PATIENT SAFETY PRIMERS
Diagnostic Errors (3)
Identification Errors (2)
Discontinuities, Gaps, and Hand-Off Problems (3)
Medication Safety (12)
Medical Complications (6)
Surgical Complications (4)
Psychological and Social Complications (1)
Australia and New Zealand (1)
North America (60)
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 (33)
Health Care Executives and Administrators (69)
Non-Health Care Professionals (53)
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.
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.
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.
Communication and teamwork in patient care: how much can we learn from aviation?
Lyndon A. J Obset Gynol Neonatal Nurs. 2006;35:538-546.
Resilience Engineering: Concepts and Precepts.
Hollnagel E, Woods DD, Leveson NG, eds. Aldershot, England: Ashgate Publishing; 2006. ISBN: 0754646416.
Managing clinical failure: a complex adaptive system perspective.
Matthews JI, Thomas PT. Int J Health Care Qual Assur. 2007;20:184-194.
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).
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.
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.
Description and evaluation of adaptations to the Global Trigger Tool to enhance value to adverse event reduction efforts.
Kennerly DA, Saldaña M, Kudyakov R, da Graca B, Nicewander D, Compton J. J Patient Saf. 2013;9:87-95.
Report 6: Managing Risk and Minimising Mistakes in Services to Children and Families.
Bostock L, Bairstow S, Fish S, Macleod F. London, England: Social Care Institute for Excellence; 2005. ISBN: 1904812279.
Acting Locally: Working in Clinical Microsystems CD-ROM.
Oakbrook Terrace, IL: Joint Commission Resources; 2005. ISBN: 0866889868.
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