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PATIENT SAFETY PRIMERS
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Safety Target
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Device-related Complications (181)
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Diagnostic Errors (212)
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Identification Errors (113)
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Discontinuities, Gaps, and Hand-Off Problems (538)
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Fatigue and Sleep Deprivation (136)
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Medication Safety (1201)
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Human Factors Engineering (490)
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Allied Health Services (14)
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Medicine (3021)
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Target Audience
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Health Care Providers (3139)
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Health Care Executives and Administrators (3582)
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Non-Health Care Professionals (1778)
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Patients (417)
Setting of Care
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Hospitals (3166)
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Psychiatric Facilities (14)
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Residential Facilities (65)
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Ambulatory Care (389)
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Outpatient Surgery (41)
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Patient Transport (18)
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AUDIOVISUAL
Chasing Zero: Winning the War on Healthcare Harm.
Austin, TX: Texas Medical Institute for Technology and the Quaid Foundation; 2010.
STUDY
Hospital governance and the quality of care.
Jha AK, Epstein AM. Health Aff (Millwood). 2010;29:182-187.
MULTI-USE WEBSITE
BOOSTing Care Transitions Resource Room.
Project BOOST (Better Outcomes for Older adults through Safe Transitions), Society of Hospital Medicine.
REVIEW
Interdisciplinary teamwork in hospitals: a review and practical recommendations for improvement.
O'Leary KJ, Sehgal NL, Terrell G, Williams MV; High Performance Teams and the Hospital of the Future Project Team. J Hosp Med. 2011 Oct 31; [Epub ahead of print].
COMMENTARY
A new frontier in patient safety.
McCannon J, Berwick DM. JAMA
.
2011;305:2221-2222.
STUDY
Gaps in pediatric clinician communication and opportunities for improvement.
Woods DM, Holl JL, Angst DB, et al. J Healthc Qual. 2008;30:43-54.
BOOK/REPORT
Tennessee Center for Patient Safety Annual Report 2010.
Nashville, TN: Tennessee Center for Patient Safety; August 2011.
COMMENTARY
As she lay dying: how I fought to stop medical errors from killing my mom.
Welch JR. Health Aff (Millwood). 2012;31:2817-2820.
NEWSPAPER/MAGAZINE ARTICLE
Strengthening the core. Middle managers play a vital role in improving safety.
Federico F, Bonacum D. Healthc Exec. January/February 2010;25:68-70.
NEWSPAPER/MAGAZINE ARTICLE
No bad apples.
Thrall TH. Hosp Health Netw. December 2008.
NEWSPAPER/MAGAZINE ARTICLE
10 years, 5 voices, 1 challenge.
Larkin H. Hosp Health Netw. October 21, 2009.
REVIEW
Responsibility for quality improvement and patient safety: hospital board and medical staff leadership challenges.
Goeschel CA, Wachter RM, Pronovost PJ. Chest. 2010;138:171-178.
BOOK/REPORT
Safer Hospital Care: Strategies for Continuous Innovation.
Raheja D. New York, NY: Productivity Press; 2011. ISBN: 9781439821022.
NEWSPAPER/MAGAZINE ARTICLE
AHRQ presses on: no rule yet, but agency taps 10 safety organizations.
DerGurahain J. Mod Healthc. November 10, 2008;38:8.
BOOK/REPORT
Using Workforce Practices to Drive Quality Improvement: A Guide for Hospitals.
McHugh M, Garman A, McAlearney A, Song P, Harrison M. Chicago, IL: Health Research & Educational Trust; June 2010.
STUDY
A resident-led institutional patient safety and quality improvement process.
Stueven J, Sklar DP, Kaloostian P, et al. Am J Med Qual. 2012;27:369-376.
MEETING/CONFERENCE PROCEEDINGS
The Role of HR in Quality and Patient Safety.
The American Society for Healthcare Human Resources Administration. San Diego, CA: July 24, 2008.
BOOK/REPORT
The Patient Safety Initiative at America’s Public Hospitals: The Year One Overview.
Research Brief. Washington, DC: National Association of Public Hospitals and Health Systems; January 2011.
NEWSPAPER/MAGAZINE ARTICLE
Patient safety front and center.
Terry K. Hosp Health Netw. July 2011;85:38-40, 42.
NEWSPAPER/MAGAZINE ARTICLE
Hospital safety records, CEO pay increasingly linked.
Wilson B. Am Med News. November 26, 2007:50:16.
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