U.S. Department of Health & Human Services
Facility and Group Administrators
PATIENT SAFETY PRIMERS
2014 ANNUAL PERSPECTIVES
Device-related Complications (10)
Diagnostic Errors (21)
Identification Errors (13)
Discontinuities, Gaps, and Hand-Off Problems (71)
Fatigue and Sleep Deprivation (34)
Medication Safety (164)
Medical Complications (40)
Nonsurgical Procedural Complications (4)
Surgical Complications (39)
Transfusion Complications (3)
Psychological and Social Complications (21)
Australia and New Zealand (22)
North America (438)
Clinical Guideline (1)
Journal Article (436)
Newspaper/Magazine Article (52)
Special or Theme Issue (5)
Web Resource (10)
Epidemiology of Errors and Adverse Events (125)
Active Errors (54)
Latent Errors (45)
Near Miss (13)
Approach to Improving Safety
Quality Improvement Strategies (140)
Legal and Policy Approaches (56)
Error Reporting and Analysis (189)
Communication Improvement (118)
Human Factors Engineering (47)
Specialization of Care (34)
Logistical Approaches (65)
Culture of Safety (89)
Technologic Approaches (120)
Education and Training (81)
Allied Health Services (1)
Complementary and Alternative Medicine (1)
Facility and Group Administrators
Setting of Care
Residential Facilities (26)
Ambulatory Care (78)
Outpatient Surgery (9)
Patient Transport (5)
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SPECIAL OR THEME ISSUE
Patient Safety in Pediatric Emergency Medicine.
Frush KS, Hohenhaus SM, eds. Clin Ped Emerg Med. 2006;7:213-277.
Committed to Safety: Ten Case Studies on Reducing Harm to Patients.
McCarthy D, Blumenthal D. New York, NY: The Commonwealth Fund; April 2006.
Pediatric rapid response teams in the academic medical center.
Mistry KP, Turi J, Hueckel R, Mericle JM, Meliones JN. Clin Ped Emerg Med. 2006;7:241-247.
Eliminating preventable death at Ascension Health.
Tolchin S, Brush R, Lange P, Bates P, Garbo JJ. Jt Comm J Qual Patient Saf. 2007;33:145-154.
What pilots can teach hospitals about patient safety.
Murphy K. New York Times. October 31, 2006:F5.
Healthcare provider complaints to the emergency department: a preliminary report on a new quality improvement instrument.
Griffey RT, Bohan JS. Qual Saf Health Care. 2006;15:344-346.
Organizational and cultural changes for providing safe patient care.
Odwazny R, Hasler S, Abrams R, McNutt R. Qual Manag Health Care. 2005;14:132-143.
A pediatric medical emergency team manages a complex child with hypoxia and a worried parent.
Shilkofski NA, Hunt EA. Jt Comm J Qual Patient Saf. 2007;33:236-241.
North Carolina Center for Hospital Quality and Patient Safety.
2400 Weston Parkway, Cary, NC 27514.
The effect of a rapid response team on major clinical outcome measures in a community hospital.
Dacey MJ, Mirza ER, Wilcox V, et al. Crit Care Med. 2007;35:2076-2082.
Evaluating a new rapid response team: NP-led versus intensivist-led comparisons.
Scherr K, Wilson DM, Wagner J, Haughian M. AACN Adv Crit Care. 2012;23:32-42.
Five years after 'To Err is Human': what have we learned?
Leape LL, Berwick DM. JAMA. 2005;293:2384-2390.
Development and implementation of a pediatric patient safety program.
Alton M, Frush K, Brandon D, Mericle J. Adv Neonatal Care. 2006;6:104-111.
Implementation of patient safety initiatives in US hospitals.
McFadden KL, Stock GN, Gowen CR III. Int J Operations Production Manage. 2006;26:326-347.
Hospitals try to break a deadly 'code.'
Kowalczyk L. The Boston Globe. November 27, 2005:A1.
Engaging residents and fellows to improve institution-wide quality: the first six years of a novel financial incentive program.
Vidyarthi AR, Green AL, Rosenbluth G, Baron RB. Acad Med. 2014;89:460-468.
Quality & Safety Research Group.
Johns Hopkins University, Department of Anesthesiology & Critical Care Medicine.
Quality and safety in the intensive care unit.
Stockwell DC, Slonim AD. J Intensive Care Med. 2006;21:199-210.
A comprehensive collaborative patient safety residency curriculum to address the ACGME core competencies.
Singh R, Naughton B, Taylor JS, et al. Med Educ. 2005;39:1195-1204.
Maryland Patient Safety Center Emergency Department Collaborative.
Maryland Patient Safety Center.
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