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PATIENT SAFETY PRIMERS
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Safety Target
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Device-related Complications (193)
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Diagnostic Errors (175)
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Identification Errors (115)
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Discontinuities, Gaps, and Hand-Off Problems (487)
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Fatigue and Sleep Deprivation (114)
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Medication Safety (1189)
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Medical Complications (598)
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Nonsurgical Procedural Complications (94)
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Surgical Complications (405)
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Psychological and Social Complications (171)
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Africa (7)
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Epidemiology of Errors and Adverse Events (864)
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Active Errors (570)
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Approach to Improving Safety
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Error Reporting and Analysis (1312)
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Communication Improvement (1057)
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Human Factors Engineering (517)
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Allied Health Services (13)
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Medicine (2800)
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Target Audience
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Health Care Providers (3318)
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Health Care Executives and Administrators (3641)
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Non-Health Care Professionals (1867)
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Patients (457)
Setting of Care
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Hospitals (3013)
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Psychiatric Facilities (20)
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Residential Facilities (79)
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Ambulatory Care (390)
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Outpatient Surgery (47)
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Patient Transport (28)
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BOOK/REPORT
MHA Keystone Center for Patient Safety & Quality 2010 Annual Report.
Lansing, MI: Michigan Health & Hospital Association; October 2010.
BOOK/REPORT
Tennessee Center for Patient Safety Annual Report 2010.
Nashville, TN: Tennessee Center for Patient Safety; August 2011.
BOOK/REPORT
Patient Safety Authority Annual Reports.
Harrisburg, PA: Patient Safety Authority; April 2013.
NEWSPAPER/MAGAZINE ARTICLE
Perfect is possible.
Berwick DM, Leape LL. Newsweek. October 16, 2006:70-71.
BOOK/REPORT
HealthGrades Sixth Annual Patient Safety in American Hospitals Study.
Golden, CO: HealthGrades, Inc.; April 2009.
MULTI-USE WEBSITE
African Partnerships for Patient Safety.
Geneva, Switzerland: WHO Patient Safety, World Health Organization.
COMMENTARY
Learning accountability for patient outcomes.
Pronovost PJ. JAMA. 2010;304:204-205.
MULTI-USE WEBSITE
HAC Posting on Hospital Compare.
Centers for Medicare & Medicaid Services.
BOOK/REPORT
Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2009.
Oakbrook Terrace, IL: The Joint Commission; January 2010.
BOOK/REPORT
To Err Is Human—But Don't Expect to Get Paid For It.
ASQ Quarterly Quality Report. Milwaukee, WI: American Society of Quality; October 2008.
TOOLKIT
Making Strides in Safety.
Chicago, IL: American Medical Association.
BOOK/REPORT
HealthGrades Seventh Annual Patient Safety in American Hospitals Study.
Golden, CO: HealthGrades, Inc.; March 2010.
STUDY
Effect of nonpayment for hospital-acquired, catheter–associated urinary tract infection: a statewide analysis.
Meddings JA, Reichert H, Rogers MA, Saint S, Stephansky J, McMahon LF. Ann Intern Med. 2012;157:305-312.
BOOK/REPORT
Eliminating CLABSI: A National Patient Safety Imperative.
Rockville, MD: Agency for Healthcare Research and Quality; September 2011. AHRQ Publication No. 11-0037-1-EF.
STUDY
Practically speaking: rethinking hand hygiene improvement programs in health care settings.
Son C, Chuck T, Childers T, et al. Am J Infect Control. 2011;39:716-724.
AUDIOVISUAL
Battling hospital-acquired infections.
Gross T. "Fresh Air." National Public Radio. January 9, 2008.
NEWSPAPER/MAGAZINE ARTICLE
Shared MDIs: can cross-contamination be avoided?
ISMP Medication Safety Alert! Acute Care Edition. April 9, 2009;14:1-3.
BOOK/REPORT
Report on the Burden of Endemic Health Care–Associated Infection Worldwide.
Allegranzi B, Nejad SB, Castillejos GG, Kilpatrick C, Kelley E, Mathai E; Clean Care is Safer Care Team. Geneva, Switzerland: World Health Organization; 2011. ISBN: 9789241501507.
STUDY
Health care–associated invasive MRSA infections, 2005–2008.
Kallen AJ, Mu Y, Bulens S, et al; Active Bacterial Core surveillance (ABCs) MRSA Investigators of the Emerging Infections Program. JAMA. 2010;304:641-648.
STUDY
A multidisciplinary approach to reduce central line–associated bloodstream infections.
McMullan C, Propper G, Schuhmacher C, et al. Jt Comm J Qual Patient Saf. 2013;39:61-69.
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