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PATIENT SAFETY PRIMERS
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Safety Target

•Device-related Complications (12)

•Diagnostic Errors (3)

•Identification Errors (7)

•Discontinuities, Gaps, and Hand-Off Problems (7)

•Fatigue and Sleep Deprivation (3)

•Medication Safety (60)

•Medical Complications (31)

•Nonsurgical Procedural Complications (7)

•Surgical Complications (27)

•Transfusion Complications (3)

•Psychological and Social Complications (9)

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•Australia and New Zealand (10)

•North America (153)

Resource Types

•Audiovisual (4)

•Book/Report (25)

•Journal Article (124)

•Legislation/Regulation (2)

•Meeting/Conference (3)

•Newspaper/Magazine Article (25)

•Press Release/Announcement (4)

•Special or Theme Issue (3)

•Tools/Toolkit (6)

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Error Types

•Epidemiology of Errors and Adverse Events (35)

•Active Errors (17)

•Latent Errors (11)

•Near Miss (11)

Approach to Improving Safety
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Error Reporting

•Governmental Reporting (5)

•Institutional Reporting (9)

•Nongovernmental Reporting (2)

•Patient Disclosure (13)

•Patient Complaints (1)

•Never Events (12)

Clinical Areas

•Allied Health Services (2)

•Complementary and Alternative Medicine (1)

•Medicine (107)

•Nursing (12)

•Pharmacy (13)

Target Audience

•Health Care Providers (116)

•Health Care Executives and Administrators (193)

•Non-Health Care Professionals (95)

•Patients (25)

Setting of Care

•Hospitals (105)

•Residential Facilities (9)

•Ambulatory Care (15)

•Outpatient Surgery (3)

•Patient Transport (1)

1 - 20 of 207

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STUDY

Exploring strategies for reducing hospital errors.

McFadden KL, Stock GN, Gowen CR III. J Healthc Manag. 2006;51:123-136.

NEWSPAPER/MAGAZINE ARTICLE

Leadership practices to advance patient safety.

Crowley JD, Deen JB. Patient Saf Qual Healthc. May/June 2009;6:18-22.

SPECIAL OR THEME ISSUE

The safety and quality of health care: where are we now?

Med J Aust. 2006;184:S37-S72.

BOOK/REPORT

Inspiring Ideas and Celebrating Successes: A Guidebook to Leading Patient Safety Practices in Ontario Hospitals.

OHA Patient Safety Support Service. Toronto, Ontario, Canada: Ontario Hospital Association; 2006.

NEWSPAPER/MAGAZINE ARTICLE

Global goal: reduce medical errors.

Szabo L. USA Today. August 23, 2005.

COMMENTARY classic

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Transforming healthcare: a safety imperative.

Leape L, Berwick D, Clancy C, et al; Lucian Leape Institute at the National Patient Safety Foundation. Qual Saf Health Care. 2009;18:424-428.

NEWSPAPER/MAGAZINE ARTICLE

How safe do patients feel?

Wolosin R, Vercler L, Matthews J. Patient Safety & Quality Healthcare. November/December 2005;2:40-44.

STUDY

Incident reporting practices in the preanalytical phase: low reported frequencies in the primary health care setting.

Söderberg J, Grankvist K, Brulin C, Wallin O. Scand J Clin Lab Invest. 2009;69:731-735.

GRANT RECIPIENT

Patient Safety Research in Progress.

Rockville, MD: Agency for Healthcare Research and Quality; June 2005. AHRQ Publication No. 05-P003-3.

FACT SHEET/FAQS

Patient Safety Research Highlights: Program Brief.

Rockville, MD: Agency for Healthcare Research and Quality; May 2006. AHRQ Publication No. 06-P023.

STUDY

Actions and implementation strategies to reduce suicidal events in the Veterans Health Administration.

Mills PD, Neily J, Luan D, Osborne A, Howard K. Jt Comm J Qual Patient Saf. 2006;32:130-141.

COMMENTARY

The Role of the Patient in Improving Patient Safety

Gibson R. AHRQ WebM&M [serial online]. March 2007.

AWARD RECIPIENT

A comprehensive grassroots model for statewide safety improvement.

Joshi M, Kazandjian V, Martin P, et al. Jt Comm J Qual Patient Saf. 2005;31:671-677.

BOOK/REPORT

Unintended exposure of patient Lisa Norris during radiotherapy treatment at the Beatson Oncology Centre, Glasgow in January 2006.

Johnson AM. Edinburgh, Scotland: Scottish Executive; 2006.

BOOK/REPORT

A safer place for patients: learning to improve patient safety.

Fifty-first Report of Session 2005-06. House of Commons Committee on Public Accounts. London, England: The Stationary Office; July 6, 2006. Publication HC 831.

STUDY

Building safer systems by ecological design: using restoration science to develop a medication safety intervention.

Marck PB, Kwan JA, Preville B, et al. Qual Saf Health Care. 2006;15:92-97.

COMMENTARY

Financial incentives to promote health care quality: the hospital acquired conditions nonpayment policy.

Kavanagh KT. Soc Work Public Health. 2011;26:524-541.

COMMENTARY

The partnership with patients: a call to action for leaders.

Denham CR. J Patient Saf. 2011;7:113-121.

GOVERNMENT RESOURCE classic

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Partnership for Patients.

Washington, DC: US Department of Health and Human Services.

COMMENTARY classic

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Accountability measures—using measurement to promote quality improvement.

Chassin MR, Loeb JM, Schmaltz SP, Wachter RM. N Engl J Med. 2010;363:683-688.

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