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PATIENT SAFETY PRIMERS
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Safety Target
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Device-related Complications (85)
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Diagnostic Errors (58)
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Identification Errors (49)
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Discontinuities, Gaps, and Hand-Off Problems (336)
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Fatigue and Sleep Deprivation (68)
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Medication Safety (565)
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Medical Complications (349)
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Nonsurgical Procedural Complications (39)
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Surgical Complications (135)
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Transfusion Complications (16)
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Psychological and Social Complications (97)
Origin/Sponsor
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Africa (2)
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Asia (41)
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Australia and New Zealand (69)
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Central and South America (2)
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Europe (331)
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Resource Types
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Audiovisual (31)
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Award (24)
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Book/Report (207)
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Legislation/Regulation (24)
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Meeting/Conference (23)
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Newspaper/Magazine Article (301)
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Press Release/Announcement (12)
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Special or Theme Issue (41)
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Web Resource (69)
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Grant (13)
Error Types
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Epidemiology of Errors and Adverse Events (466)
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Active Errors (255)
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Latent Errors (204)
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Near Miss (39)
Approach to Improving Safety
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Quality Improvement Strategies (686)
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Legal and Policy Approaches (312)
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Error Reporting and Analysis (737)
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Communication Improvement (588)
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Human Factors Engineering (259)
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Teamwork (218)
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Specialization of Care (177)
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Logistical Approaches (225)
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Culture of Safety (720)
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Technologic Approaches (401)
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Education and Training (449)
Clinical Areas
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Allied Health Services (7)
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Dentistry (1)
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Medicine (1677)
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Nursing (334)
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Pharmacy (214)
Target Audience
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Health Care Providers (1454)
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Health Care Executives and Administrators (2081)
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Non-Health Care Professionals (1015)
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Patients (209)
Setting of Care
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Hospitals (2049)
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Psychiatric Facilities (13)
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Residential Facilities (48)
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Ambulatory Care (163)
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Outpatient Surgery (20)
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Patient Transport (6)
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BOOK/REPORT
2009 National Healthcare Quality Report.
Rockville, MD: Agency for Healthcare Research and Quality; March 2010. AHRQ Publication No. 10-0003.
MULTI-USE WEBSITE
Impact Case Studies and Knowledge Transfer Case Studies: Patient Safety.
Agency for Healthcare Research and Quality; November 2011.
BOOK/REPORT
Hospital Survey on Patient Safety Culture: 2009 Comparative Database Report.
Sorra J, Famloaro T, Dyer N, Nelson D, Khanna K. Rockville, MD: Agency for Healthcare Research and Quality; 2009. AHRQ Publication No. 09-0030.
SPECIAL OR THEME ISSUE
Hospital Transparency in Reporting Medical Errors.
Agency for Healthcare Research and Quality. Health Care Innovations Exchange. June 23, 2010.
REVIEW
Promoting a culture of safety as a patient safety strategy: a systematic review.
Weaver SJ, Lubomski LH, Wilson RF, Pfoh ER, Martinez KA, Dy SM. Ann Intern Med. 2013;158(5 Pt 2):369-374.
BOOK/REPORT
Hospital Survey on Patient Safety Culture: 2011 User Comparative Database Report.
Sorra J, Famolaro T, Dyer N, Khanna K, Nelson D. Rockville, MD: Agency for Healthcare Research and Quality; April 2011. AHRQ Publication No. 11-0030.
BOOK/REPORT
Assessing Patient Safety Practices and Outcomes in the U.S. Health Care System.
Farley DO, Ridgely MS, Mendel P, et al. Santa Monica, CA: RAND Corporation; 2009. ISBN: 9780833047748.
BOOK/REPORT
Hospital Survey on Patient Safety Culture: 2010 User Comparative Database Report.
Sorra J, Famolaro T, Dyer N, Nelson D, Khanna K. Rockville, MD: Agency for Healthcare Research and Quality; March 2010. AHRQ Publication No. 10-0026.
BOOK/REPORT
Promoting Safety and Quality Through Human Resource Practices: Executive Summary.
McAlearney AS, Song P, Garman A, McHugh M, Caputo N. Rockville, MD: Agency for Healthcare Research and Quality; August 2011. AHRQ Publication No. 11-0080-EF.
STUDY
The impact of medical errors on ninety-day costs and outcomes: an examination of surgical patients.
Encinosa WE, Hellinger FJ. Health Serv Res. 2008;43:2067-2085.
STUDY
Medical error reduction: the effect of employee satisfaction with organizational support.
Lee D, Lee SM, Schniederjans MJ. Serv Ind J. 2011;31:1311-1325.
BOOK/REPORT
Safety First: Top of Your Board's Agenda: 100 Day Challenge Survey Report.
The Patients Association. Harrow, Middlesex, UK: The Patients Association; June 2009.
COMMENTARY
Reengineering hospital discharge: a protocol to improve patient safety, reduce costs, and boost patient satisfaction.
Clancy CM. Am J Med Qual. 2009;24:344-346.
COMMENTARY
Learning accountability for patient outcomes.
Pronovost PJ. JAMA. 2010;304:204-205.
STUDY
A new perspective on blame culture: an experimental study.
Gorini A, Miglioretti M, Pravettoni G. J Eval Clin Pract. 2012;18:671-675.
BOOK/REPORT
Characteristics of Weekday and Weekend Hospital Admissions, 2007.
Ryan K, Levit K, Davis PH. HCUP Statistical Brief #87. Rockville, MD: Agency for Healthcare Research and Quality; March 2010.
NEWSPAPER/MAGAZINE ARTICLE
Survey shows recession has weakened patient safety net.
ISMP Medication Safety Alert! Acute Care Edition. January 14, 2010;15:1-4.
COMMENTARY
Executive/senior leader checklist to improve culture and reduce central line–associated bloodstream infections.
Goeschel CA, Holzmueller CG, Berenholtz SM, et al. Jt Comm J Qual Patient Saf. 2010;36:519-524.
COMMENTARY
Minnesota Hospital Association Statewide Project: SAFE from FALLS.
Apold J, Quigley PA. J Nurs Care Qual. 2012;27:299-306.
STUDY
Patient safety climate in hospitals: act locally on variation across units.
Campbell EG, Singer S, Kitch BT, Iezzoni LI, Meyer GS. Jt Comm J Qual Patient Saf. 2010;36:319-326.
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