PATIENT SAFETY PRIMERS
Device-related Complications (12)
Diagnostic Errors (3)
Identification Errors (3)
Discontinuities, Gaps, and Hand-Off Problems (3)
Medication Safety (19)
Medical Complications (14)
Nonsurgical Procedural Complications (3)
Surgical Complications (5)
Transfusion Complications (1)
Australia and New Zealand (3)
North America (61)
Journal Article (20)
Newspaper/Magazine Article (9)
Press Release/Announcement (3)
Web Resource (8)
Epidemiology of Errors and Adverse Events (22)
Active Errors (8)
Latent Errors (1)
Near Miss (3)
Approach to Improving Safety
Health Care Providers (41)
Health Care Executives and Administrators (59)
Non-Health Care Professionals (42)
Setting of Care
Psychiatric Facilities (2)
Residential Facilities (5)
Ambulatory Care (5)
Outpatient Surgery (6)
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Consumer Guide to Adverse Health Events.
St. Paul, MN: Minnesota Department of Health; January 2009.
Sentinel Event Program.
Division of Licensing and Regulatory Services, Maine Department of Health and Human Services.
Sarasota Memorial Hospital reviewed after restrained patient dies.
Gulliver D. Sarasota Herald Tribune. November 7, 2006:BS1.
Delivering Safer Health Care in Western Australia: The Second WA Sentinel Event Report 2005-2006.
East Perth, WA, Australia: Department of Health of Western Australia; 2006.
Organisation Patient Safety Incident Reports.
National Patient Safety Agency.
Report: hospital errors cost 18 lives.
Rojas-Burke J. Oregonian. January 30, 2007:B01.
State starts project to track serious hospital mistakes.
Colburn D. The Oregonian. February 1, 2006:B1.
Indiana Medical Error Reporting System.
Indiana State Department of Health.
NEW JERSEY LEGISLATION
Requires DHSS to make reported information about certain adverse events publicly available.
New Jersey Legislature. A4327 (2007).
Three die at Vets Home after errors.
Wolfe W. Minneapolis Star Tribune. February 28, 2007.
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.
Safety in Doses.
London, UK: National Patient Safety Agency; 2009. ISBN: 9781906624088.
Never events: Utah hospitals saw nearly 60 serious errors in 2007.
May H. Salt Lake Tribune. August 18, 2008.
2009 Utah Sentinel Events Data Report.
Salt Lake City, UT: Utah Department of Health, Utah Hospitals & Health Systems Association, and HealthInsight; March 10, 2010.
Medication error reporting in nursing homes: identifying targets for patient safety improvement.
Greene SB, Williams CE, Pierson S, Hansen RA, Carey TS. Qual Saf Health Care. 2010;19:218-222.
Mistakes hospitals don't want you to see.
Ostrom CM. Seattle Times. October 23, 2007:A1.
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.
Getting moving on patient safety—harnessing electronic data for safer care.
Jha AK, Classen DC. N Engl J Med 2011;365:1756-1758.
WHO Draft Guidelines for Adverse Event Reporting and Learning Systems.
World Alliance for Patient Safety. Geneva, Switzerland: World Health Organization; 2005.
An Amendment of the Medical Care Availability and Reduction of Error (Mcare) Act.
General Assembly of Pennsylvania. SB968 (2007).
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