U.S. Department of Health & Human Services
PATIENT SAFETY PRIMERS
2014 ANNUAL PERSPECTIVES
Device-related Complications (3)
Diagnostic Errors (34)
Identification Errors (5)
Discontinuities, Gaps, and Hand-Off Problems (48)
Fatigue and Sleep Deprivation (1)
Medication Safety (98)
Medical Complications (9)
Surgical Complications (1)
Psychological and Social Complications (12)
Australia and New Zealand (8)
North America (177)
Clinical Guideline (1)
Journal Article (227)
Newspaper/Magazine Article (8)
Web Resource (2)
Epidemiology of Errors and Adverse Events (82)
Active Errors (43)
Latent Errors (11)
Near Miss (4)
Approach to Improving Safety
Quality Improvement Strategies (51)
Legal and Policy Approaches (19)
Error Reporting and Analysis (80)
Communication Improvement (88)
Human Factors Engineering (11)
Specialization of Care (6)
Logistical Approaches (16)
Culture of Safety (22)
Technologic Approaches (74)
Education and Training (39)
Health Care Providers (198)
Health Care Executives and Administrators (156)
Non-Health Care Professionals (112)
Setting of Care
Psychiatric Facilities (2)
Residential Facilities (2)
Ambulatory Care (213)
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The relationship of self-report of quality to practice size and health information technology.
Gorman PN, O'Malley JP, Fagnan LJ. J Am Board Fam Med. 2012;25:614-624.
Impact of implementing alerts about medication black-box warnings in electronic health records.
Yu DT, Seger DL, Lasser KE, et al. Pharmacoepidemiol Drug Saf. 2011;20:192-202.
Transitioning between electronic health records: effects on ambulatory prescribing safety.
Abramson EL, Malhotra S, Fischer K, et al. J Gen Intern Med. 2011;26:868-874.
Medication reconciliation in ambulatory care: attempts at improvement.
Nassaralla CL, Naessens JM, Hunt VL, et al. Qual Saf Health Care. 2009;18:402-407.
Stopping the error cascade: a report on ameliorators from the ASIPS collaborative.
Parnes B, Fernald D, Quintela J, et al. Qual Saf Health Care. 2007;16:12-16.
Safety climate and its association with office type and team involvement in primary care.
Gehring K, Schwappach DL, Battaglia M, et al. Int J Qual Health Care. 2013;25:394-402.
First annual review of data submitted to the ISMP National Vaccine Errors Reporting Program (VERP).
ISMP Medication Safety Alert! Acute Care Edition. November 28, 2013;18:1-5.
Clinical outcomes from the use of Medication Report when elderly patients are discharged from hospital.
Midlöv P, Deierborg E, Holmdahl L, Höglund P, Eriksson T. Pharm World Sci. 2008;30:840-845.
Simple strategies to avoid medication errors.
Jenkins RH, Vaida AJ. Fam Pract Manag. 2007;14:41-47.
"Chance favors only the prepared mind": preparing minds to systematically reduce hazards in the testing process in primary care.
Singh R, Hickner J, Mold J, Singh G. J Patient Saf. 2014;10:20-28.
Effects of a team-based assessment and intervention on patient safety culture in general practice: an open randomised controlled trial.
Hoffmann B, Müller V, Rochon J, et al. BMJ Qual Saf. 2014;23:35-46.
Electronic medical record availability and primary care depression treatment.
Harman JS, Rost KM, Harle CA, Cook RL. J Gen Intern Med. 2012;27:962-967.
Literacy and misunderstanding prescription drug labels.
Davis TC, Wolf MS, Bass PF III, et al. Ann Intern Med. 2006;145:887-94.
Problems after discharge and understanding of communication with their primary care physicians (PCPs) among hospitalized seniors: a mixed methods study.
Arora VM, Prochaska ML, Farnan JM, et al. J Hosp Med. 2010;5:385-391.
Implementation of a medication reconciliation process in an ambulatory internal medicine clinic.
Nassaralla CL, Naessens JM, Chaudhry R, Hansen MA, Scheitel SM. Qual Saf Health Care. 2007;16:90-94.
Patient report on information given, consultation time and safety in primary care.
Mira JJ, Nebot C, Lorenzo S, Pérez-Jover V. Qual Saf Health Care. 2010;19:e33.
Primary care physician communication at hospital discharge reduces medication discrepancies.
Lindquist LA, Yamahiro A, Garrett A, Zei C, Feinglass JM. J Hosp Med. 2013;8:672-677.
Safety First: Top of Your Board's Agenda: 100 Day Challenge Survey Report.
The Patients Association. Harrow, Middlesex, UK: The Patients Association; June 2009.
Adherence to drug–drug interaction alerts in high-risk patients: a trial of context-enhanced alerting.
Duke JD, Li X, Dexter P. J Am Med Inform Assoc. 2013;20:494-498.
Medication prescribing and monitoring errors in primary care: a report from the Practice Partner Research Network.
Wessell AM, Litvin C, Jenkins RG, Nietert PJ, Nemeth LS, Ornstein SM. Qual Saf Health Care. 2010;19:e21.
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