U.S. Department of Health & Human Services
PATIENT SAFETY PRIMERS
Device-related Complications (17)
Diagnostic Errors (56)
Identification Errors (6)
Discontinuities, Gaps, and Hand-Off Problems (17)
Medication Safety (6)
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Nonsurgical Procedural Complications (37)
Surgical Complications (9)
Psychological and Social Complications (3)
Australia and New Zealand (4)
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Clinical Guideline (1)
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Epidemiology of Errors and Adverse Events (31)
Active Errors (53)
Latent Errors (18)
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Approach to Improving Safety
Quality Improvement Strategies (39)
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Error Reporting and Analysis (52)
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Health Care Providers (126)
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Non-Health Care Professionals (34)
Setting of Care
Ambulatory Care (14)
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Accuracy of radiographic readings in the emergency department.
Petinaux B, Bhat R, Boniface K, Aristizabal J. Am J Emerg Med. 2011;29:18-25.
Emergency department image interpretation accuracy: the influence of immediate reporting by radiology.
Snaith B, Hardy M. Int Emerg Nurs. 2014;22:63-68.
Shapiro MJ. AHRQ WebM&M [serial online]. February 2004.
Radiation risks of diagnostic imaging.
Sentinel Event Alert #47. August 24, 2011.
The Dropped Lung.
Heffner JE. AHRQ WebM&M [serial online]. May 2003.
Quality initiatives: developing a radiology quality and safety program: a primer.
Johnson CD, Krecke KN, Roberts RM, Denham C. Radiographics. 2009;29:951-959.
A 60-year-old man with delayed care for a renal mass.
Schiff GD. JAMA. 2011;305:1890-1898.
Profiles in patient safety: misplaced femoral line guidewire and multiple failures to detect the foreign body on chest radiography.
Lum TE, Fairbanks RJ, Pennington EC, Zwemer FL. Acad Emerg Med. 2005;12:658-662.
Image Gently, Step Lightly: promoting radiation safety in pediatric interventional radiology.
Sidhu M, Goske MJ, Connolly B, et al. AJR Am J Roentgenol. 2010;195:W299-W301.
Operational rounds: a practical administrative process to improve safety and clinical services in radiology.
Donnelly LF, Dickerson JM, Lehkamp TW, Gessner KE, Moskovitz J, Hutchinson S. J Am Coll Radiol. 2008;5:1142-1149.
Improving patient safety in radiology: concepts for a comprehensive patient safety program.
Donnelly LF, Dickerson JM, Goodfriend MA, Muething SE. Semin Ultrasound CT MRI. 2010;31:67-70.
Flying Object Hits MRI.
Gosbee J, Gosbee LL. AHRQ WebM&M [serial online]. February 2003.
Spike in MR imaging accidents underscores need for regulation.
Radiological Society of North America. RSNA News; October 2010.
Application of failure mode and effect analysis in a radiology department.
Thornton E, Brook OR, Mendiratta-Lala M, Hallett DT, Kruskal JB. Radiographics. 2011;31:281-293.
Preventing accidents and injuries in the MRI suite.
Sentinel Event Alert. February 14, 2008;(38):1-3.
Using information to optimize medical outcomes.
Duncan JR, Evens RG. JAMA. 2009;301:2383-2385.
At VA hospital, a rogue cancer unit.
Bogdanich W. New York Times. June 20, 2009;National Desk:1.
Analysis and prioritization of near-miss adverse events in a radiology department.
Thornton RH, Miransky J, Killen AR, Solomon SB, Brody LA. AJR Am J Roentgenol. 2011;196:1120-1124.
ISMP medication error report analysis.
Smetzer JL, Cohen MR. Hosp Pharm. 2008;43:869-872.
Proposed revisions for diagnostic imaging services requirements.
Oakbrook Terrace, IL: Joint Commission; September 11, 2014.
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