U.S. Department of Health & Human Services
PATIENT SAFETY PRIMERS
2014 ANNUAL PERSPECTIVES
Device-related Complications (9)
Diagnostic Errors (65)
Identification Errors (8)
Discontinuities, Gaps, and Hand-Off Problems (88)
Fatigue and Sleep Deprivation (5)
Medication Safety (117)
Medical Complications (22)
Nonsurgical Procedural Complications (11)
Surgical Complications (5)
Transfusion Complications (2)
Psychological and Social Complications (6)
Australia and New Zealand (17)
Central and South America (1)
North America (293)
Journal Article (329)
Newspaper/Magazine Article (20)
Special or Theme Issue (6)
Web Resource (5)
Epidemiology of Errors and Adverse Events (128)
Active Errors (112)
Latent Errors (40)
Near Miss (7)
Approach to Improving Safety
Quality Improvement Strategies (76)
Legal and Policy Approaches (24)
Error Reporting and Analysis (85)
Communication Improvement (108)
Human Factors Engineering (37)
Specialization of Care (38)
Logistical Approaches (29)
Culture of Safety (22)
Technologic Approaches (49)
Education and Training (79)
Health Care Providers (283)
Health Care Executives and Administrators (258)
Non-Health Care Professionals (125)
Setting of Care
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A hospital races to learn lessons of Ferrari pit stop.
Naik G. Wall Street Journal. November 14, 2006:A1. [reprinted on Post-gazette.com].
Pediatric patient safety in the prehospital/emergency department setting.
Barata IA, Benjamin LS, Mace SE, Herman MI, Goldman RD. Pediatr Emerg Care. 2007;23:412-418.
Teamwork errors in trauma resuscitation.
Sarcevic A, Marsic I, Burd RS. ACM Trans Comput Hum Interact. 2012;19:13:1-13:30.
Patient Safety in Emergency Medicine.
Croskerry P, Cosby KS, Schenkel SM, Wears RL, eds. Philadelphia, PA: Lippincott Williams & Wilkins; 2009. ISBN: 9780781777278.
The Emergency Medical Services Safety Attitudes Questionnaire.
Patterson PD, Huang DT, Fairbanks RJ, Wang HE. Am J Med Qual. 2010;25:109-115.
SPECIAL OR THEME ISSUE
Safety in EMS.
Brice JH, Patterson PD, eds. Prehosp Emerg Care. 2012;16:1-108.
Pediatric patient safety in emergency departments: unit characteristics and staff perceptions.
Shaw KN, Ruddy RM, Olsen CS, et al; Pediatric Emergency Care Applied Research Network. Pediatrics. 2009;124:485-493.
Pediatric Patient Safety in the Emergency Department.
Krug SE, ed. Oak Brook, IL: Joint Commission Resources and the American Academy of Pediatrics; 2010. ISBN: 9781599402123.
Time motion study in a pediatric emergency department before and after computer physician order entry.
Yen K, Shane EL, Pawar SS, Schwendel ND, Zimmanck RJ, Gorelick MH. Ann Emerg Med. 2009;53:462-468.
Creating a culture of safety in the emergency department: the value of teamwork training.
Jones F, Podila P, Powers C. J Nurs Adm. 2013;43:194-200.
Emergency department visits for medical device–associated adverse events among children.
Wang C, Hefflin B, Cope JU, et al. Pediatrics. 2010;126:247-259.
Accuracy of radiographic readings in the emergency department.
Petinaux B, Bhat R, Boniface K, Aristizabal J. Am J Emerg Med. 2011;29:18-25.
Strategy for a National EMS Culture of Safety.
Irving, TX: American College of Emergency Physicians; 2013.
Comparison of Broselow tape measurements versus physician estimations of pediatric weights.
Rosenberg M, Greenberger S, Rawal A, Latimer-Pierson J, Thundiyil J. Am J Emerg Med. 2011;29:482-488.
Cough and cold medication adverse events after market withdrawal and labeling revision.
Hampton LM, Nguyen DB, Edwards JR, Budnitz DS. Pediatrics. 2013;132:1047-1054.
Facilitating a safe transition from the pediatric emergency department to home with a post-discharge phone call: a quality-improvement initiative to improve patient safety.
Bucaro PJ, Black E. J Emerg Nurs. 2014;40:245-252.
Adverse events from cough and cold medications after a market withdrawal of products labeled for infants.
Shehab N, Schaefer MK, Kegler SR, Budnitz DS. Pediatrics. 2010;126:1100-1107.
Emergency department image interpretation accuracy: the influence of immediate reporting by radiology.
Snaith B, Hardy M. Int Emerg Nurs. 2014;22:63-68.
Incidence and impact of physician and nurse disruptive behaviors in the emergency department.
Rosenstein AH, Naylor B. J Emerg Med. 2012;43:139-148.
ED revamp: team approach to care reduces errors, boosts patient and clinician satisfaction.
ED Manag. 2011;23:78-80.
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