (7)

•Journal Article (2159)

•Legislation/Regulation (41)

•Meeting/Conference (12)

•Newsletter/Journal (8)

•Newspaper/Magazine Article (285)

•Press Release/Announcement (9)

•Special or Theme Issue (31)

•Tools/Toolkit (29)

•Web Resource (43)

•Grant (3)

Error Types

•Epidemiology of Errors and Adverse Events (663)

•Active Errors (418)

•Latent Errors (140)

•Near Miss (51)

Approach to Improving Safety

•Quality Improvement Strategies (644)

•Legal and Policy Approaches (202)

•Error Reporting and Analysis (906)

•Communication Improvement (599)

•Human Factors Engineering (333)

•Teamwork (219)

•Specialization of Care (171)

•Logistical Approaches (316)

•Culture of Safety (312)

•Technologic Approaches (488)

•Education and Training (531)

Clinical Areas

•Allied Health Services (7)

Target Audience

•Health Care Providers (2072)

•Health Care Executives and Administrators (2177)

•Non-Health Care Professionals (941)

•Patients (152)

Setting of Care

•Hospitals (1589)

•Psychiatric Facilities (6)

•Residential Facilities (40)

•Ambulatory Care (235)

•Outpatient Surgery (26)

•Patient Transport (18)

1 - 20 of 2743

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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.

ORGANIZATIONAL POLICY/GUIDELINES

Recommendations for quality assurance and improvement in surgical and autopsy pathology.

Association of Directors of Anatomic and Surgical Pathology. Hum Pathol. 2006;37:985-988.

STUDY

Medical errors arising from outsourcing laboratory and radiology services.

Chasin BS, Elliott SP, Klotz SA. Am J Med. 2007;120:819.e9-11.

STUDY

Quantitative assessment of workload and stressors in clinical radiation oncology.

Mazur LM, Mosaly PR, Jackson M, et al. Int J Radiat Oncol Biol Phys. 2012;83:e571-e576.

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.

REVIEW

Measuring errors in surgical pathology in real-life practice: defining what does and does not matter.

Renshaw AA, Gould EW. Am J Clin Path. 2007;127:144-152.

REVIEW

Singh H, Graber ML, Kissam SM, et al. BMJ Qual Saf. 2012;21:160-170.

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

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.

REVIEW

Patient safety and error reduction in surgical pathology.

Nakhleh RE. Arch Pathol Lab Med. 2008;132:181-185.

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.

NEWSPAPER/MAGAZINE ARTICLE

Follow-up tips for a safe, efficient practice.

Weiss GG. Med Econ. May 19, 2006; 83:47-49.

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.

NEWSPAPER/MAGAZINE ARTICLE

Are you a great diagnostician?

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

STUDY

Finding blunders in thyroid testing: experience in newborns.

Zilka LJ, Lott JA, Baker LC, Linard SM. J Clin Lab Anal. 2008;22:254-256.

COMMENTARY

Critical diagnoses (critical values) in anatomic pathology.

Association of Directors of Anatomic and Surgical Pathology. Hum Pathol. 2006;37:982-984.

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

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.

REVIEW

The medicolegal aspect of error in pathology: a search of jury verdicts and settlements.

Kornstein MJ, Byrne SP. Arch Pathol Lab Med. 2007;131:615-618.

STUDY

Effect of short-term pretrial practice on surgical proficiency in simulated environments: a randomized trial of the "preoperative warm-up" effect.

Kahol K, Satava RM, Ferrara J, Smith ML. J Am Coll Surg. 2009;208:255-268.

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