Audit and Feedback
PATIENT SAFETY PRIMERS
Device-related Complications (16)
Diagnostic Errors (27)
Identification Errors (5)
Discontinuities, Gaps, and Hand-Off Problems (29)
Fatigue and Sleep Deprivation (4)
Medication Safety (88)
Medical Complications (46)
Nonsurgical Procedural Complications (8)
Surgical Complications (32)
Transfusion Complications (1)
Psychological and Social Complications (4)
Australia and New Zealand (5)
North America (191)
Journal Article (218)
Newspaper/Magazine Article (22)
Special or Theme Issue (2)
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Epidemiology of Errors and Adverse Events (91)
Active Errors (56)
Latent Errors (17)
Near Miss (4)
Approach to Improving Safety
Audit and Feedback
Allied Health Services (1)
Health Care Providers (191)
Health Care Executives and Administrators (231)
Non-Health Care Professionals (82)
Setting of Care
Residential Facilities (3)
Ambulatory Care (24)
Outpatient Surgery (5)
Patient Transport (1)
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Environmental Safety in the OR.
Linkin DR, Lautenbach E. AHRQ WebM&M [serial online]. February 2004.
Patient characteristics and the occurrence of never events.
Fry DE, Pine M, Jones BL, Meimban RJ. Arch Surg. 2010;145:148-151.
Development of trigger tools for surveillance of adverse events in ambulatory surgery.
Kaafarani HM, Rosen AK, Nebeker JR, et al. Qual Saf Health Care. 2010;19:425-429.
Are opioid dependence and methadone maintenance treatment (MMT) documented in the medical record? A patient safety issue.
Walley AY, Farrar D, Cheng DM, Alford DP, Samet JH. J Gen Intern Med. 2009;24:1007-1011.
'Global Trigger Tool' shows that adverse events in hospitals may be ten times greater than previously measured.
Classen DC, Resar R, Griffin F, et al. Health Aff (Millwood). 2011;30:581-589.
Wrong-site sinus surgery in otolaryngology.
Shah RK, Nussenbaum B, Kienstra M, et al. Otolaryngol Head Neck Surg. 2010;143:37-41.
Adams JG. AHRQ WebM&M [serial online]. June 2003.
Resident participation does not affect surgical outcomes, despite introduction of new techniques.
Patel SP, Gauger PG, Brown DL, Englesbe MJ, Cederna PS. J Am Coll Surg. 2010;211:540-545.
Methodology and bias in assessing compliance with a surgical safety checklist.
Poon SJ, Zuckerman SL, Mainthia R, et al. Jt Comm J Qual Patient Saf. 2013;39:77-82.
Tracking progress in patient safety: an elusive target.
Pronovost PJ, Miller MR, Wachter RM. JAMA. 2006;296:696-699.
Making Strides in Safety.
Chicago, IL: American Medical Association.
Analysis of staff safety concerns.
Davidson J, Lamontagne G, Burnell L, et al. J Nurs Care Qual. 2013;28:147-152.
Professionalism: a necessary ingredient in a culture of safety.
DuPree E, Anderson R, McEvoy MD, Brodman M. Jt Comm J Qual Patient Saf. 2011;37:447-455.
HealthGrades Quality Study: Third Annual Patient Safety in American Hospitals Study.
Golden, CO: Health Grades, Inc.; April 2006.
Medication Safety Self Assessment for Automated Dispensing Cabinets.
Horsham, PA: Institute for Safe Medication Practices; 2009.
Using medication reconciliation to prevent errors.
Sentinel Event Alert. January 25, 2006;(35):1-4.
Nonhospital health care–associated hepatitis B and C virus transmission: United States, 1998-2008.
Thompson ND, Perz JF, Moorman AC, Holmberg SD. Ann Intern Med. 2009;150:33-39.
Family-centered multidisciplinary rounds enhance the team approach in pediatrics.
Rosen P, Stenger E, Bochkoris M, Hannon MJ, Kwoh CK. Pediatrics. 2009;123:e603-e608.
An inpatient fall prevention initiative in a tertiary care hospital.
Weinberg J, Proske D, Szerszen A, et al. Jt Comm J Qual Patient Saf. 2011;37:317-325.
Infection control assessment of ambulatory surgical centers.
Schaefer MK, Jhung M, Dahl M, et al. JAMA. 2010;303:2273-2279.
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