U.S. Department of Health & Human Services
PATIENT SAFETY PRIMERS
2014 ANNUAL PERSPECTIVES
Device-related Complications (10)
Diagnostic Errors (11)
Identification Errors (15)
Discontinuities, Gaps, and Hand-Off Problems (60)
Fatigue and Sleep Deprivation (6)
Medication Safety (60)
Medical Complications (58)
Nonsurgical Procedural Complications (13)
Surgical Complications (100)
Psychological and Social Complications (39)
Australia and New Zealand (12)
North America (407)
Journal Article (370)
Newspaper/Magazine Article (39)
Special or Theme Issue (28)
Web Resource (11)
Epidemiology of Errors and Adverse Events (45)
Active Errors (45)
Latent Errors (33)
Near Miss (5)
Approach to Improving Safety
Teamwork Training (91)
Allied Health Services (2)
Health Care Providers (376)
Health Care Executives and Administrators (409)
Non-Health Care Professionals (263)
Setting of Care
Psychiatric Facilities (2)
Residential Facilities (5)
Ambulatory Care (26)
Outpatient Surgery (4)
Patient Transport (6)
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A hospital races to learn lessons of Ferrari pit stop.
Naik G. Wall Street Journal. November 14, 2006:A1. [reprinted on Post-gazette.com].
Pediatric patient safety in the prehospital/emergency department setting.
Barata IA, Benjamin LS, Mace SE, Herman MI, Goldman RD. Pediatr Emerg Care. 2007;23:412-418.
Teamwork errors in trauma resuscitation.
Sarcevic A, Marsic I, Burd RS. ACM Trans Comput Hum Interact. 2012;19:13:1-13:30.
Patient Safety in Emergency Medicine.
Croskerry P, Cosby KS, Schenkel SM, Wears RL, eds. Philadelphia, PA: Lippincott Williams & Wilkins; 2009. ISBN: 9780781777278.
The Emergency Medical Services Safety Attitudes Questionnaire.
Patterson PD, Huang DT, Fairbanks RJ, Wang HE. Am J Med Qual. 2010;25:109-115.
SPECIAL OR THEME ISSUE
Safety in EMS.
Brice JH, Patterson PD, eds. Prehosp Emerg Care. 2012;16:1-108.
Pediatric patient safety in emergency departments: unit characteristics and staff perceptions.
Shaw KN, Ruddy RM, Olsen CS, et al; Pediatric Emergency Care Applied Research Network. Pediatrics. 2009;124:485-493.
Incidence and impact of physician and nurse disruptive behaviors in the emergency department.
Rosenstein AH, Naylor B. J Emerg Med. 2012;43:139-148.
ED revamp: team approach to care reduces errors, boosts patient and clinician satisfaction.
ED Manag. 2011;23:78-80.
The relationship between patients' perceptions of team effectiveness and their care experience in the emergency department.
Kipnis A, Rhodes KV, Burchill CN, Datner E. J Emerg Med. 2013;45:731-738.
A multidisciplinary approach to adverse drug events in pediatric trauma patients in an adult trauma center.
Kalina M, Tinkoff G, Gleason W, Veneri P, Fulda G. Pediatr Emerg Care. 2009;25:444-446.
Shapiro MJ. AHRQ WebM&M [serial online]. February 2004.
Clinical triggers: an alternative to a rapid response team.
Moldenhauer K, Sabel A, Chu ES, Mehler PS. Jt Comm J Qual Patient Saf. 2009;35:164-174.
Compliance with guidelines to prevent surgical site infections: as simple as 1-2-3?
Meeks DW, Lally KP, Carrick MM, et al. Am J Surg. 2011;201:76-83.
SPECIAL OR THEME ISSUE
Patient Safety and Quality.
Lyndon A, Simpson KR, Bakewell-Sachs S, eds. J Perinat Neonat Nurs. 2010;24:1-89.
One intensive care nursery's experience with enhancing patient safety.
Alton M, Mericle J, Brandon D. Adv Neonatal Care. 2006;6:112-119.
The nature and causes of unintended events reported at ten emergency departments.
Smits M, Groenewegen PP, Timmermans DRM, van der Wal G, Wagner C. BMC Emerg Med. 2009;9:16.
Bedside shift report improves patient safety and nurse accountability.
Baker SJ. J Emerg Nurs. 2010;36:355-358.
Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated bloodstream infections.
Sawyer M, Weeks K, Goeschel CA, et al. Crit Care Med. 2010;38(suppl 8):S292-S298.
Emergency nursing and medical error—a survey of two states.
Hohenhaus SM. J Emerg Nurs. 2008;34:20-25.
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