PATIENT SAFETY PRIMERS
Device-related Complications (1)
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Identification Errors (5)
Discontinuities, Gaps, and Hand-Off Problems (18)
Medication Safety (45)
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Setting of Care
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Getting Safer Care.
Agency for Healthcare Research and Quality.
Preventing errors relating to commonly used anticoagulants.
Sentinel Event Alert. September 24, 2008;(41):1-4.
Small patients, big consequences in medical errors.
Tarkan L. New York Times. September 14, 2008;Health section:7.
The relationship between patients' perception of care and measures of hospital quality and safety.
Isaac T, Zaslavsky AM, Cleary PD, Landon BE. Health Serv Res. 2010;45:1024-1040.
Making inpatient medication reconciliation patient centered, clinically relevant and implementable: a consensus statement on key principles and necessary first steps.
Greenwald JL, Halasyamani L, Greene J, et al. J Hosp Med. 2010;5:477-485.
Advancing Effective Communication, Cultural Competence, and Patient- and Family-Centered Care: A Roadmap for Hospitals.
Oakbrook Terrace, IL: The Joint Commission; 2010.
National Priorities and Goals: Aligning Our Efforts to Transform America's Healthcare.
National Priorities Partnership. Washington, DC: National Quality Forum; 2008. ISBN: 1933875194.
Medication reconciliation in ambulatory care: attempts at improvement.
Nassaralla CL, Naessens JM, Hunt VL, et al. Qual Saf Health Care. 2009;18:402-407.
Promoting effective transitions of care at hospital discharge: a review of key issues for hospitalists.
Kripalani S, Jackson AT, Schnipper JL, Coleman EA. J Hosp Med. 2007;2:314-323.
Can we rely on patients' reports of adverse events?
Zhu J, Stuver SO, Epstein AM, Schneider EC, Weissman JS, Weingart SN. Med Care. 2011;49:948-955.
Results of the Medications At Transitions and Clinical Handoffs (MATCH) study: an analysis of medication reconciliation errors and risk factors at hospital admission.
Gleason KM, McDaniel MR, Feinglass J, et al. J Gen Intern Med. 2010;25:441-447.
2009 Utah Sentinel Events Data Report.
Salt Lake City, UT: Utah Department of Health, Utah Hospitals & Health Systems Association, and HealthInsight; March 10, 2010.
Lack of patient knowledge regarding hospital medications.
Cumbler E, Wald H, Kutner J. J Hosp Med. 2010;5-83-86.
Adverse events in hospitals: the patient's point of view.
Massó Guijarro P, Aranaz Andrés JM, Mira JJ, Perdiguero E, Aibar C. Qual Saf Health Care. 2010;19:144-147.
Obama Administration introduces plan to reduce preventable medical errors.
PBS News Hour. April 12, 2011.
In Conversation with...Eric Coleman, MD, MPH
AHRQ WebM&M [serial online]. December 2007.
Schillinger D. AHRQ WebM&M [serial online]. March 2004.
Patients, beware: 731 nurses reveal what to watch out for in the hospital.
Consumer Reports Health. September 2009.
Staying safe during a hospital stay.
Graham J. Los Angeles Times. May 11, 2011.
Older patients' perceptions of "unnecessary" tests and referrals: a national survey of Medicare beneficiaries.
Herndon MB, Schwartz LM, Woloshin S, et al. J Gen Intern Med. 2008;23:1547-1554.
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