State Governments and Agencies
PATIENT SAFETY PRIMERS
Device-related Complications (1)
Diagnostic Errors (1)
Identification Errors (1)
Medication Safety (3)
Medical Complications (3)
Nonsurgical Procedural Complications (1)
Surgical Complications (2)
State Governments and Agencies
Newspaper/Magazine Article (5)
Press Release/Announcement (2)
Web Resource (5)
Epidemiology of Errors and Adverse Events (4)
Active Errors (4)
Latent Errors (2)
Near Miss (1)
Approach to Improving Safety
Quality Improvement Strategies (6)
Legal and Policy Approaches (18)
Error Reporting and Analysis (17)
Communication Improvement (3)
Human Factors Engineering (1)
Logistical Approaches (1)
Culture of Safety (5)
Technologic Approaches (2)
Education and Training (3)
Health Care Providers (15)
Health Care Executives and Administrators (12)
Non-Health Care Professionals (14)
Setting of Care
Residential Facilities (2)
Outpatient Surgery (3)
1 - 20
Don't Show Excerpt
Sort by relevance
Sort by significance
Sort by title
Sort by date
Sort by author
Statement of The Hospital & Healthsystem Association of Pennsylvania.
Hearings before the House Insurance Committee of the Pennsylvania General Assembly. (April 22, 2004) (statement of James R. Combes, MD, senior medical advisor, HAP).
Just Culture Collaborative.
Jefferson City, MO: Missouri Center for Patient Safety; 2007.
Patient Safety Toolbox.
Portland, ME: National Academy for State Health Policy.
Diagnostic error in acute care.
PA-PSRS Patient Saf Advis. 2010;7:76-86.
General Laws of Massachusetts.
Chapter 177 Section 6 of the Acts of 2001, part 1, Title II, Chapter 6A Section 16E; 2001.
State Patient Safety Centers: A New Approach to Promote Patient Safety.
Rosenthal J, Booth M. Portland, ME: National Academy for State Health Policy; November 2004.
Patient Safety Authority.
333 Market Street, Lobby Level, Harrisburg, PA 17120.
Governor signs Executive Order creating new Division of Patient Safety.
Evanston, IL: Office of the Governor; July 13, 2006.
Promoting collaboration and transparency in patient safety.
Apold J, Daniels T, Sonneborn M. Jt Comm J Qual Patient Saf. 2006;32:672-675.
Serious Reportable Events in Massachusetts Acute Care Hospitals: January 1, 2008–December 31, 2008.
Executive Office of Health and Human Services, Department of Public Health, Bureau of Health Care Safety and Quality. Boston, MA: Commonwealth of Massachusetts; 2009.
The Council of State Governments (CSG's) Health Literacy Tool Kit.
NEW JERSEY LEGISLATION
Requires DHSS to make reported information about certain adverse events publicly available.
New Jersey Legislature. A4327 (2007).
Oregon Patient Safety Commission.
Oregon State Legislature. HB 2349 (2003).
Health Occupations Article.
McHale BK, Hammen PA, Cole WH. HB 1274 Section 19-139 of the Health General Article; 2002.
Forgotten but not gone: tourniquets left on patients.
PA-PSRS Patient Saf Advis. June 2005;2:19-21.
Center for Consumer Health Care Information Patient Safety Center.
New York Department of Health, Empire State Plaza, Albany, NY 12237.
An Amendment of the Medical Care Availability and Reduction of Error (Mcare) Act.
General Assembly of Pennsylvania. SB968 (2007).
The Pennsylvania Medical Society.
Translating patient safety legislation into health care practice.
Rabinowitz ABK, Clarke JR, Marella W, et al. Jt Comm J Qual Patient Saf. 2006;32:676-681.
Ambulatory surgery facilities: a comprehensive review of medication error reports in Pennsylvania.
PA-PSRS Patient Saf Advis. September 2011;8:85-93.
Produced for the
Agency for Healthcare Research and Quality
team of editors
University of California, San Francisco
with guidance from a prominent
. The AHRQ PSNet site was designed and implemented by Silverchair.
Contact AHRQ PSNet
Terms & Conditions
Freedom of Information Act
The White House
USA.gov: U.S. Government Official Web Portal
Agency for Healthcare Research and Quality • 540 Gaither Road Rockville, MD 20850 • Telephone: (301) 427-1364