AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (140)

•Diagnostic Errors (202)

•Identification Errors (120)

•Discontinuities, Gaps, and Hand-Off Problems (302)

•Fatigue and Sleep Deprivation (112)

•Medication Safety (907)

•Medical Complications (283)

•Nonsurgical Procedural Complications (62)

•Surgical Complications (392)

•Transfusion Complications (15)

•Psychological and Social Complications (162)

Origin/Sponsor

•Asia (6)

•Australia and New Zealand (39)

•Central and South America (1)

•Europe (127)

•North America (3186)

Resource Types

•Clinical Guideline (7)

•Journal Article (2045)

•Legislation/Regulation (46)

•Meeting/Conference (31)

•Newsletter/Journal (14)

•Newspaper/Magazine Article (648)

•Press Release/Announcement (30)

•Special or Theme Issue (51)

•Tools/Toolkit (60)

•Web Resource (105)

•Grant (14)

Error Types

•Epidemiology of Errors and Adverse Events (562)

•Active Errors (692)

•Latent Errors (234)

•Near Miss (54)

Approach to Improving Safety

•Quality Improvement Strategies (819)

•Legal and Policy Approaches (574)

•Error Reporting and Analysis (1032)

•Communication Improvement (799)

•Human Factors Engineering (363)

•Teamwork (214)

•Specialization of Care (179)

•Logistical Approaches (237)

•Culture of Safety (489)

•Technologic Approaches (574)

•Education and Training (667)

Clinical Areas

•Allied Health Services (16)

Target Audience

•Health Care Providers (2350)

•Health Care Executives and Administrators (2483)

•Non-Health Care Professionals (1277)

•Patients (679)

Setting of Care

•Hospitals (1851)

•Psychiatric Facilities (9)

•Residential Facilities (46)

•Ambulatory Care (281)

•Outpatient Surgery (39)

•Patient Transport (18)

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SPECIAL OR THEME ISSUE

The Medical Apology: Making It Right When Things Go Wrong.

Schulte MF, ed. Front Health Serv Manage. 2012;28:1-46.

NEWSPAPER/MAGAZINE ARTICLE

Medical errors disclosure and apology.

Weiss PM, Koch S. Contemporary OB/GYN. June 2012;57:40-45.

NEWSPAPER/MAGAZINE ARTICLE

Medical malpractice: why is it so hard for doctors to apologize?

Sanghavi D. Boston Globe Magazine. January 27, 2013.

COMMENTARY

Thinking ethically about medical mistakes.

Smith ML. J Child Neurol. 2013 Feb 21; [Epub ahead of print].

NEWSPAPER/MAGAZINE ARTICLE

Robots help keep doctors up on skills.

Bohan S. Oakland Tribune. January 27, 2007.

NEWSPAPER/MAGAZINE ARTICLE

Fixing America's hospitals.

Newsweek. October 16, 2006:44-68, 72.

STUDY

The many faces of error disclosure: a common set of elements and a definition.

Fein SP, Hilborne LH, Spiritus EM, et al. J Gen Intern Med. 2007;22:755-761.

NEWSPAPER/MAGAZINE ARTICLE

Software for symptoms.

Borzo J. Wall Street Journal. May 23, 2005:R10.

NEWSPAPER/MAGAZINE ARTICLE

The best medical care in the U.S.

Arnst C. Business Week. July 17, 2006.

NEWSPAPER/MAGAZINE ARTICLE

Cause of death: sloppy doctors.

Caplan J. Time.com. January 15, 2007.

COMMENTARY

The Sorry Works! Coalition: making the case for full disclosure.

Wojcieszak D, Banja J, Houk C. Jt Comm J Qual Patient Saf. 2006;32:344-350.

NEWSPAPER/MAGAZINE ARTICLE

Confronting a colleague who covers up a medical error.

Brody H. Am Fam Physician. 2006;73:1272, 1274.

NEWSPAPER/MAGAZINE ARTICLE

Should you reveal nonharmful mistakes to patients?

Yasgur BS. Medscape Business of Medicine. December 6, 2012.

STUDY

On higher ground: ethical reasoning and its relationship with error disclosure.

Cole AP, Block L, Wu AW. BMJ Qual Saf. 2013 Mar 1; [Epub ahead of print].

COMMENTARY

Constitutional arguments in favor of modifying the HCQIA to allow the dissemination of physician information to healthcare consumers.

Chernitsky LA. Wash Lee Law Rev. Spring 2006;63:737-776.

STUDY

Wisdom through adversity: learning and growing in the wake of an error.

Plews-Ogan M, Owens JE, May NB. Patient Educ Couns. 2013;91:236-242.

STUDY

Health plan members' views about disclosure of medical errors.

Mazor KM, Simon SR, Yood RA, et al. Ann Intern Med. 2004;140:409-418.

STUDY

Teaching but not learning: how medical residency programs handle errors.

Hoff TJ, Pohl H, Bartfield J. J Org Behav. 2006;27:869-896.

NEWSPAPER/MAGAZINE ARTICLE

Baby has jaundice: is that a problem?

Zimmerman R. Wall Street Journal. February 6, 2007:A1.

NEWSPAPER/MAGAZINE ARTICLE

To protect against drug errors, ask questions.

Brody JE. New York Times. January 2, 2007:F7.

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