U.S. Department of Health & Human Services
PATIENT SAFETY PRIMERS
Device-related Complications (22)
Diagnostic Errors (2)
Identification Errors (5)
Discontinuities, Gaps, and Hand-Off Problems (23)
Fatigue and Sleep Deprivation (7)
Medication Safety (50)
Medical Complications (15)
Nonsurgical Procedural Complications (15)
Surgical Complications (150)
Transfusion Complications (1)
Psychological and Social Complications (10)
Australia and New Zealand (22)
North America (172)
Clinical Guideline (2)
Journal Article (224)
Newspaper/Magazine Article (25)
Special or Theme Issue (7)
Web Resource (8)
Epidemiology of Errors and Adverse Events (63)
Active Errors (55)
Latent Errors (24)
Near Miss (4)
Approach to Improving Safety
Quality Improvement Strategies (63)
Legal and Policy Approaches (22)
Error Reporting and Analysis (64)
Communication Improvement (58)
Human Factors Engineering (71)
Specialization of Care (8)
Logistical Approaches (14)
Culture of Safety (24)
Technologic Approaches (30)
Education and Training (66)
Health Care Providers (228)
Health Care Executives and Administrators (189)
Non-Health Care Professionals (85)
Setting of Care
Ambulatory Care (12)
Outpatient Surgery (10)
Patient Transport (2)
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Safety in ASCs: putting patients first.
Dix K. Today's Surgicenter. December 1, 2006.
Right? Left? Neither!
Howell EA, Chassin MR. AHRQ WebM&M [serial online]. May 2006.
SPECIAL OR THEME ISSUE
Patient Safety and the Invitational Conference on Contemporary Surgical Quality, Safety and Transparency.
Amer Surg. 2006;72:985-1149
National pediatric anesthesia safety quality improvement program in the United States.
Kurth CD, Tyler D, Heitmiller E, Tosone SR, Martin L, Deshpande JK. Anesth Analg. 2014;119:112-121.
Error or "act of God"? A study of patients' and operating room team members' perceptions of error definition, reporting, and disclosure.
Espin S, Levinson W, Regehr G, Baker GR, Lingard L. Surgery. 2006;139:6-14.
Time of day effects on the incidence of anesthetic adverse events.
Wright MC, Phillips-Bute B, Mark JB, et al. Qual Saf Health Care. 2006;15:258-263.
Duration of anesthesia as an indicator of morbidity and mortality in office-based facial plastic surgery: a review of 1200 consecutive cases.
Gordon NA, Koch ME. Arch Facial Plast Surg. 2006;8:47-53.
Trends influencing the cost of care and patient safety.
Clark R. Health Manage Tech. July 2006:18, 20-21.
A facilitated survey instrument captures significantly more anesthesia events than does traditional voluntary event reporting.
Oken A, Rasmussen MD, Slagle JM, et al. Anesthesiology. 2007;107:909-922.
The perianesthesia nurse's role in the prevention of opioid-related sentinel events.
Pasero C. J Perianesth Nurs. 2013;28:31-37.
SPECIAL OR THEME ISSUE
Quality of Anesthesia Care.
Neuman MD, Martinez EA, eds. Anesthesiol Clin. 2011;29:1-178.
The Wild West: Patient Safety in Office-Based Anesthesia
Kaushal R, Upadhyayula S, Gaba DM, Leape LL. AHRQ WebM&M [serial online]. May 2006.
Adverse event reporting: lessons learned from 4 years of Florida office data.
Coldiron B, Fisher AH, Adelman E, et al. Dermatol Surg. 2005;31(pt 1):1079-1092; discussion 1093.
State: nurse error caused death.
Wahlberg D. Wisconsin State Journal. July 22, 2006:A1.
Strategies for preventing distractions and interruptions in the OR.
Clark GJ. AORN J. 2013;97:702-707.
Handoff checklists improve the reliability of patient handoffs in the operating room and postanesthesia care unit.
Boat AC, Spaeth JP. Paediatr Anaesth. 2013;23:647-654.
Wake Up Safe.
Society for Pediatric Anesthesia.
Medication administration in anesthesia: time for a paradigm shift.
Stabile M, Webster CS, Merry AF. APSF Newsletter. Fall 2007;22:44-47.
2008 Recommendations for Pre-Anesthesia Checkout Procedures.
ASA Committee on Equipment and Facilities. Park Ridge, IL: American Society of Anesthesiologists; 2008.
The Helsinki Declaration on Patient Safety in Anaesthesiology: the past, present and future.
Mellin-Olsen J, Staender S. Curr Opin Anaesthesiol. 2014 Sep 24; [Epub ahead of print].
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