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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 (151)
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Diagnostic Errors (138)
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Identification Errors (116)
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Discontinuities, Gaps, and Hand-Off Problems (405)
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Fatigue and Sleep Deprivation (74)
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Medication Safety (1242)
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Medical Complications (392)
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Nonsurgical Procedural Complications (72)
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Surgical Complications (353)
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Transfusion Complications (24)
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Psychological and Social Complications (125)
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Africa (4)
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Audiovisual (45)
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Award (41)
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Error Types
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Epidemiology of Errors and Adverse Events (717)
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Active Errors (465)
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Latent Errors (228)
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Near Miss (56)
Approach to Improving Safety
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Quality Improvement Strategies (975)
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Legal and Policy Approaches (463)
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Error Reporting and Analysis (986)
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Communication Improvement (916)
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Human Factors Engineering (462)
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Teamwork (298)
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Specialization of Care (255)
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Logistical Approaches (244)
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Culture of Safety (600)
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Technologic Approaches (993)
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Education and Training (674)
Clinical Areas
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Allied Health Services (13)
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Dentistry (2)
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Medicine (2284)
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Nursing (183)
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Pharmacy (487)
Target Audience
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Health Care Providers (2993)
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Health Care Executives and Administrators (3161)
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Non-Health Care Professionals (1713)
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Patients (323)
Setting of Care
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Hospitals (2162)
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Psychiatric Facilities (15)
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Residential Facilities (72)
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Ambulatory Care (375)
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Outpatient Surgery (39)
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Patient Transport (28)
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STUDY
Using a bar-coded medication administration system to prevent medication errors in a community hospital network.
Sakowski J, Leonard T, Colburn S, et al. Am J Health Syst Pharm. 2005;62:2619-2625.
COMMENTARY
The Role of Bar Coding and Smart Pumps in Safety
Jeffrey M. Rothschild, MD, MPH; Carol Keohane, RN, BSN AHRQ WebM&M [serial online]. September 2008.
COMMENTARY
Computerization can create safety hazards: a bar-coding near miss.
McDonald CJ. Ann Intern Med. 2006;144:510-516.
NEWSPAPER/MAGAZINE ARTICLE
The best medical care in the U.S.
Arnst C. Business Week. July 17, 2006.
BOOK/REPORT
Patient Safety: Achieving a New Standard of Care.
Aspden P, Corrigan JM, Wolcott J, Erickson SM, eds for the Committee for Data Standards for Patient Safety, Institute of Medicine. Washington, DC: The National Academies Press; 2004. ISBN: 030909776.
STUDY
Hospital rules-based system: the next generation of medical informatics for patient safety.
Wilson JW, Oyen LJ, Ou NN, et al. Am J Health Syst Pharm. 2005;62:499-505.
STUDY
Intravenous infusion safety technology: return on investment.
Danello SH, Maddox RR, Schaack GJ. Hosp Pharm. 2009;44:680-687, 696.
STUDY
An empirical model to estimate the potential impact of medication safety alerts on patient safety, health care utilization, and cost in ambulatory care.
Weingart SN, Simchowitz B, Padolsky H, et al. Arch Intern Med. 2009;169;1465-1473.
STUDY
Effect of an electronic medication reconciliation application and process redesign on potential adverse drug events: a cluster-randomized trial.
Schnipper JL, Hamann C, Ndumele CD, et al. Arch Intern Med. 2009;169:771-780.
STUDY
Management of test results in family medicine offices.
Elder NC, McEwen TR, Flach JM, Gallimore JJ. Ann Fam Med. 2009;7:343-351.
STUDY
A new method to guard inpatient medication safety by the implementation of RFID.
Sun PR, Wang BH, Wu F. J Med Syst. 2008;32:327-332.
NEWSPAPER/MAGAZINE ARTICLE
Can high tech save your life?
Fischman J. US News and World Report. August 1, 2005;139:45,49-50,52.
NEWSPAPER/MAGAZINE ARTICLE
Technology has transformed the VA.
Stires D. Fortune Magazine. May 15, 2006:130-132, 134, 136.
STUDY
The utility of adding retrospective medication profiling to computerized provider order entry in an ambulatory care population.
Glassman PA, Belperio P, Lanto A, et al. J Am Med Inform Assoc. 2007;14:424-431.
COMMENTARY
Implementing a bar-code medication administration system.
Weber RJ. Hosp Pharm. 2008;43:1016-1023.
SPECIAL OR THEME ISSUE
Quality of Anesthesia Care.
Neuman MD, Martinez EA, eds. Anesthesiol Clin. 2011;29:1-178.
AUDIOVISUAL
Avoiding medical error.
Colvin G. "The Colvin Interview." CNN. February 5, 2007.
COMMENTARY
Making inpatient medication reconciliation patient centered, clinically relevant and implementable: a consensus statement on key principles and necessary first steps.
Greenwald JL, Halasyamani L, Greene J, et al. J Hosp Med. 2010;5:477-485.
COMMENTARY
Capturing more emergency department errors via an anonymous web-based reporting system.
Khare RK, Uren B, Wears RL. Qual Manag Health Care. 2005;14:91-94.
NEWSPAPER/MAGAZINE ARTICLE
Piecing together medication administration.
Anderson HJ. Health Data Manage. May 1, 2009;17:22.
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