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PATIENT SAFETY PRIMERS
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Safety Target
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Device-related Complications (90)
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Diagnostic Errors (59)
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Identification Errors (43)
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Discontinuities, Gaps, and Hand-Off Problems (315)
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Fatigue and Sleep Deprivation (57)
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Medication Safety (512)
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Medical Complications (324)
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Nonsurgical Procedural Complications (30)
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Surgical Complications (130)
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Transfusion Complications (14)
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Psychological and Social Complications (78)
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Africa (4)
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Asia (33)
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Europe (318)
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Audiovisual (27)
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Award (17)
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Bibliography (1)
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Book/Report (211)
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Error Types
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Epidemiology of Errors and Adverse Events (466)
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Active Errors (230)
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Latent Errors (163)
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Near Miss (28)
Approach to Improving Safety
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Quality Improvement Strategies (664)
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Legal and Policy Approaches (441)
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Error Reporting and Analysis (726)
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Communication Improvement (496)
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Human Factors Engineering (207)
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Teamwork (141)
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Specialization of Care (160)
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Logistical Approaches (174)
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Culture of Safety (396)
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Technologic Approaches (368)
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Education and Training (390)
Clinical Areas
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Allied Health Services (2)
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Medicine (1618)
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Nursing (98)
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Pharmacy (191)
Target Audience
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Health Care Providers (1237)
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Health Care Executives and Administrators (1901)
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Non-Health Care Professionals (1043)
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Patients (219)
Setting of Care
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Hospitals (1868)
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Psychiatric Facilities (11)
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Residential Facilities (31)
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Ambulatory Care (149)
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Outpatient Surgery (22)
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Patient Transport (4)
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BOOK/REPORT
2009 Utah Sentinel Events Data Report.
Salt Lake City, UT: Utah Department of Health, Utah Hospitals & Health Systems Association, and HealthInsight; March 10, 2010.
PENNSYLVANIA LEGISLATION
An Amendment of the Medical Care Availability and Reduction of Error (Mcare) Act.
General Assembly of Pennsylvania. SB968 (2007).
BOOK/REPORT
Hospital Performance Report.
Trenton, NJ: New Jersey Department of Health and Senior Services; March 2012.
STUDY
Exploring the causes of adverse events in hospitals and potential prevention strategies.
Smits M, Zegers M, Groenewegen PP, et al. Qual Saf Health Care. 2010;19:e5.
NEWSPAPER/MAGAZINE ARTICLE
Transparency and public reporting are essential for a safe health care system.
Leape LL. Perspect Health Reform. New York, NY: The Commonwealth Fund; March 17, 2010.
BOOK/REPORT
Patient Safety Authority Annual Reports.
Harrisburg, PA: Patient Safety Authority; April 2013.
BOOK/REPORT
Few Adverse Events in Hospitals Were Reported to State Adverse Event Reporting Systems.
Wright S. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; July 2012. Report No. OEI-06-09-00092.
ORGANIZATIONAL POLICY/GUIDELINES
Leadership committed to safety.
Sentinel Event Alert. August 27, 2009;(43):1-3.
BOOK/REPORT
Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2011.
Oakbrook Terrace, IL: The Joint Commission; September 2011.
NEWSPAPER/MAGAZINE ARTICLE
Diagnostic error in acute care.
PA-PSRS Patient Saf Advis. 2010;7:76-86.
BOOK/REPORT
Adverse Events in Hospitals: State Reporting Systems.
Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; December 2008. Report No. OEI-06-07-00471.
BOOK/REPORT
Adverse Health Care Events Reporting System: What Have We Learned?
St. Paul, MN: Minnesota Department of Health; January 2009.
BOOK/REPORT
Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2012.
Oakbrook Terrace, IL: The Joint Commission; September 2012.
NEWSPAPER/MAGAZINE ARTICLE
Disruptive physicians.
Sandrick K. Trustee. November 2009.
STUDY
Use of electronic health records in US hospitals.
Jha AK, Desroches CM, Campbell EG, et al. N Engl J Med. 2009;360:1628-1638.
NEWSPAPER/MAGAZINE ARTICLE
Do you hold staff accountable for safety?
Terry K. Hosp Health Netw. February 2010.
STUDY
The effect of health information technology on quality in U.S. hospitals.
McCullough JS, Casey M, Moscovice I, Prasad S. Health Aff (Millwood). 2010;29:647-654.
STUDY
Slow progress on meeting hospital safety standards: learning from the Leapfrog Group's efforts.
Moran J, Scanlon D. Health Aff (Millwood). 2013;32:27-35.
BOOK/REPORT
Report of the Mid Staffordshire NHS Foundation Trust: Public Inquiry.
Francis R. London, UK: The Stationary Office; 2013. ISBN: 9780102981469.
BOOK/REPORT
The First Annual HealthGrades Pediatric Patient Safety in American Hospitals Study.
Reed K, May R. Golden, CO: Health Grades, Inc; 2010.
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