PATIENT SAFETY PRIMERS
Device-related Complications (1)
Diagnostic Errors (3)
Identification Errors (2)
Discontinuities, Gaps, and Hand-Off Problems (5)
Fatigue and Sleep Deprivation (1)
Medication Safety (29)
Medical Complications (19)
Nonsurgical Procedural Complications (1)
Surgical Complications (11)
Transfusion Complications (2)
Psychological and Social Complications (2)
Australia and New Zealand (3)
North America (102)
Journal Article (57)
Newspaper/Magazine Article (20)
Special or Theme Issue (5)
Web Resource (5)
Epidemiology of Errors and Adverse Events (20)
Active Errors (5)
Latent Errors (7)
Near Miss (2)
Approach to Improving Safety
Public Reporting (15)
Allied Health Services (1)
Health Care Providers (61)
Health Care Executives and Administrators (107)
Non-Health Care Professionals (79)
Setting of Care
Ambulatory Care (8)
Outpatient Surgery (1)
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Accuracy of computer-generated, Spanish-language medicine labels.
Sharif I, Tse J. Pediatrics. 2010;125:960-965.
Advancing Patient Safety through State Reporting Systems
Rosenthal J. AHRQ WebM&M [serial online]. June 2007.
How much diagnostic safety can we afford, and how should we decide? A health economics perspective.
Newman-Toker DE, McDonald KM, Meltzer DO. BMJ Qual Saf. 2013;22(suppl 2):ii11-ii20.
HealthGrades Sixth Annual Patient Safety in American Hospitals Study.
Golden, CO: HealthGrades, Inc.; April 2009.
SPECIAL OR THEME ISSUE
Improving Health Care Quality.
Wisc Med J. 2006:105;1-86.
Relationship between occurrence of surgical complications and hospital finances.
Eappen S, Lane BH, Rosenberg B, et al. JAMA. 2013;309:1599-1606.
The economic burden of patient safety targets in acute care: a systematic review.
Mittmann N, Koo M, Daneman N, et al. Drug Healthc Patient Saf. 2012;4:141-165.
Making the Patient Safety and Quality Improvement Act of 2005 work.
Vemula R, Assaf RR, Al-Assaf AF. J Healthc Qual. 2007;29:6-10.
Never Events: Framework 2009/10.
National Patient Safety Agency. London, UK: National Reporting and Learning Service; 2009.
NEW JERSEY LEGISLATION
Requires DHSS to make reported information about certain adverse events publicly available.
New Jersey Legislature. A4327 (2007).
The Role of the Patient in Improving Patient Safety
Gibson R. AHRQ WebM&M [serial online]. March 2007.
Beyond our walls: impact of patient and provider coordination across the continuum on outcomes for surgical patients.
Weinberg DB, Gittell JH, Lusenhop RW, Kautz CM, Wright J. Health Serv Res. 2007;42:7-24.
Self-reported adverse events in health care that cause harm: a population-based survey.
Adams RJ, Tucker G, Price K, et al. Med J Aust. 2009;190:484-488.
Eliminating Serious, Preventable, and Costly Medical Errors - Never Events.
Baltimore, MD: Centers for Medicare & Medicaid Services (CMS) Office of Public Affairs; May 18, 2006.
Identifying unintended consequences of quality indicators: a qualitative study.
Lester HE, Hannon KL, Campbell SM. BMJ Qual Saf. 2011;20:1057-1061.
Health Care Opinion Leaders' Views on the Quality and Safety of Health Care in the United States.
Shea KK, Shih A, Davis K. New York, NY: The Commonwealth Fund; July 2007.
Five years after 'To Err is Human': what have we learned?
Leape LL, Berwick DM. JAMA. 2005;293:2384-2390.
Partnership for Patients.
Washington, DC: US Department of Health and Human Services.
HRSA patient safety and pharmacy collaborative is off to a good start.
Drug Formulary Review. April 1, 2009.
In Conversation with...Diane Rydrych, MA
Rydrych D. AHRQ WebM&M [serial online]. June 2007.
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