AHRQ Patient Safety Network

The Collection > Health Care Executives and Administrators

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Safety Target

•Device-related Complications (101)

•Diagnostic Errors (118)

•Identification Errors (84)

•Discontinuities, Gaps, and Hand-Off Problems (235)

•Fatigue and Sleep Deprivation (93)

•Medication Safety (653)

•Medical Complications (208)

•Nonsurgical Procedural Complications (43)

•Surgical Complications (246)

•Transfusion Complications (11)

•Psychological and Social Complications (108)

Origin/Sponsor

•Asia (6)

•Australia and New Zealand (36)

•Central and South America (1)

•Europe (107)

•North America (2293)

Resource Types

•Clinical Guideline (3)

•Journal Article (1665)

•Legislation/Regulation (38)

•Meeting/Conference (26)

•Newsletter/Journal (9)

•Newspaper/Magazine Article (333)

•Press Release/Announcement (19)

•Special or Theme Issue (43)

•Tools/Toolkit (32)

•Web Resource (59)

•Grant (11)

Error Types

•Epidemiology of Errors and Adverse Events (448)

•Active Errors (461)

•Latent Errors (171)

•Near Miss (45)

Approach to Improving Safety

•Quality Improvement Strategies (670)

•Legal and Policy Approaches (394)

•Error Reporting and Analysis (789)

•Communication Improvement (563)

•Human Factors Engineering (281)

•Teamwork (185)

•Specialization of Care (155)

•Logistical Approaches (186)

•Culture of Safety (432)

•Technologic Approaches (434)

•Education and Training (449)

Clinical Areas

•Allied Health Services (14)

Target Audience
< All

Health Care Executives and Administrators

•Facility and Group Administrators (181)

•Nurse Managers (83)

•Risk Managers (293)

•Quality and Safety Professionals (596)

Setting of Care

•Hospitals (1396)

•Psychiatric Facilities (7)

•Residential Facilities (41)

•Ambulatory Care (173)

•Outpatient Surgery (27)

•Patient Transport (14)

1 - 20 of 2483

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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.

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.

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

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

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

STUDY

How trainees would disclose medical errors: educational implications for training programmes.

White AA, Bell SK, Krauss MJ, et al. Med Educ. 2011;45:372-380.

COMMENTARY

Ashamed to admit it: owning up to medical error.

Ofri D. Health Aff (Millwood). 2010;29:1549-1551.

REVIEW

The business case for patient safety.

Hwang RW, Herndon JH. Clin Orthop Relat Res. 2007;457:21-34.

AUDIOVISUAL

Avoiding medical error.

Colvin G. "The Colvin Interview." CNN. February 5, 2007.

COMMENTARY classic

How can we make diagnosis safer?

Schiff GD, Leape LL. Acad Med. 2012;87:135-138.

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