PATIENT SAFETY PRIMERS
Diagnostic Errors (3)
Identification Errors (2)
Discontinuities, Gaps, and Hand-Off Problems (3)
Medication Safety (13)
Medical Complications (6)
Surgical Complications (4)
Psychological and Social Complications (1)
Australia and New Zealand (1)
North America (61)
Journal Article (55)
Newspaper/Magazine Article (7)
Special or Theme Issue (3)
Epidemiology of Errors and Adverse Events (9)
Active Errors (7)
Latent Errors (11)
Near Miss (5)
Approach to Improving Safety
Allied Health Services (1)
Health Care Providers (34)
Health Care Executives and Administrators (70)
Non-Health Care Professionals (54)
Setting of Care
Ambulatory Care (2)
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The need for organizational change in patient safety initiatives.
Anderson JG, Ramanujam R, Hensel D, Anderson MM, Sirio CA. Int J Med Inform. 2006;75:809-817.
Fixing healthcare from the inside, today.
Spear SJ. Harv Bus Rev. September 2005;83:78-91.
What’s past is prologue: organizational learning from a serious patient injury.
Tamuz M, Franchois KE, Thomas EJ. Safety Sci. 2011;49:75-82.
Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: are they preventable?
Seiden SC, Barach P. Arch Surg. 2006;141:931-939.
Does patient-centered design guarantee patient safety?: Using human factors engineering to find a balance between provider and patient needs.
France DJ, Throop P, Walczyk B, et al. J Patient Safety. 2005;1:145-153.
Improving situation awareness to reduce unrecognized clinical deterioration and serious safety events.
Brady PW, Muething S, Kotagal U, et al. Pediatrics. 2013;131:e298-e308.
Communication and teamwork in patient care: how much can we learn from aviation?
Lyndon A. J Obset Gynol Neonatal Nurs. 2006;35:538-546.
The competitive imperative of learning.
Edmondson AC. Harv Bus Rev. 2008;86:60-67, 160.
What Can the Rest of the Health Care System Learn from the VA’s Quality and Safety Transformation?
Jha AK. AHRQ WebM&M [serial online]. September 2006.
Resilience Engineering: Concepts and Precepts.
Hollnagel E, Woods DD, Leveson NG, eds. Aldershot, England: Ashgate Publishing; 2006. ISBN: 0754646416.
Making it right.
Wright M, Nemeth K. Hosp Health Netw. December 13, 2005.
Effects of learning climate and registered nurse staffing on medication errors.
Chang Y, Mark B. Nurs Res. 2011;60:32-39.
Managing clinical failure: a complex adaptive system perspective.
Matthews JI, Thomas PT. Int J Health Care Qual Assur. 2007;20:184-194.
Bridging the communication gap in the operating room with medical team training.
Awad SS, Fagan SP, Bellows C, et al. Am J Surg. 2005;190:770-774.
Safeguarding patients: complexity science, high reliability organizations, and implications for team training in healthcare.
McKeon LM, Oswaks JD, Cunningham PD. Clin Nurse Spec. 2006;20:298-304 (CE Test 305-306).
SPECIAL OR THEME ISSUE
Patient Safety Papers.
Baker GE, ed. Healthc Q. 2006;9:1-140.
Learning from samples of one or fewer.
March JG, Sproull LS, Tamuz M. Org Sci. 1991;2:1-13.
Safety and risk management interventions in hospitals: a systematic review of the literature.
Dückers M, Faber M, Cruijsberg J, Grol R, Schoonhoven L, Wensing M. Med Care Res Rev. 2009;66(suppl 6):90S-119S.
The importance of failing forward. All of us will fail and make mistakes, but how can they benefit us and our organizations?
Hofmann PB. Healthc Exec. 2012 May-Jun;27:64,66-67.
Is yours a learning organization?
Garvin DA, Edmondson AC, Gino F. Harv Bus Rev. 2008;86:109-116.
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