PATIENT SAFETY PRIMERS
Device-related Complications (2)
Diagnostic Errors (2)
Identification Errors (5)
Discontinuities, Gaps, and Hand-Off Problems (4)
Medication Safety (15)
Medical Complications (3)
Surgical Complications (7)
Transfusion Complications (1)
North America (28)
Journal Article (31)
Newspaper/Magazine Article (1)
Epidemiology of Errors and Adverse Events (6)
Active Errors (19)
Latent Errors (9)
Near Miss (3)
Approach to Improving Safety
Allied Health Services (1)
Health Care Providers (28)
Health Care Executives and Administrators (25)
Non-Health Care Professionals (17)
Setting of Care
Residential Facilities (1)
Ambulatory Care (2)
Outpatient Surgery (2)
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Can an electronic prescribing system detect doctors who are more likely to make a serious prescribing error?
Coleman JJ, Hemming K, Nightingale PG, et al. J R Soc Med. 2011;104:208-218.
Unintended effects of a computerized physician order entry nearly hard-stop alert to prevent a drug interaction: a randomized controlled trial.
Strom BL, Schinnar R, Aberra F, et al. Arch Intern Med. 2010;170:1578-1583.
Around the Block.
Minichiello T. AHRQ WebM&M [serial online]. March 2005.
Cucina R. AHRQ WebM&M [serial online]. April 2005.
Too Tight Control.
Rubin HR, Fajtova VT. AHRQ WebM&M [serial online]. May 2004.
Staying safe: simple tools for safe surgery.
Karl RC. Bull Am Coll Surg. April 2007;92:16-22.
Churchill WW, Fiumara K. AHRQ WebM&M [serial online]. April 2009.
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.
A proactive risk avoidance system using failure mode and effects analysis for "same-name" physician orders.
Tarpey K, Schaaf E, Lakhani U, Balcitis J. Jt Comm J Qual Patient Saf. 2010;36:461-467.
Medication errors associated with documented allergies.
PA-PSRS Patient Saf Advis. September 2008;5:75-80.
Applying the Toyota Production System: using a patient safety alert system to reduce error.
Furman C, Caplan R. Jt Comm J Qual Patient Saf. 2007;33:376-386.
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.
Errors with concentrated epinephrine in otolaryngology.
Shah RK, Hoy E, Roberson DW, Nielsen D. Laryngoscope. 2008 Nov; 118: 1928-30.
Checklists to reduce diagnostic errors.
Ely JW, Graber ML, Croskerry P. Acad Med. 2011;86:307-313.
Mistake-proofing healthcare: why stopping processes may be a good start.
Grout JR, Toussaint JS. Bus Horiz. 2010;53:149-156.
Enteral feeding misconnections: an update.
Guenter P, Hicks RW, Simmons D. Nutr Clin Pract. 2009;24:325-334.
Making electronic prescribing alerts more effective: scenario-based experimental study in junior doctors.
Scott GPT, Shah P, Wyatt JC, Makubate B, Cross FW. J Am Med Inform Assoc. 2011;18:789-798.
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.
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