PATIENT SAFETY PRIMERS
Refers to the process whereby a physician informs a patient about the risks and benefits of a proposed therapy or test...
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Device-related Complications (2)
Identification Errors (4)
Discontinuities, Gaps, and Hand-Off Problems (5)
Medication Safety (6)
Medical Complications (3)
Surgical Complications (3)
Psychological and Social Complications (4)
North America (18)
Journal Article (11)
Newspaper/Magazine Article (5)
Special or Theme Issue (1)
Active Errors (4)
Latent Errors (3)
Near Miss (1)
Approach to Improving Safety
Health Care Providers (16)
Health Care Executives and Administrators (15)
Non-Health Care Professionals (6)
Setting of Care
Residential Facilities (1)
Ambulatory Care (3)
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In Conversation with...Dean Schillinger, MD
AHRQ WebM&M [serial online]. February/March 2009.
Improving Patient Safety Through Informed Consent for Patients with Limited Health Literacy.
Wu HW, Nishimi RY, Page-Lopez CM, Kizer KW. Washington, DC: National Quality Forum; 2005.
"What Did the Doctor Say?:" Improving Health Literacy to Protect Patient Safety.
Oakbrook Terrace, IL: The Joint Commission; 2007.
Hospitals look to improve informed consent process.
O'Reilly KB. American Medical News. November 19, 2007.
Patient Education Pages.
Journal of Patient Safety.
Framing family conversation after early diagnosis of iatrogenic injury and incidental findings.
Barrios L, Tsuda S, Derevianko A, et al. Surg Endosc. 2009;23:2535-2542.
Preventing surgical errors.
Frenzel JC, Kelly T. HHN Magazine Online. January 6, 2009.
Risk of mistaken DNR orders.
Rohrer JE, Esler WV, Saeed Q, et al. Support Care Cancer. 2006;14:871-873.
Safe Practices for Better Healthcare–2009 Update.
National Quality Forum. Washington, DC: National Quality Forum; 2009.
SPECIAL OR THEME ISSUE
Language Barriers in Health Care.
Saha S, Fernandez A, eds. J Gen Intern Med. 2007;22(suppl 2):277-372.
Drug errors, qualitative research and some reflections on ethics.
Armitage G. J Clin Nurs. 2005;14:869-875.
Identification of inpatient DNR status: a safety hazard begging for standardization.
Sehgal NL, Wachter RM. J Hosp Med. 2007;2:366-371.
Program encourages reporting accidents waiting to happen: the Good Catch Awards.
McCook A. Anesthesiology News. Sept 2011;37:9.
Association between hospital-reported Leapfrog Safe Practices scores and inpatient mortality.
Kernisan LP, Lee SJ, Boscardin WJ, Landefeld CS, Dudley RA. JAMA. 2009;301:1341-1348.
Hospitals save money, but safety is questioned.
Klein A. The Washington Post. December 11, 2005:A01.
DNR in the OR and Afterwards
Lo B. AHRQ WebM&M [serial online]. September 2006.
Patient safety: honoring advanced directives.
Tice MA. Home Healthc Nurse. 2007;25:79-81.
A living will misinterpreted as a DNR order: confusion compromises patient care.
Katsetos AD, Mirarchi FL. J Emerg Med. 2011;40:629-632.
Holtzman, NA. AHRQ WebM&M [serial online]. December 2004.
In a crisis, do-not-revive requests don't always work.
Parker L. USA Today. December 19, 2006.
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