AHRQ Patient Safety Network

The Collection > Active Errors

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Safety Target

•Device-related Complications (46)

•Diagnostic Errors (118)

•Identification Errors (56)

•Discontinuities, Gaps, and Hand-Off Problems (66)

•Fatigue and Sleep Deprivation (4)

•Medication Safety (277)

•Medical Complications (56)

•Nonsurgical Procedural Complications (24)

•Surgical Complications (125)

•Transfusion Complications (4)

•Psychological and Social Complications (32)

Origin/Sponsor

•Asia (3)

•Australia and New Zealand (13)

•Central and South America (1)

Resource Types

•Clinical Guideline (2)

•Journal Article (455)

•Legislation/Regulation (6)

•Meeting/Conference (2)

•Newspaper/Magazine Article (164)

•Press Release/Announcement (5)

•Special or Theme Issue (5)

•Tools/Toolkit (6)

•Web Resource (10)

Error Types
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Active Errors

•Noncognitive Errors ("Slips & Lapses") (32)

•Cognitive Errors ("Mistakes") (107)

Approach to Improving Safety

•Quality Improvement Strategies (153)

•Legal and Policy Approaches (105)

•Error Reporting and Analysis (215)

•Communication Improvement (190)

•Human Factors Engineering (132)

•Teamwork (24)

•Specialization of Care (21)

•Logistical Approaches (33)

•Culture of Safety (57)

•Technologic Approaches (135)

•Education and Training (144)

Clinical Areas

•Allied Health Services (7)

Target Audience

•Health Care Providers (527)

•Health Care Executives and Administrators (472)

•Non-Health Care Professionals (215)

•Patients (136)

Setting of Care

•Hospitals (434)

•Psychiatric Facilities (1)

•Residential Facilities (13)

•Ambulatory Care (90)

•Outpatient Surgery (13)

•Patient Transport (11)

1 - 20 of 707

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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 are hard for doctors to admit, but it's wise to apologize to patients.

Jain M. Washington Post. May 27, 2013.

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.

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.

COMMENTARY

Thinking ethically about medical mistakes.

Smith ML. J Child Neurol. 2013;28:806-808.

COMMENTARY

Disclosing medical mistakes: a communication management plan for physicians.

Petronio S, Torke A, Bosslet G, Isenberg S, Wocial L, Helft PR. Perm J. 2013;17:73-79.

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

Should you reveal nonharmful mistakes to patients?

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

NEWSPAPER/MAGAZINE ARTICLE

A pinpoint beam strays invisibly, harming instead of healing.

Bogdanich W, Rebelo K. New York Times. December 28, 2010;A1.

AUDIOVISUAL PRESENTATION

Mix-up: baby nursed by wrong mother.

Cisneros N. ABC-7/KGO-TV. June 10, 2006.

NEWSPAPER/MAGAZINE ARTICLE

Wrong-site surgery.

Butcher L. Hosp Health Netw. November 2011.

COMMENTARY

Development of an expert system for classification of medical errors.

Kopec D, Levy K, Kabir M, Reinharth D, Shagas G. Stud Health Technol Inform. 2005;114:110-116.

REVIEW

The spectrum of medical errors: when patients sue.

Kels BD, Grant-Kels JM. Int J Gen Med. 2012;5:613-619.

COMMENTARY

Anatomy of an incident disclosure: the importance of dialogue.

Iedema R, Allen S. Jt Comm J Qual Patient Saf. 2012;38:435-442.

AUDIOVISUAL PRESENTATION

Medical Mistakes.

Couric K. Katie. February 20, 2013.

COMMENTARY

The Role of the Patient in Improving Patient Safety

Gibson R. AHRQ WebM&M [serial online]. March 2007.

NEWSPAPER/MAGAZINE ARTICLE

10 ways to guarantee a lawsuit.

Rice B. Med Econ. 2005 Jul 8;82:66-69

NEWSPAPER/MAGAZINE ARTICLE

Doctor removes ovaries from wrong patient.

Bramson K, Mooney T. Providence Journal. August 18, 2006.

NEWSPAPER/MAGAZINE ARTICLE

Revealing their medical errors: why three doctors went public.

O'Reilly KB. American Medical News. August 15, 2011.

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