U.S. Department of Health & Human Services
PATIENT SAFETY PRIMERS
2014 ANNUAL PERSPECTIVES
Device-related Complications (9)
Diagnostic Errors (4)
Identification Errors (4)
Discontinuities, Gaps, and Hand-Off Problems (15)
Fatigue and Sleep Deprivation (7)
Medication Safety (33)
Medical Complications (25)
Nonsurgical Procedural Complications (2)
Surgical Complications (19)
Transfusion Complications (1)
Psychological and Social Complications (8)
Australia and New Zealand (4)
Central and South America (1)
North America (160)
Journal Article (94)
Newspaper/Magazine Article (54)
Press Release/Announcement (4)
Special or Theme Issue (1)
Web Resource (2)
Epidemiology of Errors and Adverse Events (23)
Active Errors (10)
Latent Errors (15)
Near Miss (1)
Approach to Improving Safety
Health Care Providers (93)
Health Care Executives and Administrators (128)
Non-Health Care Professionals (141)
Setting of Care
Psychiatric Facilities (2)
Residential Facilities (10)
Ambulatory Care (21)
Outpatient Surgery (6)
Patient Transport (1)
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Our broken health care system and how to fix it: an essay on health law and policy.
Jost TS. Wake Forest Law Rev. 2006;41:537-618.
Collegiality vs. Competence
Sagin T. AHRQ WebM&M [serial online]. March 2006.
Errors with concentrated epinephrine in otolaryngology.
Shah RK, Hoy E, Roberson DW, Nielsen D. Laryngoscope. 2008;118:1928-1930.
Constitutional arguments in favor of modifying the HCQIA to allow the dissemination of physician information to healthcare consumers.
Chernitsky LA. Wash Lee Law Rev. Spring 2006;63:737-776.
"Health courts" and accountability for patient safety.
Mello MM, Studdert DM, Kachalia AB, Brennan TA. Milbank Q. 2006;84:459-492.
To Err Is Human — To Delay Is Deadly.
Jewell K, McGiffert L. Austin, TX: Consumers Union; 2009.
M.R.I.'s strong magnets cited in accidents.
McNeil DG Jr. New York Times. August 19, 2005;National Desk section:1.
Report: hospital errors cost 18 lives.
Rojas-Burke J. Oregonian. January 30, 2007:B01.
Hospitals save money, but safety is questioned.
Klein A. The Washington Post. December 11, 2005:A01.
Evaluation of the implementation of the alert issued by the UK National Patient Safety Agency on the storage and handling of potassium chloride concentrate solution.
Lankshear AJ, Sheldon TA, Lowson KV, Watt IS, Wright J. Qual Saf Health Care. 2005;14:196-201.
The evolution of the apology.
Newfield JS. Home Health Care Manage Pract. 2007;19:137-139.
Preventing fatal errors.
Bailey B, Sevrens Lyons J. The Mercury News. November 27, 2005.
Should patients get direct access to their laboratory test results?: An answer with many questions.
Davis Giardina T, Singh H. JAMA. 2011;306:2502-2503.
Language barriers to health care in the United States.
Flores G. N Engl J Med. 2006;355:229-231.
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.
Excusable neglect in malpractice suits against radiologists: a proposed jury instruction to recognize the human condition.
Caldwell C, Seamone ER. Ann Health Law. Winter 2007;16:43-77.
No pay for "never event" errors becoming standard.
O'Reilly KB. American Medical News. January 7, 2008.
Many Mass. hospitals will pay for errors.
Kowalczyk L. Boston Globe. September 17, 2007;Metro section:1A.
Influence of state laws mandating reporting of healthcare-associated infections: the case of central line–associated bloodstream infections.
Pakyz AL, Edmond MB. Infect Control Hosp Epidemiol. 2013;34:780-784.
Protecting patients: hospitals wrestle with reporting and fixing medical mistakes.
Collins LM. Deseret Morning News. July 8, 2007;A1.
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