U.S. Department of Health & Human Services
PATIENT SAFETY PRIMERS
2014 ANNUAL PERSPECTIVES
Handoffs and Transitions
Safety and Medical Education
Device-related Complications (161)
Diagnostic Errors (130)
Identification Errors (69)
Discontinuities, Gaps, and Hand-Off Problems (443)
Fatigue and Sleep Deprivation (127)
Medication Safety (845)
Medical Complications (484)
Nonsurgical Procedural Complications (71)
Surgical Complications (335)
Transfusion Complications (17)
Psychological and Social Complications (166)
Australia and New Zealand (78)
Central and South America (4)
North America (3126)
Clinical Guideline (3)
Journal Article (2579)
Newspaper/Magazine Article (518)
Press Release/Announcement (14)
Special or Theme Issue (46)
Web Resource (87)
Epidemiology of Errors and Adverse Events (915)
Active Errors (592)
Latent Errors (590)
Near Miss (50)
Approach to Improving Safety
Quality Improvement Strategies (872)
Legal and Policy Approaches (405)
Error Reporting and Analysis (1030)
Communication Improvement (779)
Human Factors Engineering (399)
Specialization of Care (277)
Logistical Approaches (316)
Culture of Safety (653)
Technologic Approaches (558)
Education and Training (784)
Allied Health Services (6)
Health Care Providers (2161)
Health Care Executives and Administrators (2998)
Non-Health Care Professionals (1665)
Setting of Care
General Hospitals (648)
Children’s Hospitals (84)
Specialty Hospitals (25)
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Creating a culture of safety.
Bush H. Trustee Magazine. July 2013.
Communication-and-resolution programs: the challenges and lessons learned from six early adopters.
Mello MM, Boothman RC, McDonald T, et al. Health Aff (Millwood). 2014;33:20-29.
Duty-hour limits and patient care and resident outcomes: can high-quality studies offer insight into complex relationships?
Philibert I, Nasca T, Brigham T, Shapiro J. Annu Rev Med. 2013;64:467-483.
Minnesota Hospital Association Statewide Project: SAFE from FALLS.
Apold J, Quigley PA. J Nurs Care Qual. 2012;27:299-306.
The impossible workload for doctors in training.
Chen PW. New York Times. April 18, 2013.
"Second victim" casualties and how physician leaders can help.
MacLeod L. Physician Exec. Jan-Feb 2014;40:8-12.
Organizational culture, critical success factors, and the reduction of hospital errors.
Stock GN, McFadden KL, Gowen III, CR. Int J Prod Econ. 2007;106:368–392.
Plan aims to cut hospital deaths.
Appleby J. USA Today. June 6, 2005.
The Henry Ford Health System No Harm Campaign: a comprehensive model to reduce harm and save lives.
Conway WA, Hawkins S, Jordan J, Voutt-Goos MJ. Jt Comm J Qual Patient Saf. 2012;38:318-327.
Governing board, C-suite, and clinical management perceptions of quality and safety structures, processes, and priorities in US hospitals.
Vaughn T, Koepke M, Levey S, et al. J Healthc Manag. 2014;59:111-128.
SAFER Guides: What You Need to Know.
American Hospital Association. December 3, 2014.
Mandatory influenza vaccination for health care workers as the new standard of care: a matter of patient safety and nonmaleficent practice.
Cortes-Penfield N. Am J Public Health. 2014;104:2060-2065.
Tennessee Center for Patient Safety.
National Coalition for Alarm Management Safety.
Healthcare Technology Safety Institute and Association for the Advancement of Medical Instrumentation.
Patient safety in the era of the 80-hour workweek.
Shelton J, Kummerow K, Phillips S, et al. J Surg Educ. 2014;71:551-559.
The silent treatment: 'just be quiet about it'.
Smerd J. Workforce Management. November 19, 2007;1, 16-20.
Duty hour reform in a shifting medical landscape.
Jena AB, Prasad V. J Gen Intern Med. 2013;28:1238-1240.
Surgical training, duty-hour restrictions, and implications for meeting the Accreditation Council for Graduate Medical Education core competencies: views of surgical interns compared with program directors.
Antiel RM, Van Arendonk KJ, Reed DA, et al. Arch Surg. 2012;147:536-541.
Creating a culture of safety in the emergency department: the value of teamwork training.
Jones F, Podila P, Powers C. J Nurs Adm. 2013;43:194-200.
Chasing Zero: Winning the War on Healthcare Harm.
Austin, TX: Texas Medical Institute for Technology and the Quaid Foundation; 2010.
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