U.S. Department of Health & Human Services
Health Literacy Improvement
PATIENT SAFETY PRIMERS
2014 ANNUAL PERSPECTIVES
Individuals' ability to find, process, and comprehend the basic health information necessary to act on medical instructions and make decisions about their health...
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Device-related Complications (1)
Diagnostic Errors (1)
Identification Errors (6)
Discontinuities, Gaps, and Hand-Off Problems (16)
Medication Safety (64)
Medical Complications (7)
Nonsurgical Procedural Complications (1)
Surgical Complications (5)
Psychological and Social Complications (3)
Australia and New Zealand (1)
Central and South America (1)
North America (125)
Journal Article (56)
Newspaper/Magazine Article (20)
Press Release/Announcement (2)
Special or Theme Issue (4)
Web Resource (11)
Epidemiology of Errors and Adverse Events (14)
Active Errors (15)
Latent Errors (6)
Approach to Improving Safety
Health Literacy Improvement
Health Care Providers (86)
Health Care Executives and Administrators (63)
Non-Health Care Professionals (45)
Setting of Care
Residential Facilities (1)
Ambulatory Care (40)
Outpatient Surgery (1)
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Communication discrepancies between physicians and hospitalized patients.
Olson DP, Windish DM. Arch Intern Med. 2010;170:1302-1307.
Refocusing the lens: patient safety in ambulatory chronic disease care.
Sarkar U, Wachter RM, Schroeder SA, Schillinger D. Jt Comm J Qual Patient Saf. 2009;35:377-383.
Patient comprehension of emergency department care and instructions: are patients aware of when they do not understand?
Engel KG, Heisler M, Smith DM, et al. Ann Emerg Med. 2009;53:454-7461.e15.
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.
Preventing Medication Errors: Quality Chasm Series.
Committee on Identifying and Preventing Medication Errors, Aspden P, Wolcott J, Bootman JL, Cronenwett LR, eds. Washington, DC: The National Academies Press; 2007.
Literacy and misunderstanding prescription drug labels.
Davis TC, Wolf MS, Bass PF III, et al. Ann Intern Med. 2006;145:887-94.
Risk of unintentional overdose with non-prescription acetaminophen products.
Wolf MS, King J, Jacobson K, et al. J Gen Intern Med. 2012;27:1587-1593.
Older patients' understanding of emergency department discharge information and its relationship with adverse outcomes.
Hastings SN, Barrett A, Weinberger M, et al. J Patient Saf. 2011;7:19-25.
Inadequate health literacy among paid caregivers of seniors.
Lindquist LA, Jain N, Tam K, Martin GJ, Baker DW. J Gen Intern Med. 2011;26:474-479.
"Sign right here and you're good to go": a content analysis of audiotaped emergency department discharge instructions.
Vashi A, Rhodes KV. Ann Emerg Med. 2011;57:315-322.e1.
Predictors of misunderstanding pediatric liquid medication instructions.
Bailey SC, Pandit AU, Yin S, et al. Fam Med. 2009;41:715-721.
Improving prescription drug warnings to promote patient comprehension.
Wolf MS, Davis TC, Bass PF, et al. Arch Intern Med. 2010;170:50-56.
Parents' medication administration errors: role of dosing instruments and health literacy.
Yin HS, Mendelsohn AL, Wolf MS, et al. Arch Pediatr Adolesc Med. 2010;164:181-186.
Medication overdoses leading to emergency department visits among children.
Schillie SF, Shehab N, Thomas KE, Budnitz DS. Am J Prev Med. 2009;37:181-187.
Out-of-hospital medication errors: a 6-year analysis of the national poison data system.
Shah K, Barker KA. Pharmacoepidemiol Drug Saf. 2009;18:1080-1085.
Parental misinterpretations of over-the-counter pediatric cough and cold medication labels.
Lokker N, Sanders L, Perrin EM, et al. Pediatrics. 2009;123:1464-1471.
Using consumer-based kiosk technology to improve and standardize medication reconciliation in a specialty care setting.
Lesselroth B, Adams S, Felder R, et al. Jt Comm J Qual Patient Saf. 2009;35:264-271.
Patient error: a preliminary taxonomy.
Buetow S, Kiata L, Liew T, Kenealy T, Dovey S, Elwyn G. Ann Fam Med. 2009;7:223-231.
Medication errors in the homes of children with chronic conditions.
Walsh KE, Mazor KM, Stille CJ, et al. Arch Dis Child. 2011;96:581-586.
Limited health literacy is a barrier to medication reconciliation in ambulatory care.
Persell SD, Osborn CY, Richard R, Skripkauskas S, Wolf MS. J Gen Intern Med. 2007;22:1523–1526.
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