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PATIENT SAFETY PRIMERS
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Safety Target
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Device-related Complications (175)
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Diagnostic Errors (194)
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Identification Errors (108)
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Discontinuities, Gaps, and Hand-Off Problems (377)
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Fatigue and Sleep Deprivation (95)
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Medication Safety (960)
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Medical Complications (395)
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Nonsurgical Procedural Complications (102)
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Surgical Complications (689)
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Error Types
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Epidemiology of Errors and Adverse Events (731)
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Active Errors (523)
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Latent Errors (211)
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Near Miss (62)
Approach to Improving Safety
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Specialization of Care (183)
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Culture of Safety (449)
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Technologic Approaches (685)
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Clinical Areas
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Allied Health Services (9)
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Complementary and Alternative Medicine (1)
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Dentistry (6)
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Medicine (2391)
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Nursing (165)
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Pharmacy (318)
Target Audience
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Health Care Providers (2999)
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Health Care Executives and Administrators (2735)
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Non-Health Care Professionals (1425)
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Patients (343)
Setting of Care
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Hospitals (2007)
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Psychiatric Facilities (15)
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Residential Facilities (62)
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Ambulatory Care (424)
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Outpatient Surgery (56)
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Patient Transport (27)
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REVIEW
Patient safety and office-based anesthesia.
Urman RD, Punwani N, Shapiro FE. Curr Opin Anaesthesiol. 2012;25:648-653.
BOOK/REPORT
Back to Basics.
Gima Z, Gosselar P, Levine A, Lincoln T, Ramirez A. Washington, DC: Public Citizen; August 6, 2009.
NEWSPAPER/MAGAZINE ARTICLE
One group of doctors changes its ways.
Hallinan JT. Post-Gazette.com. June 21, 2005.
COMMENTARY
Patient safety in the ambulatory OB/GYN setting.
Weiss PM, Swisher E. Clin Obstet Gynecol. 2012;55:613-619.
STUDY
No harm found when nurse anesthetists work without supervision by physicians.
Dulisse B, Cromwell J. Health Aff (Millwood). 2010;29:1469-1475.
ORGANIZATIONAL POLICY/GUIDELINES
Practice advisory for the prevention and management of operating room fires.
Caplan RA, Barker SJ, Connis RT, et al; for American Society of Anesthesiologists Task Force on Operating Room Fires. Anesthesiology. 2008;108:786-801.
STUDY
Paid malpractice claims for adverse events in inpatient and outpatient settings.
Bishop TF, Ryan AK, Casalino LP. JAMA. 2011;305:2427-2431.
COMMENTARY
Practice advisory on anesthetic care for magnetic resonance imaging: a report by the American Society of Anesthesiologists Task Force on Anesthetic Care for Magnetic Resonance Imaging.
Anesthesiology. 2009;110:459-479.
STUDY
Missed steps in the preanesthetic set-up.
Demaria S Jr, Blasius K, Neustein SM. Anesth Analg. 2011;113:84-88.
REVIEW
A review of current and emerging approaches to address failure-to-rescue.
Taenzer AH, Pyke JB, McGrath SP. Anesthesiology. 2011;115:421-431.
NEWSPAPER/MAGAZINE ARTICLE
Safety in ASCs: putting patients first.
Dix K. Today's Surgicenter. December 1, 2006.
STUDY
Injury and liability associated with monitored anesthesia care: a closed claims analysis.
Bhananker SM, Posner KL, Cheney FW, Caplan RA, Lee LA, Domino KB. Anesthesiology. 2006;104:228-234.
SPECIAL OR THEME ISSUE
Quality of Anesthesia Care.
Neuman MD, Martinez EA, eds. Anesthesiol Clin. 2011;29:1-178.
REVIEW
Nature of human error: implications for surgical practice.
Cuschieri A. Ann Surg. 2006;244:642-648.
STUDY
Fall prevention in acute care hospitals: a randomized trial.
Dykes PC, Carroll DL, Hurley A, et al. JAMA. 2010;304:1912-1918.
STUDY
Incidence and root cause analysis of wrong-site pain management procedures: a multicenter study.
Cohen SP, Hayek SM, Datta S, et al. Anesthesiology. 2010;112:711-718.
BOOK/REPORT
When Things Go Wrong: Responding to Adverse Events.
A Consensus Statement of the Harvard Hospitals. Burlington: Massachusetts Coalition for the Prevention of Medical Errors; 2006.
COMMENTARY
Using medical malpractice closed claims data to reduce surgical risk and improve patient safety.
Manuel BM, Greenwald LM. Bull Am Coll Surg. March 2007;92:27-30.
BOOK/REPORT
Coordination Between Emergency and Primary Care Physicians.
Carrier E, Yee T, Holtzwart RA. Washington, DC: National Institute for Health Care Reform; 2011.
STUDY
Field test results of a new ambulatory care Medication Error and Adverse Drug Event Reporting System—MEADERS.
Hickner J, Zafar A, Kuo GM, et al. Ann Fam Med. 2010;8:517-525.
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