PATIENT SAFETY PRIMERS
Device-related Complications (6)
Diagnostic Errors (3)
Identification Errors (7)
Discontinuities, Gaps, and Hand-Off Problems (29)
Medication Safety (89)
Medical Complications (18)
Surgical Complications (13)
Psychological and Social Complications (5)
Australia and New Zealand (4)
North America (141)
Journal Article (87)
Newspaper/Magazine Article (20)
Press Release/Announcement (3)
Web Resource (13)
Epidemiology of Errors and Adverse Events (15)
Active Errors (28)
Latent Errors (20)
Near Miss (1)
Approach to Improving Safety
Health Care Providers (127)
Health Care Executives and Administrators (79)
Non-Health Care Professionals (41)
Setting of Care
Residential Facilities (1)
Ambulatory Care (49)
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Undiagnosed Vaginal Bleeding.
Mandelblatt J. AHRQ WebM&M [serial online]. February 2004.
Meltzer HY. AHRQ WebM&M [serial online]. November 2003.
Bradley LD. AHRQ WebM&M [serial online]. September 2003.
Recurrent Hypoglycemia: A Care Transition Failure?
Eytan T. AHRQ WebM&M [serial online]. October 2008.
Failure to Latch
Rodriguez M., Mannel R., Frye D. MN AHRQ WebM&M [serial online]. September 2008.
Hospital discharge documentation and risk of rehospitalisation.
Hansen LO, Strater A, Smith L, et al. BMJ Qual Saf. 2011;20:773-778.
Reengineering hospital discharge: a protocol to improve patient safety, reduce costs, and boost patient satisfaction.
Clancy CM. Am J Med Qual. 2009;24:344-346.
The 2-Week Itch.
Cohen MR. AHRQ WebM&M [serial online]. April 2003.
Carpe Diem (Seize the Day).
Krumholz A. AHRQ WebM&M [serial online]. December 2004.
Holtzman, NA. AHRQ WebM&M [serial online]. December 2004.
Effective discharge communication in the emergency department.
Samuels-Kalow ME, Stack AM, Porter SC. Ann Emerg Med. 2012;60:152-159.
Allergy to Holter.
Williams MV. AHRQ WebM&M [serial online]. July 2004.
10 things your hospital won't tell you.
Kapadia R. Smart Money. October 2006;15:112-114.
ISMP medication error report analysis.
Cohen MC. Hosp Pharm. 2009;44:374-378.
A qualitative exploration of patients' attitudes towards the 'Participate Inform Notice Know' (PINK) patient safety video.
Pinto A, Vincent C, Darzi A, Davis R. Int J Qual Health Care. 2013;25:29-34.
Getting Safer Care.
Agency for Healthcare Research and Quality.
Preventing errors relating to commonly used anticoagulants.
Sentinel Event Alert. September 24, 2008;(41):1-4.
Health Care Leader Action Guide to Reduce Avoidable Readmissions.
Osei-Anto A, Joshi M, Audet AJ, Berman A, Jencks SF. New York, NY: The Commonwealth Fund, The John Hartford Foundation, Health Research and Educational Trust; January 25, 2010.
Hospitalized patients' understanding of their plan of care.
O'Leary KJ, Kulkarni N, Landler MP, et al. Mayo Clin Proc. 2010;85:47-52.
A reengineered hospital discharge program to decrease rehospitalization: a randomized trial.
Jack BW, Chetty VK, Anthony D, et al. Ann Intern Med. 2009;150:178-187.
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