PATIENT SAFETY PRIMERS
Diagnostic Errors (2)
Identification Errors (1)
Discontinuities, Gaps, and Hand-Off Problems (3)
Medication Safety (6)
Medical Complications (1)
Psychological and Social Complications (3)
Australia and New Zealand (2)
North America (16)
Journal Article (17)
Newspaper/Magazine Article (1)
Special or Theme Issue (1)
Web Resource (1)
Epidemiology of Errors and Adverse Events (1)
Active Errors (5)
Latent Errors (7)
Approach to Improving Safety
Health Care Providers (20)
Health Care Executives and Administrators (23)
Non-Health Care Professionals (9)
Setting of Care
Psychiatric Facilities (1)
1 - 20
Don't Show Excerpt
Sort by relevance
Sort by significance
Sort by title
Sort by date
Sort by author
National Patient Safety Agency, the Medical Defence Union and Medical Protection Society. London, England: NPSA; 2005
Workplace bullying in the OR: results of a descriptive study.
Chipps E, Stelmaschuk S, Albert NM, Bernhard L, Holloman C. AORN J. 2013;98:479-493.
Junior doctors' reflections on patient safety.
Ahmed M, Arora S, Carley S, Sevdalis N, Neale G. Postgrad Med J. 2012;88:125-129.
Hassle in the dispensary: pilot study of a proactive risk monitoring tool for organisational learning based on narratives and staff perceptions.
Sujan MA, Ingram C, McConkey T, Cross S, Cooke MW. BMJ Qual Saf. 2011;20:549-556.
Measuring perinatal patient safety: review of current methods.
Simpson KR. J Obstet Gynecol Neonatal Nurs. 2006;35:432-442.
National Patient Safety Agency. London, England: NHS; 2005.
Bearing witness to the ethics of practice: storying physicians' medical mistake narratives.
Carmack HJ. Health Commun. 2010;25:449-458.
Learning to Use Patient Stories.
Cardiff, UK: NHS Wales; April 2010.
Getting Into Patient Safety: A Personal Story
Cooper JB. AHRQ WebM&M [serial online]. August 2006.
Patient Safety Link.
Joint Commission International Center for Patient Safety.
Critical conversations: a call for a nonprocedural "time out."
Sehgal NL, Fox M, Sharpe BA, Vidyarthi AR, Blegen M, Wachter RM. J Hosp Med. 2011;6:157-162.
A physician's personal experiences as a cancer of the neck patient: errors in my care.
Brook I. Am J Med Qual. 2011;26:73-74.
Fixing healthcare from the inside, today.
Spear SJ. Harv Bus Rev. September 2005;83:78-91.
College of American Pathologists Special Topic Symposium on Error in Pathology and Laboratory Medicine—Practical Lessons for the Pathologist.
Arch Pathol Lab Med. 2005;129:1226-1276.
The VA GAPS Center: Stories.
The VA Getting at Patient Safety (GAPS) Center.
Flaws in clinical reasoning: a common cause of diagnostic error.
Wellbery C. Am Fam Physician. 2011;84:1042-1048.
Misadventures in Health Care: Inside Stories.
Bogner MS, ed. Mahwah, NJ: Lawrence Erlbaum Associates; 2004. ISBN: 0805833781.
Organizational culture as a source of high reliability.
Weick KE. Calif Manage Rev. 1987;29:112-127.
Transferring responsibility and accountability in maternity care: clinicians defining their boundaries of practice in relation to clinical handover.
Chin GS, Warren N, Kornman L, Cameron P. BMJ Open. 2012;2:e000734.
Patient safety in patients who occupy beds on clinically inappropriate wards: a qualitative interview study with NHS staff.
Goulding L, Adamson J, Watt I, Wright J. BMJ Qual Saf. 2012;21;218-224.
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.
Contact AHRQ PSNet
Terms & Conditions
Freedom of Information Act
The White House
USA.gov: U.S. Government Official Web Portal
Agency for Healthcare Research and Quality • 540 Gaither Road Rockville, MD 20850 • Telephone: (301) 427-1364