U.S. Department of Health & Human Services
PATIENT SAFETY PRIMERS
2014 ANNUAL PERSPECTIVES
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 (5)
Discontinuities, Gaps, and Hand-Off Problems (7)
Medication Safety (5)
Medical Complications (2)
Surgical Complications (5)
Transfusion Complications (1)
Psychological and Social Complications (7)
North America (23)
Journal Article (23)
Newspaper/Magazine Article (4)
Special or Theme Issue (1)
Epidemiology of Errors and Adverse Events (2)
Active Errors (10)
Latent Errors (10)
Near Miss (3)
Approach to Improving Safety
Health Care Providers (26)
Health Care Executives and Administrators (20)
Non-Health Care Professionals (15)
Setting of Care
Residential Facilities (2)
Ambulatory Care (3)
Outpatient Surgery (1)
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Check the Wristband.
Rosenthal MM. AHRQ WebM&M [serial online]. July 2003.
In a crisis, do-not-revive requests don't always work.
Parker L. USA Today. December 19, 2006.
To Resuscitate or Not?
Wu AW, Pronovost PJ. AHRQ WebM&M [serial online]. January 2004.
Program encourages reporting accidents waiting to happen: the Good Catch Awards.
McCook A. Anesthesiology News. Sept 2011;37:9.
Code Status Confusion.
Lo B, Tulsky JA. AHRQ WebM&M [serial online]. July 2003.
A living will misinterpreted as a DNR order: confusion compromises patient care.
Katsetos AD, Mirarchi FL. J Emerg Med. 2011;40:629-632.
Nurses' perspectives on the intersection of safety and informed decision making in maternity care.
Jacobson CH, Zlatnik MG, Kennedy HP, Lyndon A. J Obstet Gynecol Neonatal Nurs. 2013;42:577-587.
Listen to the Family.
Campbell D Jr. AHRQ WebM&M [serial online]. June 2004.
Holtzman, NA. AHRQ WebM&M [serial online]. December 2004.
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.
No Blood, Please.
Liang BA. AHRQ WebM&M [serial online]. May 2004.
In Conversation with...Dean Schillinger, MD
AHRQ WebM&M [serial online]. February/March 2009.
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.
Is consent required for publication of medical errors?
Weisbaum K, Hyland S, Bernstein M. Healthcare Q. 2005;8:66-69.
Risk of mistaken DNR orders.
Rohrer JE, Esler WV, Saeed Q, et al. Support Care Cancer. 2006;14:871-873.
Using improvement science methods to increase accuracy of surgical consents.
Mercurio P, Shaffer Ellis A, Schoettker PJ, Stone R, Lenk MA, Ryckman FC. AORN J. 2014;100:42-53.
Hospitals save money, but safety is questioned.
Klein A. The Washington Post. December 11, 2005:A01.
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.
The Wrongful Resuscitation
Teno JM. AHRQ WebM&M [serial online]. April 2008.
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