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 (27)
Australia and New Zealand (19)
North America (407)
Journal Article (400)
Newspaper/Magazine Article (63)
Press Release/Announcement (10)
Special or Theme Issue (6)
Web Resource (11)
Approach to Improving Safety
Quality Improvement Strategies (130)
Legal and Policy Approaches (73)
Error Reporting and Analysis (162)
Communication Improvement (162)
Human Factors Engineering (106)
Specialization of Care (16)
Logistical Approaches (40)
Culture of Safety (87)
Technologic Approaches (113)
Education and Training (118)
Allied Health Services (5)
Health Care Providers (430)
Health Care Executives and Administrators (411)
Non-Health Care Professionals (299)
Setting of Care
Psychiatric Facilities (2)
Residential Facilities (9)
Ambulatory Care (72)
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.
ISMP medication error report analysis.
Cohen MR. Hosp Pharm. 2006;41:405-406.
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.
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.
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.
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.
Patient Safety Authority Annual Reports.
Harrisburg, PA: Patient Safety Authority; April 2014.
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.
Litigation related to drug errors in anaesthesia: an analysis of claims against the NHS in England 1995-2007.
Cranshaw J, Gupta KJ, Cook TM. Anaesthesia. 2009;64:1317-1323.
Flying Object Hits MRI.
Gosbee J, Gosbee LL. AHRQ WebM&M [serial online]. February 2003.
A literature review of the individual and systems factors that contribute to medication errors in nursing practice.
Brady AM, Malone AM, Fleming S. J Nurs Manag. 2009;17:679-697.
An intervention to decrease patient identification band errors in a children's hospital.
Hain PD, Joers B, Rush M, et al. Qual Saf Health Care. 2010;19:244-247.
Organizational Change in the Face of Highly Public Errors—I. The Dana-Farber Cancer Institute Experience
Conway JB, Weingart SN. AHRQ WebM&M [serial online]. May 2005.
Medical errors and consequent adverse events in critically ill surgical patients in a tertiary care teaching hospital in Delhi.
Kumar S, Chaudhary S. J Emerg Trauma Shock. 2009;2:80-84.
Does the implementation of an electronic prescribing system create unintended medication errors? A study of the sociotechnical context through the analysis of reported medication incidents.
Redwood S, Rajakumar A, Hodson J, Coleman JJ. BMC Med Inform Decis Mak. 2011;11:29.
Critical incidents related to cardiac arrests reported to the Danish Patient Safety Database.
Andersen PO, Maaløe R, Andersen HB. Resuscitation. 2010;81:312-316.
Do Not Disturb!
Duffy FD, Cassel CK. AHRQ WebM&M [serial online]. October 2007.
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