U.S. Department of Health & Human Services
PATIENT SAFETY PRIMERS
2014 ANNUAL PERSPECTIVES
Device-related Complications (3)
Diagnostic Errors (43)
Identification Errors (6)
Discontinuities, Gaps, and Hand-Off Problems (60)
Fatigue and Sleep Deprivation (2)
Medication Safety (113)
Medical Complications (9)
Nonsurgical Procedural Complications (2)
Surgical Complications (1)
Psychological and Social Complications (17)
Australia and New Zealand (9)
North America (202)
Clinical Guideline (1)
Journal Article (264)
Newspaper/Magazine Article (10)
Press Release/Announcement (1)
Web Resource (2)
Epidemiology of Errors and Adverse Events (96)
Active Errors (60)
Latent Errors (23)
Near Miss (4)
Approach to Improving Safety
Quality Improvement Strategies (60)
Legal and Policy Approaches (23)
Error Reporting and Analysis (90)
Communication Improvement (107)
Human Factors Engineering (11)
Specialization of Care (6)
Logistical Approaches (19)
Culture of Safety (23)
Technologic Approaches (85)
Education and Training (47)
Health Care Providers (231)
Health Care Executives and Administrators (176)
Non-Health Care Professionals (130)
Setting of Care
Psychiatric Facilities (2)
Residential Facilities (2)
Ambulatory Care (248)
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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.
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.
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.
Medication reconciliation in ambulatory care: attempts at improvement.
Nassaralla CL, Naessens JM, Hunt VL, et al. Qual Saf Health Care. 2009;18:402-407.
Safety First: Top of Your Board's Agenda: 100 Day Challenge Survey Report.
The Patients Association. Harrow, Middlesex, UK: The Patients Association; June 2009.
Are opioid dependence and methadone maintenance treatment (MMT) documented in the medical record? A patient safety issue.
Walley AY, Farrar D, Cheng DM, Alford DP, Samet JH. J Gen Intern Med. 2009;24:1007-1011.
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.
Patient safety climate in primary care: age matters.
Holden LM, Watts DD, Hinton WP. J Patient Saf. 2009;5:23-28.
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.
Medication errors reported by US family physicians and their office staff.
Kuo GM, Phillips RL, Graham D, Hickner JM. Qual Saf Health Care. 2008;17:286-290.
Simple strategies to avoid medication errors.
Jenkins RH, Vaida AJ. Fam Pract Manag. 2007;14:41-47.
Literacy and misunderstanding prescription drug labels.
Davis TC, Wolf MS, Bass PF III, et al. Ann Intern Med. 2006;145:887-94.
Medication errors in family practice, in hospitals and after discharge from the hospital: an ethical analysis.
Clark PA. J Law Med Ethics. 2004;32:349-357.
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.
Impact of individual and team features of patient safety climate: a survey in family practices.
Hoffmann B, Miessner C, Albay Z, et al. Ann Fam Med. 2013;11:355-362.
Using a patient internet portal to prevent adverse drug events: a randomized, controlled trial.
Weingart SN, Carbo A, Tess A, et al. J Patient Saf. 2013;9:169-175.
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.
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