PATIENT SAFETY PRIMERS
Device-related Complications (2)
Discontinuities, Gaps, and Hand-Off Problems (12)
Medication Safety (33)
Medical Complications (8)
Australia and New Zealand (2)
North America (45)
Journal Article (41)
Newspaper/Magazine Article (4)
Press Release/Announcement (2)
Special or Theme Issue (2)
Epidemiology of Errors and Adverse Events (22)
Active Errors (10)
Latent Errors (5)
Approach to Improving Safety
Quality Improvement Strategies (12)
Legal and Policy Approaches (5)
Error Reporting and Analysis (10)
Communication Improvement (21)
Human Factors Engineering (13)
Specialization of Care (3)
Logistical Approaches (3)
Culture of Safety (4)
Technologic Approaches (7)
Education and Training (10)
Health Care Providers (41)
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Non-Health Care Professionals (12)
Setting of Care
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The effect of medication reconciliation in elderly patients at hospital discharge.
Midlöv P, Bahrani L, Seyfali M, Höglund P, Rickhag E, Eriksson T. Int J Clin Pharm. 2012;34:113-119.
Improving medication error reporting in hospice care.
Boyer R, McPherson ML, Deshpande G, Smith SW. Am J Hosp Palliat Care. 2009;26:361-367.
Maalox Total Relief and Maalox Liquid Products: Medication Use Errors.
MedWatch Safety Alert. Rockville, MD: US Food and Drug Administration; February 17, 2010.
Health Care Comes Home: The Human Factors.
Committee on the Role of Human Factors in Home Health Care. Washington, DC: National Research Council; 2011. ISBN: 9780309212366.
Inappropriate medication in a national sample of US elderly patients receiving home health care.
Bao Y, Shao H, Bishop TF, Schackman BR, Bruce ML. J Gen Intern Med. 2012;27:304-310.
Medication errors in the homes of children with chronic conditions.
Walsh KE, Mazor KM, Stille CJ, et al. Arch Dis Child. 2011;96:581-586.
Effectiveness of a pharmacist–nurse intervention on resolving medication discrepancies for patients transitioning from hospital to home health care.
Setter SM, Corbett CF, Neumiller JJ, Gates BJ, Sclar DA, Sonnett TE. Am J Health Syst Pharm. 2009;66:2027-2031.
Medication assessments by care managers reveal potential safety issues in homebound older adults.
Golden AG, Qiu D, Roos BA. Ann Pharmacother. 2011;45:492-498.
Therapeutic errors among children in the community setting: nature, causes and outcomes.
McD Taylor D, Robinson J, Macleod D, Macbean CE, Braitberg G. J Paediatr Child Health. 2009;45:304-309.
Care transitions and home health care.
Boling PA. Clin Geriatr Med. 2009;25:135-148.
The patient who falls: "It's always a trade-off."
Tinetti ME, Kumar C. JAMA. 2010;303:258-266.
Ten Tips to Prevent an Accidental Overdose.
Silver Spring, MD: US Food and Drug Administration; May 2011.
Patient safety incidents in hospice care: observations from interdisciplinary case conferences.
Oliver DP, Demiris G, Wittenberg-Lyles E, Gage A, Dewsnap-Dreisinger ML, Luetkemeyer J. J Palliat Med. 2013 Oct 26; [Epub ahead of print].
The human factors of home health care: a conceptual model for examining safety and quality concerns.
Henriksen K, Joseph A, Zayas-Cabán T. J Patient Saf. 2009;5:229-236.
Older patients' understanding of emergency department discharge information and its relationship with adverse outcomes.
Hastings SN, Barrett A, Weinberger M, et al. J Patient Saf. 2011;7:19-25.
The Role of Human Factors in Home Health Care: Workshop Summary.
Olson S. Committee on the Role of Human Factors in Home Healthcare, National Research Council. Washington, DC: National Academies Press; 2010.
SPECIAL OR THEME ISSUE
Contributions from Ergonomics and Human Factors.
Qual Saf Health Care. 2010;19(suppl 3):i1-i79.
8 Ways to prevent medication errors in kids.
Payne JW. US News & World Report. May 3, 2010.
Multidose drug dispensing and discrepancies between medication records.
Wekre LJ, Spigset O, Sletvold O, Sund JK, Grimsmo A. Qual Saf Health Care. 2010;19:e42.
ISMP medication error report analysis.
Cohen MR. Hosp Pharm. 2008;43:696–698.
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