U.S. Department of Health & Human Services
PATIENT SAFETY PRIMERS
2014 ANNUAL PERSPECTIVES
Device-related Complications (2)
Diagnostic Errors (1)
Discontinuities, Gaps, and Hand-Off Problems (5)
Medication Safety (11)
Medical Complications (9)
Nonsurgical Procedural Complications (1)
Psychological and Social Complications (1)
Australia and New Zealand (2)
North America (29)
Journal Article (35)
Epidemiology of Errors and Adverse Events (7)
Active Errors (10)
Latent Errors (3)
Near Miss (2)
Approach to Improving Safety
Quality Improvement Strategies (4)
Legal and Policy Approaches (1)
Error Reporting and Analysis (6)
Communication Improvement (11)
Human Factors Engineering (4)
Specialization of Care (13)
Logistical Approaches (7)
Technologic Approaches (4)
Education and Training (11)
Health Care Providers (34)
Health Care Executives and Administrators (31)
Non-Health Care Professionals (11)
Setting of Care
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Nurses' perceptions of simulation-based interprofessional training program for rapid response and code blue events.
Wehbe-Janek H, Lenzmeier CR, Ogden PE, et al. J Nurs Care Qual. 2012;27:43-50.
How RNs rescue patients: a qualitative study of RNs' perceived involvement in rapid response teams.
Leach LS, Mayo A, O'Rourke M. Qual Saf Health Care. 2010;19:e13.
Development of a modified early warning score using the electronic medical record.
Albert BL, Huesman L. Dimens Crit Care Nurs. 2011;30:283-292.
Clinical nurse specialists as leaders in rapid response.
Jenkins SD, Lindsey PL. Clin Nurse Spec. 2010;24:24-30.
Nurses' perceptions of how rapid response teams affect the nurse, team, and system.
Williams DJ, Newman A, Jones C, Woodard B. J Nurs Care Qual. 2011;26:265-272.
Rapid response teams seen through the eyes of the nurse.
Shapiro SE, Donaldson NE, Scott MB. Am J Nurs. 2010;110:28-34.
Rapid response systems: from implementation to evidence base.
Sarani B, Scott S. Jt Comm J Qual Patient Saf. 2010;36:514-517.
The impact of the medical emergency team on the resuscitation practice of critical care nurses.
Santiano N, Young L, Baramy LS, et al; Clinical Analysis Group. BMJ Qual Saf. 2011;20:115-120.
Comparing errors in ED computer-assisted vs conventional pediatric drug dosing and administration.
Yamamoto L, Kanemori J. Am J Emerg Med. 2010;28:588-592.
Literature review: do rapid response systems reduce the incidence of major adverse events in the deteriorating ward patient?
Massey D, Aitken LM, Chaboyer W. J Clin Nurs. 2010;19:3260-3273.
Identified safety risks with splitting and crushing oral medications.
Paparella S. J Emerg Nurs. 2010;36:156-158.
Medical emergency teams: a strategy for improving patient care and nursing work environments.
Galhotra S, Scholle CC, Dew MA, Mininni NC, Clermont G, DeVita MA. J Adv Nurs. 2006;55:180-187.
Emergency nursing and medical error—a survey of two states.
Hohenhaus SM. J Emerg Nurs. 2008;34:20-25.
Bedside shift report improves patient safety and nurse accountability.
Baker SJ. J Emerg Nurs. 2010;36:355-358.
A "back to basics" approach to reduce ED medication errors.
Blank FSJ, Tobin J, Macomber S, Jaouen M, Dinoia M, Visintainer P. J Emerg Nurs. 2011;37:141-147.
Do not put medication safety "on hold" with boarded patients.
Paparella S. J Emerg Nurs. 2010;36:347-349.
Failure mode and effects analysis: a useful tool for risk identification and injury prevention.
Paparella S. J Emerg Nurs. 2007;33:367-371.
Are temporary staff associated with more severe emergency department medication errors?
Pham JC, Andrawis M, Shore AD, Fahey M, Morlock L, Pronovost PJ. J Healthc Qual. 2011;33:9-18.
Pediatric medication safety in the emergency department.
Cadwell SM. J Emerg Nurs. 2008;34:375-377.
National study on the frequency, types, causes, and consequences of voluntarily reported emergency department medication errors.
Pham JC, Story JL, Hicks RW, et al. J Emerg Med. 2011;40:485-492.
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