U.S. Department of Health & Human Services
PATIENT SAFETY PRIMERS
2014 ANNUAL PERSPECTIVES
Device-related Complications (35)
Diagnostic Errors (66)
Identification Errors (30)
Discontinuities, Gaps, and Hand-Off Problems (71)
Fatigue and Sleep Deprivation (33)
Medication Safety (228)
Medical Complications (58)
Nonsurgical Procedural Complications (28)
Surgical Complications (118)
Transfusion Complications (6)
Psychological and Social Complications (28)
Australia and New Zealand (10)
North America (695)
Clinical Guideline (1)
Journal Article (622)
Newspaper/Magazine Article (73)
Press Release/Announcement (12)
Special or Theme Issue (8)
Web Resource (9)
Epidemiology of Errors and Adverse Events (269)
Active Errors (164)
Latent Errors (55)
Near Miss (21)
Approach to Improving Safety
Quality Improvement Strategies (157)
Legal and Policy Approaches (100)
Error Reporting and Analysis (336)
Communication Improvement (152)
Human Factors Engineering (101)
Specialization of Care (31)
Logistical Approaches (61)
Culture of Safety (46)
Technologic Approaches (113)
Education and Training (83)
Allied Health Services (1)
Setting of Care
Psychiatric Facilities (3)
Residential Facilities (12)
Ambulatory Care (58)
Outpatient Surgery (11)
Patient Transport (12)
1 - 20
Don't Show Excerpt
Sort by relevance
Sort by significance
Sort by title
Sort by date
Sort by author
Risk Management Pearls on Disclosure of Adverse Events.
Amori G. Chicago, IL: American Society for Healthcare Risk Management; 2006.
ACOG Committee Opinion #520: disclosure and discussion of adverse events.
ACOG Committee on Patient Safety and Quality Improvement and Committee on Professional Liability. Obstet Gynecol. 2012;119:686-689.
Disclosing harmful medical errors to patients.
Gallagher TH, Studdert D, Levinson W. N Engl J Med. 2007;356:2713-2719.
A mediation skills model to manage disclosure of errors and adverse events to patients.
Liebman CB, Hyman CS. Health Aff (Millwood). July/Aug 2004;23:22-32.
When Things Go Wrong: Responding to Adverse Events.
A Consensus Statement of the Harvard Hospitals. Burlington: Massachusetts Coalition for the Prevention of Medical Errors; 2006.
How does routine disclosure of medical error affect patients' propensity to sue and their assessment of provider quality?: Evidence from survey data.
Helmchen LA, Richards MR, McDonald TB. Med Care. 2010;48:955-961.
Disclosure of unanticipated events: creating an effective patient communication policy (part 2 of 3).
Chicago, IL: American Society of Healthcare Risk Management; 2003.
Narrative review: do state laws make it easier to say "I'm sorry?"
McDonnell WM, Guenther E. Ann Intern Med. 2008;149:811-815.
Sorry Works! 2.0: Disclosure, Apology, and Relationships Prevent Medical Malpractice Claims.
Wojcieszak D, Saxton JW, Finkelstein MM. Bloomington, IN: AuthorHouse; 2010. ISBN: 9781438969732.
Disclosure of medical errors involving gametes and embryos.
Ethics Committee of the American Society for Reproductive Medicine. Fertil Steril. 2011;96:1312-1314.
Does full disclosure of medical errors affect malpractice liability? The jury is still out.
Kachalia A, Shojania KG, Hofer TP, Piotrowski M, Saint S. Jt Comm J Qual Saf. 2003;29:503-511.
In Conversation with…Thomas H. Gallagher, MD
AHRQ WebM&M [serial online]. January 2009.
Apology for errors: whose responsibility?
Leape LL. Front Health Serv Manage. 2012;28:3-12.
Disclosure of medical injury to patients: an improbable risk management strategy.
Studdert DM, Mello MM, Gawande AA, Brennan TA, Wang YC. Health Aff (Millwood). 2007;26:215-226.
Dealing honestly with an honest mistake.
Liang NL, Herring ME, Bush RL. J Vasc Surg. 2010;51:494-495.
Massachusetts hospitals launch patient apology program.
Gallegos A. American Medical News. May 21, 2012.
Parents' perceptions of pediatric day surgery risks: unforeseeable complications, or avoidable mistakes?
Sobo EJ. Soc Sci Med. 2005;60:2341-2350.
Disclosure of hospital adverse events and its association with patients' ratings of the quality of care.
López L, Weissman JS, Schneider EC, Weingart SN, Cohen AP, Epstein AM. Arch Intern Med. 2009;169:1888-1894.
Removing Insult from Injury: Disclosing Adverse Events.
Baltimore, MD: Johns Hopkins Bloomberg School of Public Health; 2005.
Successful remediation of patient safety incidents: a tale of two medication errors.
Helmchen LA, Richards MR, McDonald TB. Health Care Manage Rev. 2011;36:1-10.
Terms & Conditions
Produced for the
Agency for Healthcare Research and Quality
team of editors
University of California, San Francisco
with guidance from a prominent
Technical Expert/Advisory Panel
. The AHRQ PSNet site was designed and implemented by Silverchair.