PATIENT SAFETY PRIMERS
Device-related Complications (4)
Diagnostic Errors (2)
Identification Errors (5)
Discontinuities, Gaps, and Hand-Off Problems (9)
Fatigue and Sleep Deprivation (3)
Medication Safety (36)
Medical Complications (36)
Nonsurgical Procedural Complications (2)
Surgical Complications (26)
Transfusion Complications (3)
Psychological and Social Complications (2)
Australia and New Zealand (5)
North America (177)
Journal Article (88)
Newspaper/Magazine Article (38)
Press Release/Announcement (1)
Special or Theme Issue (6)
Web Resource (10)
Epidemiology of Errors and Adverse Events (23)
Active Errors (11)
Latent Errors (7)
Near Miss (2)
Approach to Improving Safety
Public Reporting (45)
Allied Health Services (1)
Health Care Providers (92)
Health Care Executives and Administrators (152)
Non-Health Care Professionals (109)
Setting of Care
Residential Facilities (1)
Ambulatory Care (10)
Outpatient Surgery (2)
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Five years after 'To Err is Human': what have we learned?
Leape LL, Berwick DM. JAMA. 2005;293:2384-2390.
Medicare says it won't cover hospital errors.
Pear R. New York Times. August 19, 2007.
2005 Quest for Quality Prize.
Runy LA. Hosp Health Netw. September 2005;79:67-75.
A new frontier in patient safety.
McCannon J, Berwick DM. JAMA
Medical mistakes no longer billable: bold steps taken by state to reduce hospital errors.
Smith S. Boston Globe. June 19, 2008;Metro section:1B
National Patient Safety Awareness Week.
National Patient Safety Foundation.
2006 Quest for Quality Prize.
Runy LA. Hosp Health Netw. September 2006.
Stories from the sharp end: case studies in safety improvement.
McCarthy D, Blumenthal D. Milbank Q. 2006;84:165-200.
HealthGrades Sixth Annual Patient Safety in American Hospitals Study.
Golden, CO: HealthGrades, Inc.; April 2009.
CMS seeks to add 9 hospital-acquired conditions to no-pay list.
O'Reilly KB. American Medical News. May 12, 2008.
The Role of the Patient in Improving Patient Safety
Gibson R. AHRQ WebM&M [serial online]. March 2007.
Hospital do-not-resuscitate orders: why they have failed and how to fix them.
Yuen JK, Reid MC, Fetters MD. J Gen Intern Med. 2011;26:791-797.
Accountability measures—using measurement to promote quality improvement.
Chassin MR, Loeb JM, Schmaltz SP, Wachter RM. N Engl J Med. 2010;363:683-688.
HealthGrades Quality Study: Third Annual Patient Safety in American Hospitals Study.
Golden, CO: Health Grades, Inc.; April 2006.
Partnership for Patients.
Washington, DC: US Department of Health and Human Services.
Making it right.
Wright M, Nemeth K. Hosp Health Netw. December 13, 2005.
Safety in numbers.
Robeznieks A. Mod Healthc. October 16, 2006;36:41.
Framework for a High Performance Health System for the United States.
The Commonwealth Fund Commission on a High Performance Health System. New York, NY: The Commonwealth Fund; August 2006.
2013 American Hospital Association McKesson Quest for Quality Prize.
American Hospital Association, McKesson Corporation, McKesson Foundation.
Preventing hospital-acquired infections: a national survey of practices reported by U.S. hospitals in 2005 and 2009.
Krein SL, Kowalski CP, Hofer TP, Saint S. J Gen Intern Med. 2012;27:773-779.
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