U.S. Department of Health & Human Services
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PATIENT SAFETY PRIMERS
2014 ANNUAL PERSPECTIVES
Device-related Complications (16)
Diagnostic Errors (28)
Identification Errors (6)
Discontinuities, Gaps, and Hand-Off Problems (29)
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 (161)
Journal Article (228)
Newspaper/Magazine Article (15)
Special or Theme Issue (1)
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Epidemiology of Errors and Adverse Events (123)
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 (232)
Non-Health Care Professionals (86)
Setting of Care
Residential Facilities (3)
Ambulatory Care (28)
Outpatient Surgery (4)
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Error tracking in a clinical biochemistry laboratory.
Szecsi PB, Ødum L. Clin Chem Lab Med. 2009;47:1253-1257.
Wrong-site sinus surgery in otolaryngology.
Shah RK, Nussenbaum B, Kienstra M, et al. Otolaryngol Head Neck Surg. 2010;143:37-41.
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.
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.
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.
Consistency between coded poison center data and fatality abstract narratives for therapeutic error deaths in older adults.
Hayes BD, Klein-Schwartz W. Clin Toxicol (Phila). 2010;48:68-71.
Accuracy of medication documentation in hospital discharge summaries: a retrospective analysis of medication transcription errors in manual and electronic discharge summaries.
Callen J, McIntosh J, Li J. Int J Med Inform. 2010;79:58-64.
The impact of clinically undiagnosed injuries on survival estimates.
Gedeborg R, Thiblin I, Byberg L, Wernroth L, Michaëlsson K. Crit Care Med. 2009;37:449-455.
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.
Evaluation of the role of the critical care pharmacist in identifying and avoiding or minimizing significant drug–drug interactions in medical intensive care patients.
Rivkin A, Yin H. J Crit Care. 2011;26:104.e1-104.e6.
Medication assessments by care managers reveal potential safety issues in homebound older adults.
Golden AG, Qiu D, Roos BA. Ann Pharmacother. 2011;45:492-498.
Medical errors recovered by critical care nurses.
Dykes PC, Rothschild JM, Hurley AC. J Nurs Adm. 2010;40:241-246.
Patterson ES. AHRQ WebM&M [serial online]. November 2008.
Crossing the Line.
Feldman JP, Gould MK. AHRQ WebM&M [serial online]. March 2004.
Errors and omissions in hospital prescriptions: a survey of prescription writing in a hospital.
Calligaris L, Panzera A, Arnoldo L, et al. BMC Clin Pharmacol. 2009;9:9.
Potential medical adverse events associated with death: a forensic pathology perspective.
Sakai K, Takatsu A, Shigeta A, et al. Int J Qual Health Care. 2010;22:9-15.
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.
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.
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