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PATIENT SAFETY PRIMERS
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Safety Target
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Device-related Complications (130)
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Diagnostic Errors (105)
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Identification Errors (65)
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Discontinuities, Gaps, and Hand-Off Problems (246)
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Fatigue and Sleep Deprivation (54)
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Medication Safety (833)
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Medical Complications (477)
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Nonsurgical Procedural Complications (56)
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Surgical Complications (473)
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Psychological and Social Complications (207)
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Epidemiology of Errors and Adverse Events (557)
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Active Errors (347)
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Approach to Improving Safety
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Error Reporting and Analysis (880)
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Specialization of Care (164)
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Allied Health Services (14)
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Medicine (1762)
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Nursing (124)
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Pharmacy (243)
Target Audience
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Health Care Providers (2224)
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Health Care Executives and Administrators (2491)
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Non-Health Care Professionals (1313)
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Patients (250)
Setting of Care
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Hospitals (1666)
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Psychiatric Facilities (15)
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Residential Facilities (61)
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Ambulatory Care (236)
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Outpatient Surgery (38)
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Patient Transport (18)
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BOOK/REPORT
Back to Basics.
Gima Z, Gosselar P, Levine A, Lincoln T, Ramirez A. Washington, DC: Public Citizen; August 6, 2009.
BOOK/REPORT
Patient Safety Authority Annual Reports.
Harrisburg, PA: Patient Safety Authority; April 2013.
BOOK/REPORT
Tennessee Center for Patient Safety Annual Report 2010.
Nashville, TN: Tennessee Center for Patient Safety; August 2011.
COMMENTARY
In Conversation with...Steven J. Spear, DBA, MS, MS
AHRQ WebM&M [serial online]. August 2009.
MULTI-USE WEBSITE
Harm Free Care.
National Health Service.
BOOK/REPORT
MHA Keystone Center for Patient Safety & Quality 2010 Annual Report.
Lansing, MI: Michigan Health & Hospital Association; October 2010.
COMMENTARY
Selection of indicators for continuous monitoring of patient safety: recommendations of the project 'safety improvement for patients in Europe.'
Kristensen S, Mainz J, Bartels P. Int J Qual Health Care. 2009;21:169-175.
BOOK/REPORT
Third Annual Report on Adverse Health Events in Wyoming Healthcare Facilities.
Chasson L, compiler; Mahoney G, Sherard BD, eds. Cheyenne, WY: Wyoming Department of Health; 2008.
REVIEW
Inpatient fall prevention programs as a patient safety strategy: a systematic review.
Miake-Lye IM, Hempel S, Ganz DA, Shekelle PG. Ann Intern Med. 2013;158(5 Pt 2):390-396.
COMMENTARY
Staggered Sensitivity Results
Guglielmo BJ. AHRQ WebM&M [serial online]. March 2007.
COMMENTARY
Multidisciplinary centres for safety and quality improvement: learning from climate change science.
Vincent C, Batalden P, Davidoff F. BMJ Qual Saf. 2011;20(suppl 1):i73-i78.
BOOK/REPORT
Standing Up for Doctors, Speaking Out for Patients. Final Report.
London, UK: Health Policy & Economic Research Unit, British Medical Association Scotland; May 2010.
BOOK/REPORT
IBEAS: A Pioneer Study on Patient Safety in Latin America: Towards Safer Hospital Care.
Geneva, Switzerland: World Health Organization; 2011.
STUDY
Racial disparities in the frequency of patient safety events: results from the National Medicare Patient Safety Monitoring System.
Metersky ML, Hunt DR, Kliman R, et al. Med Care. 2011;49:504-510.
BOOK/REPORT
Serious Reportable Events in Massachusetts Acute Care Hospitals: January 1, 2008–December 31, 2008.
Executive Office of Health and Human Services, Department of Public Health, Bureau of Health Care Safety and Quality. Boston, MA: Commonwealth of Massachusetts; 2009.
STUDY
Patients' concerns about medical errors during hospitalization.
Burroughs TE, Waterman AD, Gallagher TH, et al. Jt Comm J Qual Patient Saf. 2007;33:5-14.
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.
BOOK/REPORT
High Quality Care for All: NHS Next Stage Review Final Report.
Darzi A. National Health Service. London, England: Crown Publishing; June 2008. ISBN: 9780101743228.
BOOK/REPORT
2009 National Healthcare Quality Report.
Rockville, MD: Agency for Healthcare Research and Quality; March 2010. AHRQ Publication No. 10-0003.
SPECIAL OR THEME ISSUE
Medication Errors.
Brit J Clin Pharmacol. 2009;67:589-695.
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