PATIENT SAFETY PRIMERS
Device-related Complications (4)
Diagnostic Errors (4)
Discontinuities, Gaps, and Hand-Off Problems (5)
Fatigue and Sleep Deprivation (3)
Medication Safety (13)
Medical Complications (26)
Surgical Complications (12)
Transfusion Complications (1)
Psychological and Social Complications (1)
Australia and New Zealand (2)
North America (85)
Journal Article (48)
Newspaper/Magazine Article (18)
Press Release/Announcement (2)
Special or Theme Issue (1)
Epidemiology of Errors and Adverse Events (10)
Active Errors (2)
Latent Errors (3)
Near Miss (1)
Approach to Improving Safety
Health Care Providers (31)
Health Care Executives and Administrators (70)
Non-Health Care Professionals (49)
Setting of Care
Residential Facilities (1)
Ambulatory Care (3)
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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.
Achievements in eliminating healthcare-associated infections awards.
Washington, DC: US Health and Human Services and Critical Care Societies Collaborative. December 7, 2010.
Do hospitals provide lower quality care on weekends?
Becker DJ. Health Serv Res. 2007;42:1589-1612.
The impact of a pharmacist's participation on hospitalists' rounds.
Patel R, Butler K, Garrett D, Badger N, Cheoun D, Hallman L. Hosp Pharm. 2010;45:129–134.
Hospital implementation of computerized provider order entry systems: results from the 2003 Leapfrog Group quality and safety survey.
Hillman JM, Given RS. J Healthc Inf Manag. Fall 2005;19:55-65.
U.S. adoption of computerized physician order entry systems.
Cutler DM, Feldman NE, Horwitz JR. Health Aff (Millwood). 2005;24:1654-1663.
A novel approach to increase residents' involvement in reporting adverse events.
Scott DR, Weimer M, English C, et al. Acad Med. 2011;86:742-746.
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.
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.
Cost implications of ACGME's 2011 changes to resident duty hours and the training environment.
Nuckols TK, Escarce JJ. J Gen Intern Med. 2012;27:241-249.
Building physician work hour regulations from first principles and best evidence.
Volpp KG, Landrigan CP. JAMA. 2008;300:1197-1199.
More states shred bills for awful medical errors: patients in 23 states will no longer pay for certain mistakes, hospitals say.
Aleccia J. MSNBC News. August 12, 2008.
Carpenter D. Hosp Health Netw. November 2007;81:34-38.
Hospitals tie CEO bonuses to safety.
Rowland C. Boston Globe. May 5, 2007:1A.
Many Mass. hospitals will pay for errors.
Kowalczyk L. Boston Globe. September 17, 2007;Metro section:1A.
Insurers stop paying for care linked to errors.
Fuhrmans V. Wall Street Journal. January 15, 2008:D1.
Medicare's policy not to pay for treating hospital-acquired conditions: the impact.
McNair PD, Luft HS, Bindman AB. Health Aff (Millwood). 2009;28:1485-1493.
Duty hours in emergency medicine: balancing patient safety, resident wellness, and the resident training experience: a consensus response to the 2008 Institute of Medicine resident duty hours recommendations.
Wagner MJ, Wolf S, Promes S, et al. J Emerg Med. 2010;39:348-355.
Understanding Clinical Information Needs and Health Care Decision Making Processes in the Context of Health Information Technology (R01).
Rockville, MD: Agency for Healthcare Research and Quality. Program Announcement No. PA-11-198.
Health care safety: what needs to be done?
Rubin GL, Leeder SR. Med J Aust. 2005;183:529-531.
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