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The Collection
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PATIENT SAFETY PRIMERS
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Safety Target
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Device-related Complications (332)
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Diagnostic Errors (438)
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Identification Errors (226)
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Discontinuities, Gaps, and Hand-Off Problems (857)
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Fatigue and Sleep Deprivation (193)
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Medication Safety (2338)
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Medical Complications (789)
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Nonsurgical Procedural Complications (174)
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Surgical Complications (917)
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Transfusion Complications (43)
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Psychological and Social Complications (319)
Origin/Sponsor
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Africa (12)
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Asia (139)
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Australia and New Zealand (305)
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Central and South America (21)
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Europe (1257)
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North America (6432)
Resource Types
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Audiovisual (119)
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Award (58)
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Bibliography (4)
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Book/Report (498)
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Clinical Guideline (15)
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Journal Article (5956)
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Legislation/Regulation (115)
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Meeting/Conference (67)
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Newsletter/Journal (24)
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Newspaper/Magazine Article (864)
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Press Release/Announcement (88)
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Special or Theme Issue (138)
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Tools/Toolkit (158)
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Web Resource (268)
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Grant (26)
Error Types
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Epidemiology of Errors and Adverse Events (1668)
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Active Errors (1159)
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Latent Errors (498)
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Near Miss (136)
Approach to Improving Safety
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Quality Improvement Strategies (1988)
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Legal and Policy Approaches (939)
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Error Reporting and Analysis (2416)
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Communication Improvement (1882)
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Human Factors Engineering (1019)
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Teamwork (666)
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Specialization of Care (484)
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Logistical Approaches (594)
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Culture of Safety (1145)
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Technologic Approaches (1380)
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Education and Training (1667)
Clinical Areas
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Allied Health Services (28)
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Complementary and Alternative Medicine (2)
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Dentistry (13)
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Medicine (5060)
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Nursing (754)
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Pharmacy (903)
Target Audience
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Health Care Providers (5481)
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Health Care Executives and Administrators (5939)
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Non-Health Care Professionals (3154)
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Patients (780)
Setting of Care
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Hospitals (4664)
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Psychiatric Facilities (34)
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Residential Facilities (135)
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Ambulatory Care (739)
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Outpatient Surgery (77)
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Patient Transport (56)
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MULTI-USE WEBSITE
Patient Safety Organizations.
Agency for Healthcare Research and Quality.
MULTI-USE WEBSITE
National Surgical Quality Improvement Program.
American College of Surgeons.
GOVERNMENT RESOURCE
Partnership for Patients.
Washington, DC: US Department of Health and Human Services.
BOOK/REPORT
Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2011.
Oakbrook Terrace, IL: The Joint Commission; September 2011.
MULTI-USE WEBSITE
Improving America's Hospitals—The Joint Commission's Annual Report on Quality and Safety.
Oakbrook Terrace, IL: Joint Commission.
BOOK/REPORT
Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices.
Shekelle PG, Wachter RM, Pronovost PJ, eds. Rockville, MD: Agency for Healthcare Research and Quality; March 2013. AHRQ Publication No. 13-E001-EF.
SPECIAL OR THEME ISSUE
Making Health Care Safer: A Critical Review of Modern Evidence Supporting Strategies to Improve Patient Safety.
Shekelle PG, Pronovost PJ, Wachter RM, Rao JK, Mulrow CD, eds. Ann Intern Med. 2013;158(5 Pt 2):365-440.
STUDY
Relationship between occurrence of surgical complications and hospital finances.
Eappen S, Lane BH, Rosenberg B, et al. JAMA. 2013;309:1599-1606.
COMMENTARY
Balancing "no blame" with accountability in patient safety.
Wachter RM, Pronovost PJ. N Engl J Med. 2009;361:1401-1406.
STUDY
Disclosure-and-resolution programs that include generous compensation offers may prompt a complex patient response.
Murtagh L, Gallagher TH, Andrew P, Mello MM. Health Aff (Millwood). 2012;31:2681-2689.
STUDY
Effect of nonpayment for preventable infections in U.S. hospitals.
Lee GM, Kleinman K, Soumerai SB, et al. N Engl J Med. 2012;367:1428-1437.
TOOLKIT
CUSP Toolkit.
Rockville, MD: Agency for Healthcare Research and Quality; September 10, 2012.
PRESS RELEASE/ANNOUNCEMENT
AHRQ Patient Safety Project Reduces Bloodstream Infections by 40 Percent.
Rockville, MD: Agency for Healthcare Research and Quality; September 10, 2012.
BOOK/REPORT
Best Care at Lower Cost: The Path to Continuously Learning Health Care in America.
Smith M, Saunders R, Stuckhardt L, McGinnis JM, eds. Committee on the Learning Health Care System in America, Institute of Medicine. Washington, DC: National Academies Press; 2012. ISBN: 9780309260732.
STUDY
Factors contributing to all-cause 30-day readmissions: a structured case series across 18 hospitals.
Feigenbaum P, Neuwirth E, Trowbridge L, et al. Med Care. 2012;50:599-605.
STUDY
Adverse events among children in Canadian hospitals: the Canadian Paediatric Adverse Events Study.
Matlow AG, Baker GR, Flintoft V, et al. CMAJ. 2012;184:E709-E718.
STUDY
Preventing patient harms through systems of care.
Pronovost PJ, Bo-Linn GW. JAMA. 2012;308:769-770.
STUDY
Burnout and satisfaction with work-life balance among US physicians relative to the general US population.
Shanafelt TD, Boone S, Tan L, et al. Arch Intern Med. 2012;172:1377-1385.
BOOK/REPORT
Understanding Patient Safety, Second Edition.
Wachter RM. New York, NY: McGraw-Hill Professional; 2012. ISBN: 9780071765787.
STUDY
Residents' response to duty-hour regulations—a follow-up national survey.
Drolet BC, Christopher DA, Fischer SA. N Engl J Med. 2012;366:e35.
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