U.S. Department of Health & Human Services
PATIENT SAFETY PRIMERS
2014 ANNUAL PERSPECTIVES
Device-related Complications (40)
Diagnostic Errors (25)
Identification Errors (19)
Discontinuities, Gaps, and Hand-Off Problems (185)
Fatigue and Sleep Deprivation (10)
Medication Safety (291)
Medical Complications (158)
Nonsurgical Procedural Complications (8)
Surgical Complications (39)
Transfusion Complications (7)
Psychological and Social Complications (30)
Australia and New Zealand (34)
Central and South America (1)
North America (712)
Journal Article (648)
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Special or Theme Issue (13)
Web Resource (25)
Epidemiology of Errors and Adverse Events (260)
Active Errors (196)
Latent Errors (124)
Near Miss (14)
Approach to Improving Safety
Quality Improvement Strategies (251)
Legal and Policy Approaches (54)
Error Reporting and Analysis (204)
Communication Improvement (323)
Human Factors Engineering (101)
Specialization of Care (75)
Logistical Approaches (51)
Culture of Safety (130)
Technologic Approaches (171)
Education and Training (178)
Health Care Providers (736)
Health Care Executives and Administrators (773)
Non-Health Care Professionals (352)
Setting of Care
Psychiatric Facilities (1)
Residential Facilities (4)
Ambulatory Care (30)
Outpatient Surgery (2)
Patient Transport (3)
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Forster A. AHRQ WebM&M [serial online]. December 2004.
Too Tight Control.
Rubin HR, Fajtova VT. AHRQ WebM&M [serial online]. May 2004.
Shapiro MJ. AHRQ WebM&M [serial online]. February 2004.
Adams JG. AHRQ WebM&M [serial online]. June 2003.
The Dropped Lung.
Heffner JE. AHRQ WebM&M [serial online]. May 2003.
Preventing errors relating to commonly used anticoagulants.
Sentinel Event Alert. September 24, 2008;(41):1-4.
Impact of a standard medication chart on prescribing errors: a before-and-after audit.
Coombes ID, Stowasser DA, Reid C, Mitchell CA. Qual Saf Health Care. 2009;18:478-485.
An In Depth Investigation into Causes of Prescribing Errors by Foundation Trainees in Relation to Their Medical Education—EQUIP Study.
Dornan T, Ashcroft D, Heathfield H, et al. London: General Medical Council; 2009.
Medication safety in acute care in Australia: where are we now? Part 2: a review of strategies and activities for improving medication safety 2002-2008.
Semple SJ, Roughead EE. Aust New Zealand Health Policy. 2009;6:24.
Interventions to improve team effectiveness: a systematic review.
Buljac-Samardzic M, Dekker-van Doorn CM, van Wijngaarden JDH, van Wijk KP. Health Policy. 2010;94:183-195.
Results of the Medications At Transitions and Clinical Handoffs (MATCH) study: an analysis of medication reconciliation errors and risk factors at hospital admission.
Gleason KM, McDaniel MR, Feinglass J, et al. J Gen Intern Med. 2010;25:441-447.
Effect of bar-code technology on the safety of medication administration.
Poon EG, Keohane CA, Yoon CS, et al. N Engl J Med. 2010;362:1698-1707.
Improving safety culture on adult medical units through multidisciplinary teamwork and communication interventions: the TOPS Project.
Blegen MA, Sehgal NL, Alldredge BK, Gearhart S, Auerbach AD, Wachter RM. Qual Saf Health Care. 2010;19:346-350.
Assessing and improving safety culture throughout an academic medical centre: a prospective cohort study.
Paine LA, Rosenstein BJ, Sexton JB, Kent P, Holzmueller CG, Pronovost PJ. Qual Saf Health Care. 2010;19:547-554.
Medication reconciliation during internal hospital transfer and impact of computerized prescriber order entry.
Lee JY, Leblanc K, Fernandes OA, et al. Ann Pharmacother. 2010;44:1887-1895.
Outcomes of classroom-based team training interventions for multiprofessional hospital staff. A systematic review.
Rabøl LI, Østergaard D, Mogensen T. Qual Saf Health Care. 2010;19:e27.
Cause for concern: drug shortages disrupt operations, tax hospitalists' treatment patterns.
Collins TR. The Hospitalist. July 2011.
A review of verbal order policies in acute care hospitals.
Wakefield DS, Wakefield BJ, Despins L, et al. Jt Comm J Qual Patient Saf. 2012;38:24-33.
Effects of two commercial electronic prescribing systems on prescribing error rates in hospital in-patients: a before and after study.
Westbrook JI, Reckmann M, Li L, et al. PLoS Med. 2012;9:e1001164.
Parenteral nutrition prescribing processes using computerized prescriber order entry: opportunities to improve safety.
Hilmas E, Peoples JD. JPEN J Parenter Enteral Nutr. 2012;36(suppl 2):32S-35S.
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