U.S. Department of Health & Human Services
PATIENT SAFETY PRIMERS
North America (65)
Journal Article (79)
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Epidemiology of Errors and Adverse Events (32)
Active Errors (67)
Latent Errors (8)
Approach to Improving Safety
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Health Care Providers (85)
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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.
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.
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.
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.
Calland JF. AHRQ WebM&M [serial online]. January 2004.
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.
Adams JG. AHRQ WebM&M [serial online]. June 2003.
Preventable morbidity at a mature trauma center.
Teixeira PGR, Inaba K, Salim A, et al. Arch Surg. 2009;144:536-541.
Diagnostic errors and temporal stability in bipolar disorder.
López J, Baca E, Botillo C, et al. Actas Esp Psiquiatr. 2008;36:205-209.
Preventing the tragedy of misdiagnosis.
Landro L. Wall Street Journal (Eastern edition). November 29, 2006: D1-D5. [Reprinted on Post-gazette.com].
Redesigning surgical decision making for high-risk patients.
Glance LG, Osler TM, Neuman MD. N Engl J Med. 2014;370:1379-1381.
Delirium or Dementia?
Rudolph JL. AHRQ WebM&M [serial online]. May 2009.
The pursuit of better diagnostic performance: a human factors perspective.
Henriksen K, Brady J. BMJ Qual Saf. 2013;22(supp 2):1-5.
Coming Up Short
Hochberg Z. AHRQ WebM&M [serial online]. October 2008.
Fixing broken bones and broken homes: domestic violence as a patient safety issue.
Cohn F, Rudman WJ. Jt Comm J Qual Saf. 2004;30:636-646.
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.
An Outpatient “Zebra”
Berkowitz L. AHRQ WebM&M [serial online]. January 2006.
Failure to Latch
Rodriguez M., Mannel R., Frye D. MN AHRQ WebM&M [serial online]. September 2008.
Breast Cancer Services in Trafford and North Manchester. An Investigation Into The Circumstances Surrounding A Serious Clinical Incident In Symptomatic Breast Services – The Baker Report.
Baker M. Manchester, England: NHS North West; February 2007.
Software for symptoms.
Borzo J. Wall Street Journal. May 23, 2005:R10.
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