AHRQ Patient Safety Network

The Collection > Active Errors

Narrow By

clear selections

Safety Target

•Device-related Complications (55)

•Diagnostic Errors (110)

•Identification Errors (68)

•Discontinuities, Gaps, and Hand-Off Problems (85)

•Fatigue and Sleep Deprivation (6)

•Medication Safety (300)

•Medical Complications (58)

•Nonsurgical Procedural Complications (27)

•Surgical Complications (172)

•Transfusion Complications (3)

•Psychological and Social Complications (31)

Origin/Sponsor

•Africa (1)

•Asia (7)

•Australia and New Zealand (22)

•Central and South America (2)

Resource Types

•Clinical Guideline (3)

•Journal Article (540)

•Legislation/Regulation (6)

•Meeting/Conference (1)

•Newspaper/Magazine Article (144)

•Press Release/Announcement (2)

•Special or Theme Issue (3)

•Tools/Toolkit (6)

•Web Resource (7)

Error Types
< All

Active Errors

•Noncognitive Errors ("Slips & Lapses") (63)

•Cognitive Errors ("Mistakes") (102)

Approach to Improving Safety

•Quality Improvement Strategies (174)

•Legal and Policy Approaches (94)

•Error Reporting and Analysis (237)

•Communication Improvement (210)

•Human Factors Engineering (176)

•Teamwork (37)

•Specialization of Care (25)

•Logistical Approaches (39)

•Culture of Safety (68)

•Technologic Approaches (151)

•Education and Training (158)

Clinical Areas

•Allied Health Services (7)

•Medicine (580)

•Nursing (94)

•Pharmacy (99)

Target Audience

•Health Care Providers (600)

•Health Care Executives and Administrators (529)

•Non-Health Care Professionals (229)

•Patients (100)

Setting of Care

•Hospitals (494)

•Psychiatric Facilities (1)

•Residential Facilities (13)

•Ambulatory Care (84)

•Outpatient Surgery (16)

•Patient Transport (12)

1 - 20 of 755

Show ExcerptDon't Show Excerpt

dropdown

COMMENTARY

Creating a culture of safety by using checklists.

Huang L, Kim R, Berry W. AORN J. 2013;97:365-368.

COMMENTARY

Mark My Limb.

O'Leary DS, Jacott WE. AHRQ WebM&M [serial online]. December 2004.

STUDY

Discovering healthcare cognition: the use of cognitive artifacts to reveal cognitive work.

Nemeth C, O’Connor M, Klock PA, Cook R. Org Stud. 2006;27:1011-1035.

COMMENTARY

DNR in the OR and Afterwards

Lo B. AHRQ WebM&M [serial online]. September 2006.

NEWSPAPER/MAGAZINE ARTICLE

'Wrong-site' surgical mistakes are rare, preventable.

Stein L. St. Petersburg Times. June 21, 2010.

NEWSPAPER/MAGAZINE ARTICLE

Wrong body part, wrong patient surgeries continue despite new procedures.

Rojas-Burke J. The Oregonian. May 25, 2011.

NEWSPAPER/MAGAZINE ARTICLE

Medical mistakes unhappy reality.

Young A. The Atlanta Journal-Constitution. May 3, 2009:B1.

REVIEW

Avoiding wrong site surgery: a systematic review.

DeVine J, Chutkan N, Norvell DC, Dettori JR. Spine. 2010;35(suppl 9):S28-S36.

MULTI-USE WEBSITE

Minnesota Time Out Campaign.

Minnesota Safe Surgery Coalition. June 15, 2011.

COMMENTARY

Time out: an analysis.

Dillon KA. AORN J. 2008;88:437-442.

COMMENTARY

Retained surgical items and minimally invasive surgery.

Gibbs VC. World J Surg. 2011;35:1532-1539.

COMMENTARY

The competent surgeon: individual accountability in the era of "systems" failure.

Whittemore AD. Ann Surg. 2009;250:357-362.

STUDY

Incorrect surgical counts: a qualitative analysis.

Rowlands A, Steeves R. AORN J. 2010;92:410-419.

STUDY

Wrong-site craniotomy: analysis of 35 cases and systems for prevention.

Cohen FL, Mendelsohn D, Bernstein M. J Neurosurg. 2010;113:461-473.

STUDY

Incorrect surgical procedures within and outside of the operating room.

Neily J, Mills PD, Eldridge N, et al. Arch Surg. 2009;144:1028-1034.

COMMENTARY

Increasing patient safety and surgical team communication by using a count/time out board.

Edel EM. AORN J. 2010;92:420-424.

NEWSPAPER/MAGAZINE ARTICLE

Patient safety in the OR.

Stempniak M. Hosp Health Netw. 2012 Oct;86:8 p following 40.

COMMENTARY

Surgical complications: disclosing adverse events and medical errors.

Wang AS, Eisen DB. J Am Acad Dermatol. 2013;68:144-146.

COMMENTARY

Reducing the incidence of retained surgical instrument fragments.

Reece M, Troeleman ND, McGowan JE, Furuno JP. AORN J. 2011;94:301-304.

COMMENTARY

Surgical count practice variability and the potential for retained surgical items.

Edel EM. AORN J. 2012;95:228-238.

1 2 3 4 5 6 7 8 9 10 11 Next >