U.S. Department of Health & Human Services
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 (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.
No Blood, Please.
Liang BA. AHRQ WebM&M [serial online]. May 2004.
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.
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.
Holtzman, NA. AHRQ WebM&M [serial online]. December 2004.
Listen to the Family.
Campbell D Jr. AHRQ WebM&M [serial online]. June 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.
Program encourages reporting accidents waiting to happen: the Good Catch Awards.
McCook A. Anesthesiology News. Sept 2011;37:9.
To Resuscitate or Not?
Wu AW, Pronovost PJ. AHRQ WebM&M [serial online]. January 2004.
Healthcare industry representatives: maximizing benefits and reducing risks.
PA-PSRS Patient Saf Advis. March 2006;3:13-19.
Identification of inpatient DNR status: a safety hazard begging for standardization.
Sehgal NL, Wachter RM. J Hosp Med. 2007;2:366-371.
Deciphering the Code
Goldstein MK. AHRQ WebM&M [serial online]. Febuary 2006.
Informed or Misled?
White SM. AHRQ WebM&M [serial online]. June 2007.
Development of a Web-based surgical booking and informed consent system to reduce the potential for error and improve communication.
Siracuse JJ, Benoit E, Burke J, Carter S, Schwaitzberg SD. Jt Comm J Qual Patient Saf. 2014;40:126-133.
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.
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.
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