U.S. Department of Health & Human Services
PATIENT SAFETY PRIMERS
Device-related Complications (10)
Diagnostic Errors (5)
Identification Errors (3)
Discontinuities, Gaps, and Hand-Off Problems (17)
Fatigue and Sleep Deprivation (6)
Medication Safety (29)
Medical Complications (21)
Nonsurgical Procedural Complications (2)
Surgical Complications (21)
Transfusion Complications (1)
Psychological and Social Complications (9)
Australia and New Zealand (1)
North America (150)
Journal Article (88)
Newspaper/Magazine Article (53)
Press Release/Announcement (3)
Web Resource (1)
Epidemiology of Errors and Adverse Events (17)
Active Errors (13)
Latent Errors (15)
Near Miss (1)
Approach to Improving Safety
Health Care Providers (90)
Health Care Executives and Administrators (122)
Non-Health Care Professionals (121)
Setting of Care
Psychiatric Facilities (2)
Residential Facilities (9)
Ambulatory Care (19)
Outpatient Surgery (5)
Patient Transport (1)
1 - 20
Don't Show Excerpt
Sort by relevance
Sort by significance
Sort by title
Sort by date
Sort by author
Adverse Health Events in Minnesota: Tenth Annual Public Report.
St. Paul, MN: Minnesota Department of Health; January 2014.
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.
Revisiting duty-hour limits — IOM recommendations for patient safety and resident education.
Iglehart JK. N Engl J Med. 2008;359:2633-2635.
Never Events: Framework 2009/10.
National Patient Safety Agency. London, UK: National Reporting and Learning Service; 2009.
Errors with concentrated epinephrine in otolaryngology.
Shah RK, Hoy E, Roberson DW, Nielsen D. Laryngoscope. 2008;118:1928-1930.
NY Medicaid ups the ante: by refusing to pay for 14 'never events,' the nation's biggest Medicaid program could propel other states into action.
DerGurahian J. Mod Healthc. June 16, 2008;38:6.
Carpenter D. Hosp Health Netw. November 2007;81:34-38.
No pay for "never event" errors becoming standard.
O'Reilly KB. American Medical News. January 7, 2008.
Serious Reportable Events in Healthcare—2011 Update.
Washington, DC: National Quality Forum; 2011. ISBN: 9780982842188.
Developing a medication patient safety program — infrastructure and strategy.
Mark SM, Weber RJ. Hosp Pharm. 2007;42:149-156.
Reused devices, surgery's deadly suspects.
Klein A. The Washington Post. December 30, 2005:A3.
Listen to the Family.
Campbell D Jr. AHRQ WebM&M [serial online]. June 2004.
Organ donor's surgery death sparks questions.
Cohen E. CNN. April 9, 2012.
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.
The silence of the unblown whistle: the Nevada hepatitis C public health crisis.
Leary E, Diers D. Yale J Biol Med. 2013;86:79-87.
Health Care Comes Home: The Human Factors.
Committee on the Role of Human Factors in Home Health Care. Washington, DC: National Research Council; 2011. ISBN: 9780309212366.
Meaningful use and certification of health information technology: what about safety?
Hoffman S, Podgurski A. J Law Med Ethics. 2011;39(suppl 1):77-80.
Regulating patient safety: The Patient Protection and Affordable Care Act.
Furrow BR. Univ PA Law Rev. 2011;159:1727-1775.
Mackenzie CF. AHRQ WebM&M [serial online]. March 2004.
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.
Terms & Conditions
Produced for the
Agency for Healthcare Research and Quality
team of editors
University of California, San Francisco
with guidance from a prominent
. The AHRQ PSNet site was designed and implemented by Silverchair.