PATIENT SAFETY PRIMERS
Device-related Complications (5)
Diagnostic Errors (1)
Identification Errors (6)
Discontinuities, Gaps, and Hand-Off Problems (9)
Fatigue and Sleep Deprivation (1)
Medication Safety (31)
Medical Complications (29)
Nonsurgical Procedural Complications (1)
Surgical Complications (25)
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Australia and New Zealand (2)
North America (142)
Journal Article (98)
Newspaper/Magazine Article (13)
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Epidemiology of Errors and Adverse Events (25)
Active Errors (6)
Latent Errors (2)
Approach to Improving Safety
Health Care Providers (86)
Health Care Executives and Administrators (140)
Non-Health Care Professionals (75)
Setting of Care
Residential Facilities (4)
Ambulatory Care (7)
Outpatient Surgery (2)
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Preliminary assessment of pediatric health care quality and patient safety in the United States using readily available administrative data.
McDonald KM, Davies SM, Haberland CA, et al. Pediatrics. 2008;122:e416-e425.
AHRQ Quality Indicators.
Agency for Healthcare Research and Quality.
Transitions of Care Consensus Policy Statement American College of Physicians-Society of General Internal Medicine-Society of Hospital Medicine-American Geriatrics Society-American College of Emergency Physicians-Society of Academic Emergency Medicine.
Snow V, Beck D, Budnitz T, et al. J Gen Intern Med. 2009;24:971-976.
HealthGrades Seventh Annual Patient Safety in American Hospitals Study.
Golden, CO: HealthGrades, Inc.; March 2010.
Hospital Survey on Patient Safety Culture: 2011 User Comparative Database Report.
Sorra J, Famolaro T, Dyer N, Khanna K, Nelson D. Rockville, MD: Agency for Healthcare Research and Quality; April 2011. AHRQ Publication No. 11-0030.
Association of a clinical knowledge support system with improved patient safety, reduced complications and shorter length of stay among Medicare beneficiaries in acute care hospitals in the United States.
Bonis PA, Pickens GT, Rind DM, Foster DA. Int J Med Inform. 2008;77:745-753.
HealthGrades Quality Study: Fourth Annual Patient Safety in American Hospitals Study.
Golden, CO: HealthGrades, Inc.; April 2007.
Electronic health record use and the quality of ambulatory care in the United States.
Linder JA, Ma J, Bates DW, Middleton B, Stafford BS. Arch Intern Med. 2007;167:1400-1405.
Measurement for improvement: a survey of current practice in Australian public hospitals.
Brand CA, Tropea J, Ibrahim JE, et al. Med J Aust. 2008;189:35-40.
Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2011.
Oakbrook Terrace, IL: The Joint Commission; September 2011.
Patient Safety in Canada: An Update.
Ottawa, ON, Canada: Canadian Institute for Health Information; August 14, 2007.
HAC Posting on Hospital Compare.
Centers for Medicare & Medicaid Services.
Survey on Patient Safety Culture Database: Overview.
Rockville, MD: Agency for Healthcare Research and Quality; April 2006.
Patient Safety Authority Annual Reports.
Harrisburg, PA: Patient Safety Authority; April 2013.
Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2009.
Oakbrook Terrace, IL: The Joint Commission; January 2010.
Rockville, MD: U.S. Pharmacopeia; 2011.
How do black-serving hospitals perform on patient safety indicators?: Implications for national public reporting and pay-for-performance.
Ly DP, Lopez L, Isaac T, Jha AK. Med Care. 2010;48:1133-1137.
Hospital Survey on Patient Safety Culture: 2010 User Comparative Database Report.
Sorra J, Famolaro T, Dyer N, Nelson D, Khanna K. Rockville, MD: Agency for Healthcare Research and Quality; March 2010. AHRQ Publication No. 10-0026.
2011 ISMP Medication Safety Self Assessment for Hospitals.
Horsham, PA: Institute for Safe Medication Practices; April 2011.
Perfect is possible.
Berwick DM, Leape LL. Newsweek. October 16, 2006:70-71.
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