U.S. Department of Health & Human Services
PATIENT SAFETY PRIMERS
Device-related Complications (34)
Diagnostic Errors (50)
Identification Errors (23)
Discontinuities, Gaps, and Hand-Off Problems (95)
Fatigue and Sleep Deprivation (4)
Medication Safety (166)
Medical Complications (40)
Nonsurgical Procedural Complications (14)
Surgical Complications (47)
Transfusion Complications (3)
Psychological and Social Complications (26)
Australia and New Zealand (19)
North America (399)
Journal Article (390)
Newspaper/Magazine Article (63)
Press Release/Announcement (11)
Special or Theme Issue (6)
Web Resource (10)
Approach to Improving Safety
Quality Improvement Strategies (124)
Legal and Policy Approaches (72)
Error Reporting and Analysis (159)
Communication Improvement (160)
Human Factors Engineering (108)
Specialization of Care (16)
Logistical Approaches (40)
Culture of Safety (84)
Technologic Approaches (111)
Education and Training (116)
Allied Health Services (5)
Health Care Providers (427)
Health Care Executives and Administrators (404)
Non-Health Care Professionals (288)
Setting of Care
Psychiatric Facilities (2)
Residential Facilities (8)
Ambulatory Care (70)
Outpatient Surgery (4)
Patient Transport (6)
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Failure to Report
Spath PL. AHRQ WebM&M [serial online]. March 2007.
Error tracking in a clinical biochemistry laboratory.
Szecsi PB, Ødum L. Clin Chem Lab Med. 2009;47:1253-1257.
Patient Safety Authority Annual Reports.
Harrisburg, PA: Patient Safety Authority; April 2014.
Time-dependent drug–drug interaction alerts in care provider order entry: software may inhibit medication error reductions.
van der Sijs H, Lammers L, van den Tweel A, et al. J Am Med Inform Assoc. 2009;16:864-868.
Identifying causes of adverse events detected by an automated trigger tool through in-depth analysis.
Muething SE, Conway PH, Kloppenborg E, et al. Qual Saf Health Care. 2010;19:435-439.
Nature, causes and consequences of unintended events in surgical units.
van Wagtendonk I, Smits M, Merten H, Heetveld MJ, Wagner C. Br J Surg. 2010;97:1730-1740.
Check the Wristband.
Rosenthal MM. AHRQ WebM&M [serial online]. July 2003.
Eliminating Serious, Preventable, and Costly Medical Errors - Never Events.
Baltimore, MD: Centers for Medicare & Medicaid Services (CMS) Office of Public Affairs; May 18, 2006.
ISMP medication error report analysis.
Cohen MR. Hosp Pharm. 2006;41:405-406.
Mortality related to anaesthesia in France: analysis of deaths related to airway complications.
Auroy Y, Benhamou D, Péquignot F, Bovet M, Jougla E, Lienhart A. Anaesthesia. 2009;64:366-370.
Applying modern error theory to the problem of missed injuries in trauma.
Clarke DL, Gouveia J, Thomson SR, Muckart DJJ. World J Surg. 2008;32:1176-1182.
ISMP medication error report analysis.
Cohen MR. Hosp Pharm. 2008;43:547-550, 554.
Insufficient communication about medication use at the interface between hospital and primary care.
Glintborg B, Andersen SE, Dalhoff K. Qual Saf Health Care. 2007;16:34-39.
Learning from different lenses: reports of medical errors in primary care by clinicians, staff, and patients: a project of the American Academy of Family Physicians National Research Network.
Phillips RL, Dovey SM, Graham D, Elder NC, Hickner JM. J Patient Saf. 2006;2:140-146.
Journal reporting of medical errors: the wisdom of Solomon, the bravery of Achilles, and the foolishness of Pan.
Murphy JG, Stee L, McEvoy MT, Oshiro J. Chest. 2007;131:890-896.
SPECIAL OR THEME ISSUE
Special Issue: Patient Safety.
The Sorry Works! Coalition: making the case for full disclosure.
Wojcieszak D, Banja J, Houk C. Jt Comm J Qual Patient Saf. 2006;32:344-350.
Reducing warfarin medication interactions: an interrupted time series evaluation.
Feldstein AC, Smith DH, Perrin N, et al. Arch Intern Med. 2006;166:1009-1015.
Adams JG. AHRQ WebM&M [serial online]. June 2003.
Urine a Tough Position.
Gandhi TK. AHRQ WebM&M [serial online]. October 2003.
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