U.S. Department of Health & Human Services
PATIENT SAFETY PRIMERS
2014 ANNUAL PERSPECTIVES
Device-related Complications (67)
Diagnostic Errors (35)
Identification Errors (25)
Discontinuities, Gaps, and Hand-Off Problems (276)
Fatigue and Sleep Deprivation (52)
Medication Safety (369)
Medical Complications (302)
Nonsurgical Procedural Complications (15)
Surgical Complications (80)
Transfusion Complications (10)
Psychological and Social Complications (87)
Australia and New Zealand (62)
Central and South America (2)
North America (1399)
Journal Article (1302)
Newspaper/Magazine Article (223)
Press Release/Announcement (5)
Special or Theme Issue (21)
Web Resource (46)
Epidemiology of Errors and Adverse Events (561)
Active Errors (279)
Latent Errors (266)
Near Miss (22)
Approach to Improving Safety
Quality Improvement Strategies (445)
Legal and Policy Approaches (194)
Error Reporting and Analysis (544)
Communication Improvement (427)
Human Factors Engineering (175)
Specialization of Care (128)
Logistical Approaches (132)
Culture of Safety (290)
Technologic Approaches (248)
Education and Training (306)
Health Care Providers (928)
Health Care Executives and Administrators (1534)
Non-Health Care Professionals (802)
Setting of Care
Psychiatric Facilities (4)
Residential Facilities (8)
Ambulatory Care (38)
Outpatient Surgery (4)
Patient Transport (4)
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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.
Identifying organizational cultures that promote patient safety.
Singer SJ, Falwell A, Gaba DM, et al. Health Care Manage Rev. 2009;34:300-311.
A case for safety leadership team training of hospital managers.
Singer SJ, Hayes J, Cooper JB, et al. Health Care Manage Rev. 2011;36:1-13.
What are the critical success factors for team training in health care?
Salas E, Almeida SA, Salisbury M, et al. Jt Comm J Qual Patient Saf. 2009;35:398-405.
Medical Team Training.
Oakbrook, IL: Joint Commission Resources; 2008. ISBN: 9781599400921.
Trainees' perceptions of patient safety practices: recounting failures of supervision.
Ross PT, McMyler ET, Anderson SG, et al. Jt Comm J Qual Patient Saf. 2011;37:88-95.
That’s the way we do things around here!
ISMP Medication Safety Alert! Acute Care Edition. February 24, 2011;16:1-2.
Effects of a multicentre teamwork and communication programme on patient outcomes: results from the Triad for Optimal Patient Safety (TOPS) project.
Auerbach AD, Sehgal NL, Blegen MA, et al. BMJ Qual Saf. 2012;22:118-126.
Why your TeamSTEPPS program may not be working.
Clapper TC, Ng GM. Clin Simul Nurs. 2013;9:e287-e292.
Reducing hospital errors: interventions that build safety culture.
Singer SJ, Vogus TJ. Annu Rev Public Health. 2013;34:373-396.
Using crew resource management and a 'read-and-do checklist' to reduce failure-to-rescue events on a step-down unit.
Young-Xu Y, Fore AM, Metcalf A, Payne K, Neily J, Sculli GL. Am J Nurs. 2013;113:51-57.
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.
The importance of leadership in preventing healthcare–associated infection: results of a multisite qualitative study.
Saint S, Kowalski CP, Banaszak-Holl J, Forman J, Damschroder L, Krein SL. Infect Control Hosp Epidemiol. 2010;31:901-907.
Case study: sustaining a culture of safety in the U.S. Department of Veterans Affairs Health Care System.
Chase D, McCarthy D. Quality Matters. April/May 2010.
Comparing safety climate between two populations of hospitals in the United States.
Singer SJ, Hartmann CW, Hanchate A, et al. Health Serv Res. 2009;44:1563-1583.
SPECIAL OR THEME ISSUE
Front-Line Ownership: Generating a Cure Mindset for Patient Safety.
Kitts J, ed. Healthcare Papers. 2013;13:1-82.
Leadership in Healthcare Organizations: A Guide to Joint Commission Leadership Standards.
Schyve PM. San Diego, CA: Governance Institute; 2009.
Computer viruses are "rampant" on medical devices in hospitals.
Talbot D. MIT Technology Review. October 17, 2012.
Improvement of medication event interventions through use of an electronic database.
Merandi J, Morvay S, Lewe D, et al. Am J Health Syst Pharm. 2013;70:1708-1714.
Exploring relationships between patient safety culture and patients' assessments of hospital care.
Sorra J, Khanna K, Dyer N, Mardon R, Famolaro T. J Patient Saf. 2012;8:131-139.
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