PATIENT SAFETY PRIMERS
The Role of the Patient in Safety
Device-related Complications (7)
Diagnostic Errors (23)
Identification Errors (17)
Discontinuities, Gaps, and Hand-Off Problems (67)
Fatigue and Sleep Deprivation (3)
Medication Safety (76)
Medical Complications (30)
Nonsurgical Procedural Complications (6)
Surgical Complications (26)
Transfusion Complications (1)
Psychological and Social Complications (56)
Australia and New Zealand (16)
North America (293)
Journal Article (248)
Newspaper/Magazine Article (54)
Press Release/Announcement (1)
Special or Theme Issue (4)
Web Resource (6)
Epidemiology of Errors and Adverse Events (37)
Active Errors (64)
Latent Errors (26)
Near Miss (8)
Approach to Improving Safety
Informed Consent (14)
Health Literacy Improvement (24)
Allied Health Services (2)
Health Care Providers (325)
Health Care Executives and Administrators (269)
Non-Health Care Professionals (117)
Setting of Care
Psychiatric Facilities (1)
Residential Facilities (5)
Ambulatory Care (61)
Outpatient Surgery (4)
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Disclosing unanticipated outcomes to patients: the art and practice.
Gallagher TH, Denham CR, Leape LL, Amori G, Levinson W. J Patient Saf. 2007;3:158-165.
When Things Go Wrong: Voices of Patients and Families.
Cambridge, MA: CRICO/RMF; 2006.
Culture, language, and patient safety: making the link.
Johnstone MJ, Kanitsaki O. Int J Qual Health Care. 2006;18:383-8.
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.
Questions Are the Answer! Seven Questions Every Board Member Should Ask About Patient Safety.
London, UK: National Patient Safety Agency; June 2009.
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.
Learning from Bristol: The Report of the Public Inquiry into Children's Heart Surgery at the Bristol Royal Infirmary 1984–1995.
London, England: The Stationery Office; July 2001.
How to discuss errors and adverse events with cancer patients.
Yardley IE, Yardley SJ, Wu AW. Curr Oncol Rep. 2010;12:253-260.
Patients' concerns about medical errors during hospitalization.
Burroughs TE, Waterman AD, Gallagher TH, et al. Jt Comm J Qual Patient Saf. 2007;33:5-14.
Why do people sue doctors? A study of patients and relatives taking legal action.
Vincent C, Young M, Phillips A. Lancet. 1994;343:1609-1613.
How surgeons disclose medical errors to patients: a study using standardized patients.
Chan DK, Gallagher TH, Reznick R, Levinson W. Surgery. 2005;138:851-858.
In Conversation with…Gerald B. Hickson, MD.
AHRQ WebM&M [serial online]. December 2009.
MITSS HOPE Award.
Medically Induced Trauma Support Services.
Council recommendation on patient safety, including the prevention and control of healthcare associated infections.
Council of the European Union (2009).
Guilty, afraid, and alone — struggling with medical error.
Delbanco T, Bell SK. N Engl J Med. 2007;357:1682-1683.
Patients' and family members' views on how clinicians enact and how they should enact incident disclosure: the "100 patient stories" qualitative study.
Iedema R, Allen S, Britton K, et al. BMJ. 2011;343:d4423.
Wrong Route for Nutrients
Scott-Cawiezell JR, AHRQ WebM&M [serial online]. July 2008.
Patients' and family members' experiences of open disclosure following adverse events.
Iedema R, Sorensen R, Manias E, et al. Int J Qual Health Care. 2008;20:421-432.
Health care professionals' views of implementing a policy of open disclosure of errors.
Sorensen R, Iedema R, Piper D, Manias E, Williams A, Tuckett A. J Health Serv Res Policy. 2008;13:227-232.
Narrative review: do state laws make it easier to say "I'm sorry?"
McDonnell WM, Guenther E. Ann Intern Med. 2008;149:811-815.
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