U.S. Department of Health & Human Services
PATIENT SAFETY PRIMERS
2014 ANNUAL PERSPECTIVES
North America (66)
Journal Article (79)
Newspaper/Magazine Article (10)
Epidemiology of Errors and Adverse Events (33)
Active Errors (67)
Latent Errors (8)
Approach to Improving Safety
Quality Improvement Strategies (26)
Legal and Policy Approaches (7)
Error Reporting and Analysis (27)
Communication Improvement (20)
Human Factors Engineering (6)
Specialization of Care (6)
Logistical Approaches (2)
Culture of Safety (3)
Technologic Approaches (10)
Education and Training (21)
Health Care Providers (85)
Health Care Executives and Administrators (53)
Non-Health Care Professionals (30)
Setting of Care
Psychiatric Facilities (3)
Ambulatory Care (18)
Patient Transport (1)
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Quality of clinical aspects of call handling at Dutch out of hours centres: cross sectional national study.
Derkx HP, Rethans JE, Muijtjens AM, et al. BMJ. 2008;337:a1264.
The impact of clinically undiagnosed injuries on survival estimates.
Gedeborg R, Thiblin I, Byberg L, Wernroth L, Michaëlsson K. Crit Care Med. 2009;37:449-455.
Diagnostic errors and temporal stability in bipolar disorder.
López J, Baca E, Botillo C, et al. Actas Esp Psiquiatr. 2008;36:205-209.
Adams JG. AHRQ WebM&M [serial online]. June 2003.
Calland JF. AHRQ WebM&M [serial online]. January 2004.
Comparison of the clinical diagnosis and subsequent autopsy findings in medical malpractice.
Pakis I, Polat O, Yayci N, Karapirli M. Am J Forensic Med Pathol. 2010;31:218-221.
Missed opportunities to initiate endoscopic evaluation for colorectal cancer diagnosis.
Singh H, Daci K, Petersen LA, et al. Am J Gastroenterol. 2009;104:2543-2554.
Preventable morbidity at a mature trauma center.
Teixeira PGR, Inaba K, Salim A, et al. Arch Surg. 2009;144:536-541.
Characteristics of patients misdiagnosed with Alzheimer's disease and their medication use: an analysis of the NACC-UDS database.
Gaugler JE, Ascher-Svanum H, Roth DL, Fafowora T, Siderowf A, Beach TG. BMC Geriatr. 2013;13:137.
Classifying errors in preventable and potentially preventable trauma deaths: a 9-year review using the Joint Commission's standardized methodology.
Vioque SM, Kim PK, McMaster J, et al. Am J Surg. 2014;208:187-194.
Misdiagnosis and missed diagnoses in foster and adopted children with prenatal alcohol exposure.
Chasnoff IJ, Wells AM, King L. Pediatrics. 2015;135:264-270.
Readmission after delayed diagnosis of surgical site infection: a focus on prevention using the American College of Surgeons National Surgical Quality Improvement Program.
Gibson A, Tevis S, Kennedy G. Am J Surg. 2014;207:832-839.
National Institutes of Health, National Cancer Institute. September 1–3, 2015; The National Institutes of Health, Natcher Building, Bethesda, MD.
Missed diagnosis of stroke in the emergency department: a cross-sectional analysis of a large population-based sample.
Newman-Toker DE, Moy E, Valente E, Coffey R, Hines AL. Diagnosis.
Redesigning surgical decision making for high-risk patients.
Glance LG, Osler TM, Neuman MD. N Engl J Med. 2014;370:1379-1381.
The pursuit of better diagnostic performance: a human factors perspective.
Henriksen K, Brady J. BMJ Qual Saf. 2013;22(supp 2):1-5.
Cognitive balanced model: a conceptual scheme of diagnostic decision making.
Lucchiari C, Pravettoni G. J Eval Clin Pract. 2012;18:82-88.
Autopsy as a quality control measure for radiology, and vice versa.
Murken DR, Ding M, Branstetter BF IV, Nichols L. AJR Am J Roentgenol. 2012;199:394-401.
Underdiagnosis of hypertension using electronic health records.
Banerjee D, Chung S, Wong EC, Wang EJ, Stafford RS, Palaniappan LP. Am J Hypertens. 2012;25:97-102.
Confirmation bias: why psychiatrists stick to wrong preliminary diagnoses.
Mendel R, Traut-Mattausch E, Jonas E, et al. Psychol Med. 2011;41:2651-2659.
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