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The Collection
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PATIENT SAFETY PRIMERS
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Safety Target
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Device-related Complications (230)
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Diagnostic Errors (229)
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Identification Errors (167)
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Discontinuities, Gaps, and Hand-Off Problems (506)
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Fatigue and Sleep Deprivation (105)
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Medication Safety (1438)
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Medical Complications (519)
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Nonsurgical Procedural Complications (117)
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Surgical Complications (803)
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Transfusion Complications (26)
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Psychological and Social Complications (162)
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Africa (7)
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Asia (59)
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Error Types
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Epidemiology of Errors and Adverse Events (1467)
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Active Errors (722)
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Latent Errors (284)
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Near Miss (81)
Approach to Improving Safety
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Quality Improvement Strategies (1103)
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Legal and Policy Approaches (402)
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Error Reporting and Analysis (1368)
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Communication Improvement (1098)
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Human Factors Engineering (691)
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Teamwork (402)
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Specialization of Care (288)
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Logistical Approaches (325)
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Culture of Safety (543)
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Technologic Approaches (1058)
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Education and Training (893)
Clinical Areas
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Allied Health Services (12)
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Dentistry (6)
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Medicine (3277)
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Nursing (384)
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Pharmacy (530)
Target Audience
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Health Care Providers (3682)
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Health Care Executives and Administrators (3815)
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Non-Health Care Professionals (1858)
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Patients (363)
Setting of Care
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Hospitals (2991)
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Psychiatric Facilities (13)
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Residential Facilities (89)
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Ambulatory Care (436)
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Outpatient Surgery (60)
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Patient Transport (34)
1 - 20
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REVIEW
Improving safety in the operating room: a systematic literature review of retained surgical sponges.
Wan W, Le T, Riskin L, Macario A. Curr Opin Anaesthesiol. 2009;22:207-214.
REVIEW
Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site surgery.
Zahiri HR, Stromberg J, Skupsky H, et al. Surg Innov. 2011;18:55-60.
STUDY
Surgical case listing accuracy: failure analysis at a high-volume academic medical center.
Cima RR, Hale C, Kollengode A, Rogers JC, Cassivi SD, Deschamps C. Arch Surg. 2010;145:641-646.
STUDY
Implementation of resident work hour restrictions is associated with a reduction in mortality and provider-related complications on the surgical service: a concurrent analysis of 14,610 patients.
Privette AR, Shackford SR, Osler T, Ratliff J, Sartorelli K, Hebert JC. Ann Surg. 2009;250:316-321.
COMMENTARY
Perfusion safety: new initiatives and enduring principles.
Kurusz M. Perfusion. 2011;26(suppl 1):6-14.
STUDY
Analysis and prioritization of near-miss adverse events in a radiology department.
Thornton RH, Miransky J, Killen AR, Solomon SB, Brody LA. AJR Am J Roentgenol. 2011;196:1120-1124.
STUDY
Safety of using a computerized rounding and sign-out system to reduce resident duty hours.
Van Eaton EG, McDonough K, Lober WB, Johnson EA, Pellegrini CA, Horvath KD. Acad Med. 2010;85:1189-1195.
STUDY
What ring tone should be used for patient safety? Early results with a Blackberry-based telementoring safety solution.
Parker A, Rubinfeld I, Azuh O, et al. Am J Surg. 2010;199:336-341.
STUDY
Pilot implementation of a perioperative protocol to guide operating room-to-intensive care unit patient handoffs.
Petrovic MA, Aboumatar H, Baumgartner WA, et al. J Cardiothorac Vasc Anesth. 2012;26:11-16.
STUDY
Prevention of retained surgical sponges: a decision-analytic model predicting relative cost-effectiveness.
Regenbogen SE, Greenberg CC, Resch SC, et al. Surgery. 2009;145:527-535.
STUDY
Medication errors in paediatric outpatients.
Kaushal R, Goldmann DA, Keohane CA, et al. Qual Saf Health Care. 2010;19:e30.
STUDY
Preventing wrong site, procedure, and patient events using a common cause analysis.
Mallett R, Conroy M, Saslaw LZ, Moffatt-Bruce S. Am J Med Qual. 2012;27:21-29.
STUDY
Process changes to increase compliance with the Universal Protocol for bedside procedures.
Barsuk JH, Brake H, Caprio T, Barnard C, Anderson DY, Williams MV. Arch Intern Med. 2011;171:947-949.
STUDY
Deconstructing intraoperative communication failures.
Hu YY, Arriaga AF, Peyre SE, Corso KA, Roth EM, Greenberg CC. J Surg Res. 2012;177:37-42.
STUDY
A policy-based intervention for the reduction of communication breakdowns in inpatient surgical care: results from a Harvard surgical safety collaborative.
Arriaga AF, Elbardissi AW, Regenbogen SE, et al. Ann Surg. 2011;253:849-854.
STUDY
Implementation of a surgical comprehensive unit-based safety program to reduce surgical site infections.
Wick EC, Hobson DB, Bennett JL, et al. J Am Coll Surg. 2012;215;193-200.
STUDY
Communication failure in the operating room.
Halverson AL, Casey JT, Andersson J, et al. Surgery. 2011;49:305-310.
STUDY
Postoperative sepsis in the United States.
Vogel TR, Dombrovskiy VY, Carson JL, Graham AM, Lowry SF. Ann Surg. 2010;252:1065-1071.
STUDY
Risk factors and outcomes for foreign body left during a procedure: analysis of 413 incidents after 1,946,831 operations in children.
Camp M, Chang DC, Zhang Y, Chrouser K, Colombani PM, Abdullah F. Arch Surg. 2010;145:1085-1090.
STUDY
Effect of a 19-item surgical safety checklist during urgent operations in a global patient population.
Weiser TG, Haynes AB, Dziekan G, et al; Safe Surgery Saves Lives Investigators and Study Group. Ann Surg. 2010;251:976-980.
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