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 (1)
Australia and New Zealand (2)
North America (15)
Journal Article (15)
Newspaper/Magazine Article (1)
Special or Theme Issue (1)
Web Resource (1)
Epidemiology of Errors and Adverse Events (1)
Active Errors (4)
Latent Errors (7)
Approach to Improving Safety
Health Care Providers (18)
Health Care Executives and Administrators (21)
Non-Health Care Professionals (7)
Setting of Care
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National Patient Safety Agency, the Medical Defence Union and Medical Protection Society. London, England: NPSA; 2005
Junior doctors' reflections on patient safety.
Ahmed M, Arora S, Carley S, Sevdalis N, Neale G. Postgrad Med J. 2012;88:125-129.
Measuring perinatal patient safety: review of current methods.
Simpson KR. J Obstet Gynecol Neonatal Nurs. 2006;35:432-442.
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.
National Patient Safety Agency. London, England: NHS; 2005.
Learning to Use Patient Stories.
Cardiff, UK: NHS Wales; April 2010.
Bearing witness to the ethics of practice: storying physicians' medical mistake narratives.
Carmack HJ. Health Commun. 2010;25:449-458.
Getting Into Patient Safety: A Personal Story
Cooper JB. AHRQ WebM&M [serial online]. August 2006.
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.
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.
Flaws in clinical reasoning: a common cause of diagnostic error.
Wellbery C. Am Fam Physician. 2011;84:1042-1048.
Patient Safety Link.
Joint Commission International Center for Patient Safety.
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.
Misadventures in Health Care: Inside Stories.
Bogner MS, ed. Mahwah, NJ: Lawrence Erlbaum Associates; 2004. ISBN: 0805833781.
A web-based tool for the Comprehensive Unit-based Safety Program (CUSP).
Pronovost PJ, King J, Holzmueller CG, et al. Jt Comm J Qual Patient Saf. 2006;32:119-129.
VA Patient Safety Program: A Cultural Perspective at Four Medical Facilities.
US Government Accountability Office. Washington, DC: US Government Accountability Office; 2004. Publication GAO-05-83.
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