U.S. Department of Health & Human Services
PATIENT SAFETY PRIMERS
2014 ANNUAL PERSPECTIVES
Device-related Complications (2)
Diagnostic Errors (1)
Identification Errors (1)
Discontinuities, Gaps, and Hand-Off Problems (3)
Fatigue and Sleep Deprivation (3)
Medication Safety (2)
Medical Complications (3)
Surgical Complications (47)
Psychological and Social Complications (5)
North America (42)
Journal Article (50)
Newspaper/Magazine Article (5)
Epidemiology of Errors and Adverse Events (21)
Active Errors (14)
Latent Errors (2)
Approach to Improving Safety
Quality Improvement Strategies (10)
Legal and Policy Approaches (4)
Error Reporting and Analysis (11)
Communication Improvement (10)
Human Factors Engineering (6)
Logistical Approaches (8)
Culture of Safety (5)
Technologic Approaches (3)
Education and Training (24)
Health Care Providers (37)
Health Care Executives and Administrators (36)
Non-Health Care Professionals (32)
Setting of Care
Ambulatory Care (1)
Outpatient Surgery (3)
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Adverse event reporting: lessons learned from 4 years of Florida office data.
Coldiron B, Fisher AH, Adelman E, et al. Dermatol Surg. 2005;31(pt 1):1079-1092; discussion 1093.
A new professionalism? Surgical residents, duty hours restrictions, and shift transitions.
Coverdill JE, Carbonell AM, Fryer J, et al. Acad Med. 2010;85:S72-S75.
Compliance with guidelines to prevent surgical site infections: as simple as 1-2-3?
Meeks DW, Lally KP, Carrick MM, et al. Am J Surg. 2011;201:76-83.
Final five: ASCs told to target patient safety.
Rollins G. Hosp Health Netw. 2007;81(12):53-4, 56, 1.
Surgical skill and complication rates after bariatric surgery.
Birkmeyer JD, Finks JF, O'Reilly A, et al; Michigan Bariatric Surgery Collaborative. N Engl J Med. 2013;369:1434-1442.
Family of woman who died after a medical error joins hospital's safety panel.
Shelton DL. Chicago Tribune. October 7, 2011.
Integration of a formalized handoff system into the surgical curriculum: resident perspectives and early results.
Telem DA, Buch KE, Ellis S, Coakley B, Divino CM. Arch Surg. 2011;146:89-93.
Handoffs causing patient harm: a survey of medical and surgical house staff.
Kitch BT, Cooper JB, Zapol WM, et al. Jt Comm J Qual Patient Saf. 2008;34:563-570.
What ring tone should be used for patient safety? Early results with a Blackberry-based telementoring safety solution.
Parker A, Rubinfeld I, Azuh O, et al. Am J Surg. 2010;199:336-341.
Postoperative video debriefing reduces technical errors in laparoscopic surgery.
Hamad GG, Brown MT, Clavijo-Alvarez JA. Am J Surg. 2007;194:110-114.
A prospective study of patient safety in the operating room.
Christian CK, Gustafson ML, Roth EM, et al. Surgery. 2006;139:159-173.
The influence of resident involvement on surgical outcomes.
Raval MV, Wang X, Cohen ME, et al. J Am Coll Surg. 2011;212:889-898.
Physicians' perceptions, preparedness for reporting, and experiences related to impaired and incompetent colleagues.
DesRoches CM, Rao SR, Fromson JA, et al. JAMA. 2010;304:187-193.
Human costs of training doctors.
Dunklin R, Goetinck Ambrose S, Egerton B. Dallas Morning News. August 1, 2010:A01.
The effects of aviation-style non-technical skills training on technical performance and outcome in the operating theatre.
McCulloch P, Mishra A, Handa A, Dale T, Hirst G, Catchpole K. Qual Saf Health Care. 2009;18:109-115.
Error rating tool to identify and analyse technical errors and events in laparoscopic surgery.
Bonrath EM, Zevin B, Dedy NJ, Grantcharov TP. Br J Surg. 2013;100:1080-1088.
Violations of behavioral practices revealed in closed claims reviews.
Griffen FD, Stephens LS, Alexander JB, et al. Ann Surg. 2008;248:468-474.
What is the safety of nonemergent operative procedures performed at night?
Turrentine FE, Wang H, Young JS, Calland JF. J Trauma. 2010;69:313-319.
The impact of the 80-hour work week on appropriate resident case coverage.
Shin S, Britt R, Doviak M, Britt LD. J Surg Res. 2010;162:33-36.
A quality initiative to decrease pathology specimen-labeling errors using radiofrequency identification in a high-volume endoscopy center.
Francis DL, Prabhakar S, Sanderson SO. Am J Gastroenterol. 2009;104:972-975.
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