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The Collection
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Health Care Executives and Administrators
PATIENT SAFETY PRIMERS
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Safety Target
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Device-related Complications (255)
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Diagnostic Errors (246)
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Identification Errors (163)
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Discontinuities, Gaps, and Hand-Off Problems (623)
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Fatigue and Sleep Deprivation (155)
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Medication Safety (1577)
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Medical Complications (622)
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Nonsurgical Procedural Complications (128)
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Surgical Complications (645)
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Epidemiology of Errors and Adverse Events (1297)
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Approach to Improving Safety
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Quality Improvement Strategies (1560)
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Human Factors Engineering (769)
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Logistical Approaches (450)
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Culture of Safety (974)
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Medicine (3673)
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Nursing (666)
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Pharmacy (514)
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Health Care Executives and Administrators
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Facility and Group Administrators (600)
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Nurse Managers (670)
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Risk Managers (918)
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Quality and Safety Professionals (2781)
Setting of Care
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Hospitals (3563)
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Psychiatric Facilities (25)
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Residential Facilities (106)
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Ambulatory Care (424)
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Outpatient Surgery (53)
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Patient Transport (44)
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MULTI-USE WEBSITE
Patient Safety Organizations.
Agency for Healthcare Research and Quality.
MULTI-USE WEBSITE
National Surgical Quality Improvement Program.
American College of Surgeons.
GOVERNMENT RESOURCE
Partnership for Patients.
Washington, DC: US Department of Health and Human Services.
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.
MULTI-USE WEBSITE
Improving America's Hospitals—The Joint Commission's Annual Report on Quality and Safety.
Oakbrook Terrace, IL: Joint Commission.
COMMENTARY
Balancing "no blame" with accountability in patient safety.
Wachter RM, Pronovost PJ. N Engl J Med. 2009;361:1401-1406.
BOOK/REPORT
Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices.
Shekelle PG, Wachter RM, Pronovost PJ, eds. Rockville, MD: Agency for Healthcare Research and Quality; March 2013. AHRQ Publication No. 13-E001-EF.
SPECIAL OR THEME ISSUE
Making Health Care Safer: A Critical Review of Modern Evidence Supporting Strategies to Improve Patient Safety.
Shekelle PG, Pronovost PJ, Wachter RM, Rao JK, Mulrow CD, eds. Ann Intern Med. 2013;158(5 Pt 2):365-440.
STUDY
Relationship between occurrence of surgical complications and hospital finances.
Eappen S, Lane BH, Rosenberg B, et al. JAMA. 2013;309:1599-1606.
STUDY
Effect of nonpayment for preventable infections in U.S. hospitals.
Lee GM, Kleinman K, Soumerai SB, et al. N Engl J Med. 2012;367:1428-1437.
STUDY
Disclosure-and-resolution programs that include generous compensation offers may prompt a complex patient response.
Murtagh L, Gallagher TH, Andrew P, Mello MM. Health Aff (Millwood). 2012;31:2681-2689.
STUDY
Factors contributing to all-cause 30-day readmissions: a structured case series across 18 hospitals.
Feigenbaum P, Neuwirth E, Trowbridge L, et al. Med Care. 2012;50:599-605.
BOOK/REPORT
Best Care at Lower Cost: The Path to Continuously Learning Health Care in America.
Smith M, Saunders R, Stuckhardt L, McGinnis JM, eds. Committee on the Learning Health Care System in America, Institute of Medicine. Washington, DC: National Academies Press; 2012. ISBN: 9780309260732.
TOOLKIT
CUSP Toolkit.
Rockville, MD: Agency for Healthcare Research and Quality; September 10, 2012.
PRESS RELEASE/ANNOUNCEMENT
AHRQ Patient Safety Project Reduces Bloodstream Infections by 40 Percent.
Rockville, MD: Agency for Healthcare Research and Quality; September 10, 2012.
STUDY
Burnout and satisfaction with work-life balance among US physicians relative to the general US population.
Shanafelt TD, Boone S, Tan L, et al. Arch Intern Med. 2012;172:1377-1385.
STUDY
Effect of a pharmacist intervention on clinically important medication errors after hospital discharge: a randomized trial.
Kripalani S, Roumie CL, Dalal AK, et al; PILL-CVD (Pharmacist Intervention for Low Literacy in Cardiovascular Disease) Study Group. Ann Intern Med. 2012;157:1-10.
STUDY
Patient safety reporting systems: sustained quality improvement using a multidisciplinary team and "Good Catch" awards.
Herzer KR, Mirrer M, Xie Y, et al. Jt Comm J Qual Patient Saf. 2012;38:339-347.
STUDY
Preventable deaths due to problems in care in English acute hospitals: a retrospective case record review study.
Hogan H, Healey F, Neale G, Thomson R, Vincent C, Black N. BMJ Qual Saf. 2012;21:737-745.
REVIEW
Hospital-based medication reconciliation practices: a systematic review.
Mueller SK, Sponsler KC, Kripalani S, Schnipper JL. Arch Intern Med. 2012;172:1057-1069.
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