PATIENT SAFETY PRIMERS
Device-related Complications (6)
Diagnostic Errors (2)
Identification Errors (7)
Discontinuities, Gaps, and Hand-Off Problems (11)
Fatigue and Sleep Deprivation (1)
Medication Safety (34)
Medical Complications (27)
Nonsurgical Procedural Complications (1)
Surgical Complications (27)
Transfusion Complications (1)
Psychological and Social Complications (10)
Australia and New Zealand (5)
North America (157)
Journal Article (116)
Newspaper/Magazine Article (13)
Special or Theme Issue (6)
Web Resource (12)
Epidemiology of Errors and Adverse Events (29)
Active Errors (6)
Latent Errors (2)
Approach to Improving Safety
Health Care Providers (89)
Health Care Executives and Administrators (154)
Non-Health Care Professionals (83)
Setting of Care
Residential Facilities (3)
Ambulatory Care (8)
Outpatient Surgery (2)
Patient Transport (1)
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Medication errors with the use of allopurinol and colchicine: a retrospective study of a national, anonymous Internet-accessible error reporting system.
Mikuls TR, Curtis JF, Allison JJ, Hicks RW, Saag KG. J Rheumatol. 2006;33:562-566.
Rockville, MD: U.S. Pharmacopeia; 2011.
Health information technology is a vehicle, not a destination: a conversation with David J. Brailer.
Milstein A. Health Aff (Millwood). 2007;26:w236-w241.
Is the availability of hospital IT applications associated with a hospital's risk adjusted incidence rate for patient safety indicators: results from 66 Georgia hospitals.
Culler SD, Hawley JN, Naylor V, Rask KJ. J Med Syst. 2007;31:319-327.
The long road to patient safety: a status report on patient safety systems.
Longo DR, Hewett JE, Ge B, Schubert S. JAMA. 2005;294:2858-2865.
The effect of the fit between organizational culture and structure on medication errors in medical group practices.
Kaissi A, Kralewski J, Dowd B, Heaton A. Health Care Manage Rev. 2007;32:12-21.
Utility of an online medication-error-reporting system.
Savage SW, Schneider PJ, Pedersen CA. Am J Health Syst Pharm. 2005;62:2265-2270.
Targeted chart review of pediatric patient safety events identified by the Agency for Healthcare Research and Quality's Patient Safety Indicators methodology.
Scanlon MC, Miller M, Harris JM II, Schulz K, Sedman A. J Patient Saf. 2006;2:191-197.
Using the Communication and Teamwork Skills (CATS) assessment to measure health care team performance.
Frankel A, Gardner R, Maynard L, Kelly A. Jt Comm J Qual Patient Saf. 2007;33:549-558.
Practitioners agree on medication reconciliation value, but frustration and difficulties abound.
ISMP Medication Safety Alert! Acute Care Edition. July 13, 2006;11:1-2.
Measuring preventable harm: helping science keep pace with policy.
Pronovost PJ, Colantuoni E. JAMA
Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder.
Makary MA, Sexton JB, Freischlag JA, et al. J Am Coll Surg. 2006;202:746-752.
Toward higher-performance health systems: adults' health care experiences in seven countries, 2007.
Schoen C, Osborn R, Doty MM, Bishop M, Peugh J, Murukutla N. Health Aff (Millwood). 2007;26:w717–w734.
National Surgical Quality Improvement Program.
American College of Surgeons.
Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2011.
Oakbrook Terrace, IL: The Joint Commission; September 2011.
HealthGrades Quality Study: Third Annual Patient Safety in American Hospitals Study.
Golden, CO: Health Grades, Inc.; April 2006.
EMR Entry Error: Not So Benign
Koppel R. AHRQ WebM&M [serial online]. April 2009.
Building a case for medication reconciliation.
Nurse Advise-ERR. April 2006;4:1-3.
Patterns in nursing home medication errors: disproportionality analysis as a novel method to identify quality improvement opportunities.
Hansen RA, Cornell PY, Ryan PB, Williams CE, Pierson S, Greene SB. Pharmacoepidemiol Drug Saf. 2010;19:1087-1094.
Clinical and economic outcomes attributable to health care–associated sepsis and pneumonia.
Eber MR, Laxminarayan R, Perencevich EN, Malani A. Arch Intern Med. 2010;170:347-353.
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