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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Collegiality vs. Competence
Sagin T. AHRQ WebM&M [serial online]. March 2006.
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.
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.
Report: hospital errors cost 18 lives.
Rojas-Burke J. Oregonian. January 30, 2007:B01.
Errors with concentrated epinephrine in otolaryngology.
Shah RK, Hoy E, Roberson DW, Nielsen D. Laryngoscope. 2008;118:1928-1930.
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.
Hospitals save money, but safety is questioned.
Klein A. The Washington Post. December 11, 2005:A01.
The evolution of the apology.
Newfield JS. Home Health Care Manage Pract. 2007;19:137-139.
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.
Preventing fatal errors.
Bailey B, Sevrens Lyons J. The Mercury News. November 27, 2005.
Shepherding change: how the market, healthcare providers, and public policy can deliver quality care for the 21st century.
Kennedy P, Pronovost P. Crit Care Med. 2006;34(suppl 3):S1-S6.
Learning from Bristol: The Report of the Public Inquiry into Children's Heart Surgery at the Bristol Royal Infirmary 1984–1995.
London, England: The Stationery Office; July 2001.
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.
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.
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.
Hospital trustees shift their focus to medical safety.
Rowland C. Boston Globe. March 5, 2007:A1.
Fostering rational regulation of patient safety.
Mello MM, Kelly CN, Brennan TA. J Health Polit Policy Law. 2005;30:375-426.
Regulating patient safety: The Patient Protection and Affordable Care Act.
Furrow BR. Univ PA Law Rev. 2011;159:1727-1775.
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