U.S. Department of Health & Human Services
PATIENT SAFETY PRIMERS
2014 ANNUAL PERSPECTIVES
Device-related Complications (73)
Diagnostic Errors (18)
Identification Errors (2)
Discontinuities, Gaps, and Hand-Off Problems (76)
Fatigue and Sleep Deprivation (9)
Medication Safety (129)
Medical Complications (182)
Nonsurgical Procedural Complications (13)
Surgical Complications (23)
Transfusion Complications (3)
Psychological and Social Complications (8)
Australia and New Zealand (38)
Central and South America (6)
North America (423)
Clinical Guideline (2)
Journal Article (516)
Newspaper/Magazine Article (29)
Press Release/Announcement (4)
Special or Theme Issue (5)
Web Resource (2)
Epidemiology of Errors and Adverse Events (203)
Active Errors (86)
Latent Errors (42)
Near Miss (7)
Approach to Improving Safety
Quality Improvement Strategies (128)
Legal and Policy Approaches (22)
Error Reporting and Analysis (136)
Communication Improvement (95)
Human Factors Engineering (92)
Specialization of Care (164)
Logistical Approaches (31)
Culture of Safety (67)
Technologic Approaches (71)
Education and Training (82)
Health Care Providers (376)
Health Care Executives and Administrators (474)
Non-Health Care Professionals (158)
Setting of Care
Psychiatric Facilities (1)
Residential Facilities (1)
Ambulatory Care (4)
Patient Transport (6)
1 - 20
Don't Show Excerpt
Sort by relevance
Sort by significance
Sort by title
Sort by date
Sort by author
Perfect is possible.
Berwick DM, Leape LL. Newsweek. October 16, 2006:70-71.
Preventing catheter-related bloodstream infections: thinking outside the checklist.
Perencevich EN, Pittet D. JAMA. 2009;301:1285-1287.
Patient safety: the synergy of technology and behavior.
Yarbrough C, Rypkema S. Patient Safety & Quality Healthcare. January-February 2008;5:32-35.
The ability of intensive care units to maintain zero central line–associated bloodstream infections.
Lipitz-Snyderman A, Needham DM, Colantuoni E, et al. Arch Intern Med. 2011;171:856-858.
Trends in central line–associated bloodstream infections in a trauma-surgical intensive care unit.
Ong A, Dysert K, Herbert C, et al. Arch Surg. 2011;146:302-307.
Multiple component patient safety intervention in English hospitals: controlled evaluation of second phase.
Benning A, Dixon-Woods M, Nwulu U, et al. BMJ. 2011;342:d199.
SPECIAL OR THEME ISSUE
Infection Control in the Intensive Care Unit.
Crit Care Med. 2010;38:S265-S404.
Developing a medical emergency team running sheet to improve clinical handoff and documentation.
Mardegan K, Heland M, Whitelock T, Millar R, Jones D. Jt Comm J Qual Patient Saf. 2013;39:570-575.
Improving situation awareness to reduce unrecognized clinical deterioration and serious safety events.
Brady PW, Muething S, Kotagal U, et al. Pediatrics. 2013;131:e298-e308.
Failure events in transition of care for surgical patients.
Helling TS, Martin LC, Martin M, Mitchell ME. J Am Coll Surg. 2014;218:723-731.
Surviving sepsis campaign: international guidelines for management of severe sepsis and septic shock: 2012.
Dellinger RP, Levy MM, Rhodes A, et al; Surviving Sepsis Campaign Guidelines Committee including the Pediatric Subgroup. Crit Care Med. 2013;41:580-637.
Maintaining and sustaining the
On the CUSP: Stop BSI
model in Hawaii.
Lin DM, Weeks K, Holzmueller CG, Pronovost PJ, Pham JC. Jt Comm J Qual Patient Saf. 2013;39:51-60.
In-facility delirium programs as a patient safety strategy: a systematic review.
Reston JT, Schoelles KM. Ann Intern Med. 2013;158(5 Pt 2):375-380.
What’s past is prologue: organizational learning from a serious patient injury.
Tamuz M, Franchois KE, Thomas EJ. Safety Sci. 2011;49:75-82.
Patient Safety and Quality Annual Report 2013: Michigan Hospitals: A Decade of Making Care Safer.
Okemos, MI: Michigan Health & Hospital Association; October 2013.
Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated bloodstream infections.
Sawyer M, Weeks K, Goeschel CA, et al. Crit Care Med. 2010;38(suppl 8):S292-S298.
Large scale organisational intervention to improve patient safety in four UK hospitals: mixed method evaluation.
Benning A, Ghaleb M, Suokas A, et al. BMJ. 2011;342:d195.
Quality of traditional surveillance for public reporting of nosocomial bloodstream infection rates.
Lin MY, Hota B, Khan YM, et al; CDC Prevention Epicenter Program. JAMA. 2010;304:2035-2041.
Evaluation of an evidence-based, nurse-driven checklist to prevent hospital-acquired catheter-associated urinary tract infections in intensive care units.
Fuchs MA, Sexton DJ, Thornlow DK, Champagne MT. J Nurs Care Qual. 2011;26:101-109.
Statewide NICU central-line–associated bloodstream infection rates decline after bundles and checklists.
Schulman J, Stricof R, Stevens TP, et al; New York State Regional Perinatal Care Centers. Pediatrics. 2011;127:436-444.
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.