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 (5)
Discontinuities, Gaps, and Hand-Off Problems (14)
Medication Safety (59)
Medical Complications (6)
Nonsurgical Procedural Complications (1)
Surgical Complications (5)
Psychological and Social Complications (3)
North America (114)
Journal Article (51)
Newspaper/Magazine Article (19)
Press Release/Announcement (2)
Special or Theme Issue (3)
Web Resource (10)
Epidemiology of Errors and Adverse Events (13)
Active Errors (14)
Latent Errors (4)
Approach to Improving Safety
Health Literacy Improvement
Health Care Providers (73)
Health Care Executives and Administrators (54)
Non-Health Care Professionals (38)
Setting of Care
Residential Facilities (1)
Ambulatory Care (33)
Outpatient Surgery (1)
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Don't come back, hospitals say.
Landro L. Wall Street Journal. June 7, 2011:D3.
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.
Patient, protect thyself.
Szabo L. USA Today. February 5, 2007.
10 things your hospital won't tell you.
Kapadia R. Smart Money. October 2006;15:112-114.
Implementation of an electronic system for medication reconciliation.
Kramer JS, Hopkins PJ, Rosendale JC, et al. Am J Health Syst Pharm. 2007;64:404-422.
Quality & Safety Research Group.
Johns Hopkins University, Department of Anesthesiology & Critical Care Medicine.
Rapid response team activation by patients can mitigate errors.
ISMP Medication Safety Alert! Acute Care Edition. June 1, 2006:1-2.
Help your patient "get" what you just said: a health literacy guide.
Roett MA, Wessel L. J Fam Pract. 2012;61:190-196.
Consumer Guide to Adverse Health Events.
St. Paul, MN: Minnesota Department of Health; January 2009.
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.
Schillinger D. AHRQ WebM&M [serial online]. March 2004.
Does your patient really understand?
Huff C. Hosp Health Netw. October 2011;85:34-35,37-38,2.
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.
To protect against drug errors, ask questions.
Brody JE. New York Times. January 2, 2007:F7.
In Conversation with...Dean Schillinger, MD
AHRQ WebM&M [serial online]. February/March 2009.
Facilitating Patient Understanding of Discharge Instructions: Workshop Summary.
Alper J, Hernandez LM; Roundtable on Health Literacy, Board on Population Health and Public Health Practice, Institute of Medicine. Washington, DC: National Academies Press; December 2014. ISBN: 9780309307383.
"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.
Library-hospital pairing empowers patients, improves safety.
Briefings on Patient Safety. June 2005;6:1-3.
Forster A. AHRQ WebM&M [serial online]. December 2004.
Acute care patients discuss the patient role in patient safety.
Rathert C, Huddleston N, Pak Y. Health Care Manage Rev. 2011;36:134-144.
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