PATIENT SAFETY PRIMERS
Device-related Complications (3)
Diagnostic Errors (34)
Identification Errors (4)
Discontinuities, Gaps, and Hand-Off Problems (46)
Fatigue and Sleep Deprivation (1)
Medication Safety (97)
Medical Complications (9)
Surgical Complications (1)
Psychological and Social Complications (12)
Australia and New Zealand (8)
North America (176)
Clinical Guideline (1)
Journal Article (224)
Newspaper/Magazine Article (9)
Web Resource (1)
Epidemiology of Errors and Adverse Events (82)
Active Errors (41)
Latent Errors (11)
Near Miss (4)
Approach to Improving Safety
Quality Improvement Strategies (50)
Legal and Policy Approaches (20)
Error Reporting and Analysis (76)
Communication Improvement (85)
Human Factors Engineering (11)
Specialization of Care (7)
Logistical Approaches (16)
Culture of Safety (23)
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Education and Training (39)
Health Care Providers (193)
Health Care Executives and Administrators (155)
Non-Health Care Professionals (111)
Setting of Care
Psychiatric Facilities (2)
Residential Facilities (2)
Ambulatory Care (209)
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Deficits in communication and information transfer between hospital-based and primary care physicians: implications for patient safety and continuity of care.
Kripalani S, LeFevre F, Phillips CO, Williams MV, Basaviah P, Baker DW. JAMA. 2007;297:831-841.
Safety in Doses.
London, UK: National Patient Safety Agency; 2009. ISBN: 9781906624088.
Getting Safer Care.
Agency for Healthcare Research and Quality.
The care transitions intervention: translating from efficacy to effectiveness.
Voss R, Gardner R, Baier R, Butterfield K, Lehrman S, Gravenstein S. Arch Intern Med. 2011;171:1232-1237.
Transitions of Care Consensus Policy Statement American College of Physicians-Society of General Internal Medicine-Society of Hospital Medicine-American Geriatrics Society-American College of Emergency Physicians-Society of Academic Emergency Medicine.
Snow V, Beck D, Budnitz T, et al. J Gen Intern Med. 2009;24:971-976.
Post-discharge medication reviews for patients with heart failure: a pilot study.
Ponniah A, Shakib S, Doecke CJ, Boyce M, Angley M. Pharm World Sci. 2008;30:810-815.
Routinely recorded patient safety events in primary care: a literature review.
Tsang C, Majeed A, Aylin P. Fam Pract. 2012;29:8-15.
Information exchange among physicians caring for the same patient in the community.
van Walraven C, Taljaard M, Bell CM, et al. CMAJ. 2008;179:1013-1018.
Moving Forward with Patient- and Family-Centered Care.
Institute for Patient- and Family-Centered Care. March 31-April 4, 2014; San Francisco Airport Marriott Waterfront: Burlingame, CA.
Association of communication between hospital-based physicians and primary care providers with patient outcomes.
Bell CM, Schnipper JL, Auerbach AD, et al. J Gen Intern Med. 2009;24:381-386.
Safety First: Top of Your Board's Agenda: 100 Day Challenge Survey Report.
The Patients Association. Harrow, Middlesex, UK: The Patients Association; June 2009.
An effort to improve electronic health record medication list accuracy between visits: patients' and physicians' response.
Staroselsky M, Volk LA, Tsurikova R, et al. Int J Med Inform. 2008;77:153-160.
Frequency of and risk factors for preventable medication-related hospital admissions in the Netherlands.
Leendertse AJ, Egberts ACG, Stoker LJ, van den Bemt PMLA, for the HARM Study Group. Arch Intern Med. 2008;168:1890-1896.
Improving medication safety in primary care using electronic health records.
Nemeth LS, Wessell AM. J Patient Saf. 2010;6:238-243.
ISMP medication error report analysis.
Smetzer JL, Cohen MR. Hosp Pharm. 2008;43:869-872.
Small patients, big consequences in medical errors.
Tarkan L. New York Times. September 14, 2008;Health section:7.
Creating a better discharge summary: improvement in quality and timeliness using an electronic discharge summary.
O'Leary KJ, Liebovitz SM, Feinglass J, et al. J Hosp Med. 2009;4:219-225.
Schillinger D. AHRQ WebM&M [serial online]. March 2004.
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation.
Gleason KM, Brake H, Agramonte V, Perfetti C. Rockville, MD: Agency for Healthcare Research and Quality; Revised August 2012. AHRQ Publication No. 11(12)-0059.
Medication, allergy, and adverse drug event discrepancies in ambulatory care.
Stephens M, Fox B, Kukulka G, Bellamy J. Fam Medicine. 2008;40:107-110.
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