U.S. Department of Health & Human Services
PATIENT SAFETY PRIMERS
2014 ANNUAL PERSPECTIVES
Device-related Complications (14)
Diagnostic Errors (24)
Identification Errors (6)
Discontinuities, Gaps, and Hand-Off Problems (35)
Fatigue and Sleep Deprivation (31)
Medication Safety (103)
Medical Complications (82)
Nonsurgical Procedural Complications (5)
Surgical Complications (56)
Transfusion Complications (2)
Psychological and Social Complications (19)
Australia and New Zealand (12)
Central and South America (3)
North America (569)
Journal Article (366)
Newspaper/Magazine Article (85)
Press Release/Announcement (5)
Special or Theme Issue (13)
Web Resource (25)
Epidemiology of Errors and Adverse Events (136)
Active Errors (57)
Latent Errors (77)
Near Miss (8)
Approach to Improving Safety
Quality Improvement Strategies (175)
Legal and Policy Approaches (338)
Error Reporting and Analysis (317)
Communication Improvement (75)
Human Factors Engineering (35)
Specialization of Care (11)
Logistical Approaches (48)
Culture of Safety (101)
Technologic Approaches (85)
Education and Training (94)
Allied Health Services (2)
Setting of Care
Psychiatric Facilities (4)
Residential Facilities (12)
Ambulatory Care (56)
Outpatient Surgery (13)
Patient Transport (1)
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Structural and organizational issues in patient safety: a comparison of health care to other high-hazard industries.
Gaba DM. Calif Manage Rev. 2000;43:1-20.
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.
Organizational culture as a source of high reliability.
Weick KE. Calif Manage Rev. 1987;29:112-127.
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.
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.
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.
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.
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.
Chasing Zero: Winning the War on Healthcare Harm.
Austin, TX: Texas Medical Institute for Technology and the Quaid Foundation; 2010.
Making hospitals accountable.
Peters PG Jr. Regulation. Summer 2009;32:30-36.
Resident Duty Hours: Enhancing Sleep, Supervision, and Safety.
Ulmer C, Wolman DM, Johns MME, eds. Committee on Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedule to Improve Patient Safety, Institute of Medicine. Washington, DC: The National Academies Press; 2008. ISBN: 9780309127721.
Electronic health records and National Patient-Safety Goals.
Sittig DF, Singh H. N Engl J Med. 2012;367:1854-1860.
The response of the APPD, CoPS and AAP to the Institute of Medicine report on resident duty hours.
Guralnick S, Rushton J, Bale JF Jr, Norwood V, Trimm F, Schumacher D. Pediatrics. 2010;125:786-790.
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