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 (22)
Fatigue and Sleep Deprivation (7)
Medication Safety (49)
Medical Complications (15)
Nonsurgical Procedural Complications (13)
Surgical Complications (140)
Transfusion Complications (1)
Psychological and Social Complications (10)
Australia and New Zealand (22)
North America (164)
Clinical Guideline (2)
Journal Article (213)
Newspaper/Magazine Article (24)
Special or Theme Issue (7)
Web Resource (8)
Epidemiology of Errors and Adverse Events (56)
Active Errors (51)
Latent Errors (24)
Near Miss (4)
Approach to Improving Safety
Quality Improvement Strategies (56)
Legal and Policy Approaches (19)
Error Reporting and Analysis (63)
Communication Improvement (57)
Human Factors Engineering (70)
Specialization of Care (7)
Logistical Approaches (14)
Culture of Safety (24)
Technologic Approaches (30)
Education and Training (66)
Health Care Providers (219)
Health Care Executives and Administrators (180)
Non-Health Care Professionals (83)
Setting of Care
Ambulatory Care (10)
Outpatient Surgery (8)
Patient Transport (2)
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Safety in ASCs: putting patients first.
Dix K. Today's Surgicenter. December 1, 2006.
SPECIAL OR THEME ISSUE
Patient Safety and the Invitational Conference on Contemporary Surgical Quality, Safety and Transparency.
Amer Surg. 2006;72:985-1149
Right? Left? Neither!
Howell EA, Chassin MR. AHRQ WebM&M [serial online]. May 2006.
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.
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.
The perianesthesia nurse's role in the prevention of opioid-related sentinel events.
Pasero C. J Perianesth Nurs. 2013;28:31-37.
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.
SPECIAL OR THEME ISSUE
Quality of Anesthesia Care.
Neuman MD, Martinez EA, eds. Anesthesiol Clin. 2011;29:1-178.
Administrative issues to ensure safe anesthesia care in the office-based setting.
Gaulton TG, Shapiro FE, Urman RD. Curr Opin Anaesthesiol. 2013;26:692-697.
Error, stress, and teamwork in medicine and aviation: cross sectional surveys.
Sexton JB, Thomas EJ, Helmreich RL. BMJ. 2000;320:745-749.
The association between frequency of self-reported medical errors and anesthesia trainee supervision: a survey of United States anesthesiology residents-in-training.
De Oliveira GS Jr, Rahmani R, Fitzgerald PC, Chang R, McCarthy RJ. Anesth Analg. 2013;116:892-897.
Sedation and patient safety.
Simmons D. Crit Care Nurs Clin North Am. 2005;17:279-285.
DNR in the OR and Afterwards
Lo B. AHRQ WebM&M [serial online]. September 2006.
Communication in critical care environments: mobile telephones improve patient care.
Soto RG, Chu LF, Goldman JM, Rampil IJ, Ruskin KJ. Anesth Analg. 2006;102:535-541.
Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder.
Makary MA, Sexton JB, Freischlag JA, et al. J Am Coll Surg. 2006;202:746-752.
An anesthesiology department leads culture change at a hospital system level to improve quality and patient safety.
Fleischut PM, Evans AS, Faggiani SL, Lazar EJ, Kerr GE. Anesthesiol Clin. 2011;29:153-167.
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