U.S. Department of Health & Human Services
PATIENT SAFETY PRIMERS
2014 ANNUAL PERSPECTIVES
Device-related Complications (14)
Diagnostic Errors (21)
Identification Errors (3)
Discontinuities, Gaps, and Hand-Off Problems (41)
Fatigue and Sleep Deprivation (8)
Medication Safety (103)
Medical Complications (40)
Nonsurgical Procedural Complications (6)
Surgical Complications (33)
Transfusion Complications (2)
Psychological and Social Complications (13)
Journal Article (293)
Newspaper/Magazine Article (6)
Special or Theme Issue (11)
Web Resource (11)
Epidemiology of Errors and Adverse Events (137)
Active Errors (53)
Latent Errors (25)
Near Miss (9)
Approach to Improving Safety
Quality Improvement Strategies (71)
Legal and Policy Approaches (18)
Error Reporting and Analysis (122)
Communication Improvement (65)
Human Factors Engineering (41)
Specialization of Care (16)
Logistical Approaches (24)
Culture of Safety (38)
Technologic Approaches (56)
Education and Training (66)
Allied Health Services (1)
Health Care Providers (227)
Health Care Executives and Administrators (275)
Non-Health Care Professionals (140)
Setting of Care
Psychiatric Facilities (1)
Residential Facilities (8)
Ambulatory Care (39)
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.
Accidents and incidents related to intravenous drug administration: a pre-post study following implementation of smart pumps in a teaching hospital.
Guérin A, Tourel J, Delage E, et al. Drug Saf. 2015;38:729-736.
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.
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.
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.
Effect of a postdischarge virtual ward on readmission or death for high-risk patients: a randomized clinical trial.
Dhalla IA, O'Brien T, Morra D, et al. JAMA. 2014;312:1305-1312.
'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.
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.
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.
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.
The Canadian interprofessional patient safety competencies: their role in health-care professionals' education.
King J, Anderson CM. J Patient Saf. 2012;8:30-35.
Usability of a computerised drug monitoring programme to detect adverse drug events and non-compliance in outpatient ambulatory care.
Auger C, Forster AJ, Oake N, Tamblyn R. BMJ Qual Saf. 2013;22:306-316.
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