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PATIENT SAFETY PRIMERS
The Role of the Patient in Safety

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Safety Target

•Device-related Complications (8)

•Diagnostic Errors (35)

•Identification Errors (22)

•Discontinuities, Gaps, and Hand-Off Problems (89)

•Fatigue and Sleep Deprivation (4)

•Medication Safety (142)

•Medical Complications (35)

•Nonsurgical Procedural Complications (7)

•Surgical Complications (39)

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•Psychological and Social Complications (57)

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•Audiovisual (16)

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•Journal Article (309)

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•Newspaper/Magazine Article (103)

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•Special or Theme Issue (7)

•Tools/Toolkit (21)

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Error Types

•Epidemiology of Errors and Adverse Events (52)

•Active Errors (92)

•Latent Errors (28)

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Approach to Improving Safety
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Provider-Patient Communication

•Informed Consent (21)

•Health Literacy Improvement (89)

Clinical Areas

•Allied Health Services (1)

•Medicine (301)

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Target Audience

•Health Care Providers (405)

•Health Care Executives and Administrators (318)

•Non-Health Care Professionals (148)

•Patients (163)

Setting of Care

•Hospitals (230)

•Psychiatric Facilities (1)

•Residential Facilities (5)

•Ambulatory Care (104)

•Outpatient Surgery (6)

1 - 20 of 535

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STUDY

How experiencing preventable medical problems changed patients' interactions with primary health care.

Elder NC, Jacobson CJ, Zink T, Hasse L. Ann Fam Med. 2005;3:537-544.

COMMENTARY classic

classic

Healthcare in a land called PeoplePower: nothing about me without me.

Delbanco T, Berwick DM, Boufford JI, et al. Health Expect. 2001;4:144-150.

REVIEW

Narrative review: do state laws make it easier to say "I'm sorry?"

McDonnell WM, Guenther E. Ann Intern Med. 2008;149:811-815.

BOOK/REPORT

Patient Safety Handbook, Second Edition.

Youngberg BJ, ed. Jones & Bartlett Learning: Sudbuery MA; 2013. ISBN: 9780763774042.

COMMENTARY classic

classic

Guilty, afraid, and alone — struggling with medical error.

Delbanco T, Bell SK. N Engl J Med. 2007;357:1682-1683.

NEWSPAPER/MAGAZINE ARTICLE

Standards, audits, and saying I'm sorry: an engineer's family proposes solutions.

Wojcieszak D. Patient Safety Qual Healthc. May/June 2005;2:6, 8-9.

BOOK/REPORT

Risk Management Pearls on Disclosure of Adverse Events.

Amori G. Chicago, IL: American Society for Healthcare Risk Management; 2006.

COMMENTARY

Language barriers to health care in the United States.

Flores G. N Engl J Med. 2006;355:229-231.

TOOLKIT

Strategies for Leadership: Patient- and Family-Centered Care.

Chicago, IL: American Hospital Association; 2004.

STUDY

Am I safe here? Improving patients' perceptions of safety in hospitals.

Wolosin RJ, Vercler L, Matthews JL. J Nurs Care Qual. 2006;21:30-38.

TOOLKIT

Partnering with Patients and Families to Enhance Safety and Quality: A Mini Toolkit.

Bethesda, MD: Institute for Patient- and Family-Centered Care; 2011.

STUDY

Failure to engage hospitalized elderly patients and their families in advance care planning.

Heyland DK, Barwich D, Pichora D, et al; ACCEPT (Advance Care Planning Evaluation in Elderly Patients) Study Team; Canadian Researchers at the End of Life Network (CARENET). JAMA Intern Med. 2013 Apr 1; [Epub ahead of print].

BOOK/REPORT classic

classic

When Things Go Wrong: Responding to Adverse Events.

A Consensus Statement of the Harvard Hospitals. Burlington: Massachusetts Coalition for the Prevention of Medical Errors; 2006.

STUDY

Risk of mistaken DNR orders.

Rohrer JE, Esler WV, Saeed Q, et al. Support Care Cancer. 2006;14:871-873.

STUDY

The effects of a 'discharge time-out' on the quality of hospital discharge summaries.

Mohta N, Vaishnava P, Liang C, et al. BMJ Qual Saf. 2012;21:885-890.

REVIEW

An empirically derived taxonomy of factors affecting physicians' willingness to disclose medical errors.

Kaldjian LC, Jones EW, Rosenthal GE, Tripp-Reimer T, Hillis SL. J Gen Intern Med. 2006;21:942-948.

SPECIAL OR THEME ISSUE

Improving Health Care Quality.

Wisc Med J. 2006:105;1-86.

COMMENTARY

Experience with family activation of rapid response teams.

Bogert S, Ferrell C, Rutledge DN. Medsurg Nurs. 2010;19:215-222.

NEWSPAPER/MAGAZINE ARTICLE

Finding a way to ask doctors tough questions.

Landro L. Wall Street Journal. March 4, 2009:D1.

NEWSPAPER/MAGAZINE ARTICLE

When a heart attack goes undiagnosed.

Davis R. USA Today. October 25, 2006.

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