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PATIENT SAFETY PRIMERS
Detection of Safety Hazards

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Safety Target

•Device-related Complications (77)

•Diagnostic Errors (78)

•Identification Errors (48)

•Discontinuities, Gaps, and Hand-Off Problems (132)

•Fatigue and Sleep Deprivation (10)

•Medication Safety (382)

•Medical Complications (234)

•Nonsurgical Procedural Complications (37)

•Surgical Complications (142)

•Transfusion Complications (11)

•Psychological and Social Complications (33)

Origin/Sponsor

•Australia and New Zealand (25)

•Central and South America (3)

•Europe (152)

•North America (1228)

Resource Types

•Audiovisual (19)

•Bibliography (1)

•Book/Report (154)

•Clinical Guideline (6)

•Journal Article (891)

•Legislation/Regulation (36)

•Meeting/Conference (14)

•Newsletter/Journal (5)

•Newspaper/Magazine Article (180)

•Press Release/Announcement (9)

•Special or Theme Issue (41)

•Tools/Toolkit (34)

•Web Resource (65)

Error Types

•Epidemiology of Errors and Adverse Events (205)

•Active Errors (183)

•Latent Errors (87)

•Near Miss (16)

Approach to Improving Safety
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Quality Improvement Strategies

•Audit and Feedback (185)

•Benchmarking (158)

•Continuous Quality Improvement (37)

•Critical Pathways (56)

•Practice Guidelines (242)

•Reminders (44)

•Patient Self-Management (103)

•Six Sigma (9)

Clinical Areas

•Allied Health Services (5)

•Dentistry (3)

•Medicine (891)

•Nursing (82)

•Pharmacy (114)

Target Audience

•Health Care Providers (967)

•Health Care Executives and Administrators (1218)

•Non-Health Care Professionals (494)

•Patients (126)

Setting of Care

•Hospitals (907)

•Psychiatric Facilities (6)

•Residential Facilities (21)

•Ambulatory Care (140)

•Outpatient Surgery (25)

•Patient Transport (4)

1 - 20 of 1472

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REVIEW

Responsibility for quality improvement and patient safety: hospital board and medical staff leadership challenges.

Goeschel CA, Wachter RM, Pronovost PJ. Chest. 2010;138:171-178.

BOOK/REPORT

Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2012.

Oakbrook Terrace, IL: The Joint Commission; September 2012.

BOOK/REPORT

Safer Hospital Care: Strategies for Continuous Innovation.

Raheja D. New York, NY: Productivity Press; 2011. ISBN: 9781439821022.

STUDY

Lack of patient knowledge regarding hospital medications.

Cumbler E, Wald H, Kutner J. J Hosp Med. 2010;5-83-86.

STUDY

Evaluation of organizational culture among different levels of healthcare staff participating in the Institute for Healthcare Improvement's 100,000 Lives Campaign.

Sinkowitz-Cochran RL, Garcia-Williams A, Hackbarth AD, et al. Infect Control Hosp Epidemiol. 2012;33:135-143.

AWARD RECIPIENT

2006 Quest for Quality Prize.

Runy LA. Hosp Health Netw. September 2006.

STUDY

Impact of a statewide intensive care unit quality improvement initiative on hospital mortality and length of stay: retrospective comparative analysis.

Lipitz-Snyderman A, Steinwachs D, Needham DM, Colantuoni E, Morlock LL, Pronovost PJ. BMJ. 2011;342:d219.

NEWSPAPER/MAGAZINE ARTICLE

Hospitals boost patients' power as advisers.

Landro L. Wall Street Journal. August 8, 2007:D1.

BOOK/REPORT

Tennessee Center for Patient Safety Annual Report 2010.

Nashville, TN: Tennessee Center for Patient Safety; August 2011.

NEWSPAPER/MAGAZINE ARTICLE

Survey shows recession has weakened patient safety net.

ISMP Medication Safety Alert! Acute Care Edition. January 14, 2010;15:1-4.

COMMENTARY

Assessing hospital safety on nights and weekends: the SWAN tool.

Shulkin DJ. J Patient Saf. 2009;5:75-78.

COMMENTARY

As she lay dying: how I fought to stop medical errors from killing my mom.

Welch JR. Health Aff (Millwood). 2012;31:2817-2820.

STUDY

Hospital discharge documentation and risk of rehospitalisation.

Hansen LO, Strater A, Smith L, et al. BMJ Qual Saf. 2011;20:773-778.

BOOK/REPORT

Achieving an Exceptional Patient and Family Experience of Inpatient Hospital Care.

Balik B, Conway J, Zipperer L, Watson J. Cambridge, MA: Institute for Healthcare Improvement; 2011.

REVIEW

Interdisciplinary teamwork in hospitals: a review and practical recommendations for improvement.

O'Leary KJ, Sehgal NL, Terrell G, Williams MV; High Performance Teams and the Hospital of the Future Project Team. J Hosp Med. 2011 Oct 31; [Epub ahead of print].

NEWSPAPER/MAGAZINE ARTICLE

Top 10 ways to improve patient safety now.

O'Reilly KB. American Medical News. April 15, 2013.

STUDY

Organisational culture: variation across hospitals and connection to patient safety climate.

Speroff T, Nwosu S, Greevy R, et al. Qual Saf Health Care. 2010;19:592-596.

STUDY

Hospital governance and the quality of care.

Jha AK, Epstein AM. Health Aff (Millwood). 2010;29:182-187.

BOOK/REPORT

Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2010.

Oakbrook Terrace, IL: The Joint Commission; September 2010.

AWARD RECIPIENT

Announcing 2009 Leapfrog top hospitals.

Washington, DC: Leapfrog Group; December 4, 2009.

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