U.S. Department of Health & Human Services
PATIENT SAFETY PRIMERS
2014 ANNUAL PERSPECTIVES
Device-related Complications (11)
Diagnostic Errors (20)
Identification Errors (3)
Discontinuities, Gaps, and Hand-Off Problems (39)
Fatigue and Sleep Deprivation (8)
Medication Safety (100)
Medical Complications (40)
Nonsurgical Procedural Complications (5)
Surgical Complications (29)
Transfusion Complications (2)
Psychological and Social Complications (10)
Journal Article (272)
Newspaper/Magazine Article (6)
Special or Theme Issue (11)
Web Resource (11)
Epidemiology of Errors and Adverse Events (116)
Active Errors (53)
Latent Errors (25)
Near Miss (8)
Approach to Improving Safety
Quality Improvement Strategies (70)
Legal and Policy Approaches (17)
Error Reporting and Analysis (113)
Communication Improvement (60)
Human Factors Engineering (38)
Specialization of Care (15)
Logistical Approaches (24)
Culture of Safety (38)
Technologic Approaches (53)
Education and Training (60)
Allied Health Services (1)
Health Care Providers (223)
Health Care Executives and Administrators (258)
Non-Health Care Professionals (135)
Setting of Care
Psychiatric Facilities (1)
Residential Facilities (5)
Ambulatory Care (37)
Outpatient Surgery (2)
Patient Transport (4)
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A systematic review to evaluate the accuracy of electronic adverse drug event detection.
Forster AJ, Jennings A, Chow C, Leeder C, van Walraven C. J Am Med Inform Assoc. 2012;19:31-38.
Medication reconciliation during internal hospital transfer and impact of computerized prescriber order entry.
Lee JY, Leblanc K, Fernandes OA, et al. Ann Pharmacother. 2010;44:1887-1895.
Effects of computer-based clinical decision support systems on physician performance and patient outcomes: a systematic review.
Hunt DL, Haynes RB, Hanna SE, Smith K. JAMA. 1998;280:1339-1346.
The efficacy of computer-enabled discharge communication interventions: a systematic review.
Motamedi SM, Posadas-Calleja J, Straus S, et al. BMJ Qual Saf. 2011;20:403-415.
ICD-10 codes used to identify adverse drug events in administrative data: a systematic review.
Hohl CM, Karpov A, Reddekopp L, Stausberg J. J Am Med Inform Assoc. 2014;21:547-557.
Communication errors in dispatch of air medical transport.
Vilensky D, Macdonald RD. Prehosp Emerg Care. 2011;15:39-43.
SPECIAL OR THEME ISSUE
Patient Safety Papers 6.
Baker GR, ed. Healthc Q. 2012;15:1-72.
Electronic prescribing vulnerabilities: height and weight mix-up leads to dosing error.
ISMP Medication Safety Alert! Acute Care Edition. August 26, 2010;15:1-3.
Electronic prescribing in an ambulatory care setting: a cluster randomized trial.
Dainty KN, Adhikari NK, Kiss A, Quan S, Zwarenstein M. J Eval Clin Pract. 2012;18:761-767.
Validating administrative data for the detection of adverse events in older hospitalized patients.
Ackroyd-Stolarz S, Bowles SK, Giffin L. Drug Healthc Patient Saf. 2014;6:101-108.
'Bad apples': time to redefine as a type of systems problem?
Shojania KG, Dixon-Woods M. BMJ Qual Saf. 2013;22:528-531.
Does user-centred design affect the efficiency, usability and safety of CPOE order sets?
Chan J, Shojania KG, Easty AC, Etchells EE. J Am Med Inform Assoc. 2011;18:276-281.
Transfer of accountability: transforming shift handover to enhance patient safety.
Alvarado K, Lee R, Christoffersen E, et al. Healthc Q. 2006;9(special issue):75-79.
Effects of computerized clinical decision support systems on practitioner performance and patient outcomes: a systematic review.
Garg AX, Adhikari NK, McDonald H, et al. JAMA. 2005;293:1223-1238.
Error rates in breast imaging reports: comparison of automatic speech recognition and dictation transcription.
Basma S, Lord B, Jacks LM, Rizk M, Scaranelo AM. AJR Am J Roentgenol. 2011;197:923-927.
The development and evaluation of an integrated electronic prescribing and drug management system for primary care.
Tamblyn R, Huang A, Kawasumi Y, et al. J Am Med Inform Assoc. 2006;13:148-159.
Patient Safety in Canada: An Update.
Ottawa, ON, Canada: Canadian Institute for Health Information; August 14, 2007.
Clinical application of a computerized system for physician order entry with clinical decision support to prevent adverse drug events in long-term care.
Rochon PA, Field TS, Bates DW, et al. CMAJ. 2006;174:52-54.
Self-reported medical, medication and laboratory error in eight countries: risk factors for chronically ill adults.
Scobie A. Int J Qual Health Care. 2011;23:182-186.
The association between a prolonged stay in the emergency department and adverse events in older patients admitted to hospital: a retrospective cohort study.
Ackroyd-Stolarz S, Read Guernsey J, Mackinnon NJ, Kovacs G. BMJ Qual Saf. 2011;20:564-569.
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