U.S. Department of Health & Human Services
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PATIENT SAFETY PRIMERS
2014 ANNUAL PERSPECTIVES
Device-related Complications (16)
Diagnostic Errors (29)
Identification Errors (6)
Discontinuities, Gaps, and Hand-Off Problems (31)
Fatigue and Sleep Deprivation (3)
Medication Safety (88)
Medical Complications (44)
Nonsurgical Procedural Complications (6)
Surgical Complications (32)
Transfusion Complications (1)
Psychological and Social Complications (3)
Australia and New Zealand (10)
North America (164)
Journal Article (232)
Newspaper/Magazine Article (15)
Special or Theme Issue (1)
Web Resource (2)
Epidemiology of Errors and Adverse Events (127)
Active Errors (74)
Latent Errors (33)
Near Miss (5)
Approach to Improving Safety
Audit and Feedback
Allied Health Services (1)
Health Care Providers (206)
Health Care Executives and Administrators (236)
Non-Health Care Professionals (86)
Setting of Care
Residential Facilities (3)
Ambulatory Care (28)
Outpatient Surgery (4)
Patient Transport (1)
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Error tracking in a clinical biochemistry laboratory.
Szecsi PB, Ødum L. Clin Chem Lab Med. 2009;47:1253-1257.
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.
Wrong-site sinus surgery in otolaryngology.
Shah RK, Nussenbaum B, Kienstra M, et al. Otolaryngol Head Neck Surg. 2010;143:37-41.
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.
The incidence and nature of prescribing and medication administration errors in paediatric inpatients.
Ghaleb MA, Barber N, Franklin BD, Wong ICK. Arch Dis Child. 2010;95:113-118.
Characteristics of medication errors and adverse drug events in hospitals participating in the California Pediatric Patient Safety Initiative.
Takata GS, Taketomo CK, Waite S; for the California Pediatric Patient Safety Initiative. Am J Health Syst Pharm. 2008;65:2036-2044.
Quality of clinical aspects of call handling at Dutch out of hours centres: cross sectional national study.
Derkx HP, Rethans JE, Muijtjens AM, et al. BMJ. 2008;337:a1264.
Crossing the Line.
Feldman JP, Gould MK. AHRQ WebM&M [serial online]. March 2004.
Patient safety systems in the primary health care of diabetes—a story of missed opportunities?
Taub N, Baker R, Khunti K, et al. Diabet Med. 2010;27:1322-1326.
Environmental Safety in the OR.
Linkin DR, Lautenbach E. AHRQ WebM&M [serial online]. February 2004.
Patient record review of the incidence, consequences, and causes of diagnostic adverse events.
Zwaan L, de Bruijne M, Wagner C, et al. Arch Intern Med. 2010;170:1015-1021.
Comparison of the clinical diagnosis and subsequent autopsy findings in medical malpractice.
Pakis I, Polat O, Yayci N, Karapirli M. Am J Forensic Med Pathol. 2010;31:218-221.
Do Not Disturb!
Duffy FD, Cassel CK. AHRQ WebM&M [serial online]. October 2007.
Safety on an inpatient pediatric otolaryngology service: many small errors, few adverse events.
Shah RK, Lander L, Forbes P, Jenkins K, Healy GB, Roberson DW. Laryngoscope. 2009;119:871-879.
Diagnostic error in acute care.
PA-PSRS Patient Saf Advis. 2010;7:76-86.
A prevalence study of errors in opioid prescribing in a large teaching hospital.
Davies ED, Schneider F, Childs S, et al. Int J Clin Pract. 2011;65:923-929.
Contraindicated medication use in dialysis patients undergoing percutaneous coronary intervention.
Tsai TT, Maddox TM, Roe MT, et al; National Cardiovascular Data Registry. JAMA. 2009;302:2458-2464.
Do emergency physicians attribute drug-related emergency department visits to medication-related problems?
Hohl CM, Zed PJ, Brubacher JR, Abu-Laban RB, Loewen PS, Purssell RA. Ann Emerg Med. 2010;55:493-502.e4.
Medication errors with electronic prescribing (eP): two views of the same picture.
Savage I, Cornford T, Klecun E, Barber N, Clifford S, Franklin BD. BMC Health Serv Res. 2010;10:135.
Patterson ES. AHRQ WebM&M [serial online]. November 2008.
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