PATIENT SAFETY PRIMERS
Device-related Complications (3)
Identification Errors (4)
Discontinuities, Gaps, and Hand-Off Problems (2)
Medication Safety (13)
Medical Complications (2)
Surgical Complications (8)
Transfusion Complications (1)
North America (17)
Journal Article (24)
Newspaper/Magazine Article (1)
Epidemiology of Errors and Adverse Events (4)
Active Errors (12)
Latent Errors (10)
Near Miss (4)
Approach to Improving Safety
Allied Health Services (1)
Health Care Providers (22)
Health Care Executives and Administrators (18)
Non-Health Care Professionals (13)
Setting of Care
Residential Facilities (2)
Ambulatory Care (1)
Outpatient Surgery (2)
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Around the Block.
Minichiello T. AHRQ WebM&M [serial online]. March 2005.
Gaba DM. AHRQ WebM&M [serial online]. October 2004.
Check the Wristband.
Rosenthal MM. AHRQ WebM&M [serial online]. July 2003.
Too Tight Control.
Rubin HR, Fajtova VT. AHRQ WebM&M [serial online]. May 2004.
Cucina R. AHRQ WebM&M [serial online]. April 2005.
Moved Too Soon.
Lindenauer P. AHRQ WebM&M [serial online]. October 2004.
Staying safe: simple tools for safe surgery.
Karl RC. Bull Am Coll Surg. April 2007;92:16-22.
Kaplan HS. AHRQ WebM&M [serial online]. February 2004.
Use of the common gas outlet for supplementary oxygen during Caesarean section.
Edsell ME, Erasmus PD. Anaesthesia. 2005;60:1152-1153.
Identifying opportunities for quality improvement in surgical site infection prevention.
Gagliardi AR, Eskicioglu C, McKenzie M, Fenech D, Nathens A, McLeod R. Am J Infect Control. 2009;37:398-402.
Churchill WW, Fiumara K. AHRQ WebM&M [serial online]. April 2009.
Process changes to increase compliance with the Universal Protocol for bedside procedures.
Barsuk JH, Brake H, Caprio T, Barnard C, Anderson DY, Williams MV. Arch Intern Med. 2011;171:947-949.
Medication orders are written clearly and transcribed accurately – implementing Medication Management Standard 3.20 and National Patient Safety Goal 2b.
Laselle TJ,May SK. Hosp Pharm. 2006;41:82-87.
Management of test results in family medicine offices.
Elder NC, McEwen TR, Flach JM, Gallimore JJ. Ann Fam Med. 2009;7:343-351.
Requirements for the design and implementation of checklists for surgical processes.
Verdaasdonk EGG, Stassen LPS, Widhiasmara PP, Dankelman J. Surg Endosc. 2009;23:715-726.
Wrong Route for Nutrients
Scott-Cawiezell JR, AHRQ WebM&M [serial online]. July 2008.
Errors with concentrated epinephrine in otolaryngology.
Shah RK, Hoy E, Roberson DW, Nielsen D. Laryngoscope. 2008 Nov; 118: 1928-30.
Medication errors associated with documented allergies.
PA-PSRS Patient Saf Advis. September 2008;5:75-80.
Organizational Change in the Face of Highly Public Errors—I. The Dana-Farber Cancer Institute Experience
Conway JB, Weingart SN. AHRQ WebM&M [serial online]. May 2005.
Triggers and Targeted Injury Detection Systems (TIDS) Expert Panel Meeting: Conference Summary Report.
Rockville, MD: Agency for Healthcare Research and Quality; February 2009. AHRQ Publication No. 090003.
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