U.S. Department of Health & Human Services
PATIENT SAFETY PRIMERS
2014 ANNUAL PERSPECTIVES
Preoperative Complications (9)
Intraoperative Complications (167)
Postoperative Surgical Complications (72)
Australia and New Zealand (21)
North America (714)
Clinical Guideline (2)
Journal Article (720)
Newspaper/Magazine Article (99)
Special or Theme Issue (22)
Web Resource (23)
Epidemiology of Errors and Adverse Events (281)
Active Errors (200)
Latent Errors (59)
Near Miss (17)
Approach to Improving Safety
Quality Improvement Strategies (233)
Legal and Policy Approaches (86)
Error Reporting and Analysis (272)
Communication Improvement (232)
Human Factors Engineering (232)
Specialization of Care (25)
Logistical Approaches (52)
Culture of Safety (114)
Technologic Approaches (65)
Education and Training (200)
Allied Health Services (1)
Health Care Providers (676)
Health Care Executives and Administrators (702)
Non-Health Care Professionals (302)
Setting of Care
Psychiatric Facilities (1)
Residential Facilities (2)
Ambulatory Care (28)
Outpatient Surgery (56)
Patient Transport (2)
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Patient safety in the office-based setting.
Horton JB, Reece EM, Broughton G 2nd, Janis JE, Thornton JF, Rohrich RJ. Plast Reconstr Surg. 2006;117:61e-80e.
Surgical errors: new products, protocols help slash the risks.
Williamson JE. Healthcare Purchasing News. January 2006;30:22-25.
Right? Left? Neither!
Howell EA, Chassin MR. AHRQ WebM&M [serial online]. May 2006.
SPECIAL OR THEME ISSUE
Patient Safety and the Invitational Conference on Contemporary Surgical Quality, Safety and Transparency.
Amer Surg. 2006;72:985-1149
National pediatric anesthesia safety quality improvement program in the United States.
Kurth CD, Tyler D, Heitmiller E, Tosone SR, Martin L, Deshpande JK. Anesth Analg. 2014;119:112-121.
Creating a culture of safety by using checklists.
Huang L, Kim R, Berry W. AORN J. 2013;97:365-368.
Error or "act of God"? A study of patients' and operating room team members' perceptions of error definition, reporting, and disclosure.
Espin S, Levinson W, Regehr G, Baker GR, Lingard L. Surgery. 2006;139:6-14.
Communication practices on 4 Harvard surgical services: a surgical safety collaborative.
ElBardissi AW, Regenbogen SE, Greenberg CC, et al. Ann Surg. 2009;250:861-865.
Promoting a culture of patient safety: a review of the Florida moratoria data: what we have learned in 6 years and the need for continued patient education.
Clayman MA, Clayman SM, Steele MH, Seagle MB. Ann Plastic Surg. 2007;58:288-291.
SPECIAL OR THEME ISSUE
Quality of Anesthesia Care.
Neuman MD, Martinez EA, eds. Anesthesiol Clin. 2011;29:1-178.
The Wild West: Patient Safety in Office-Based Anesthesia
Kaushal R, Upadhyayula S, Gaba DM, Leape LL. AHRQ WebM&M [serial online]. May 2006.
AORN Guidance Statement: Safe Medication Practices in Perioperative Settings Across the Life Span.
AORN J. 2006;84:276-278, 280-283.
Chasing Zero: Winning the War on Healthcare Harm.
Austin, TX: Texas Medical Institute for Technology and the Quaid Foundation; 2010.
The normalization of deviance: what are the perioperative risks?
McNamara SA. AORN J. 2011;93:796-801.
Patterns of communication breakdowns resulting in injury to surgical patients.
Greenberg CC, Regenbogen SE, Studdert DM, et al. J Am Coll Surg. 2007;204:533-540.
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.
Improving America's Hospitals: The Joint Commission's Report on Quality and Safety 2008.
Oakbrook Terrace, IL: The Joint Commission; November 2008.
Duration of anesthesia as an indicator of morbidity and mortality in office-based facial plastic surgery: a review of 1200 consecutive cases.
Gordon NA, Koch ME. Arch Facial Plast Surg. 2006;8:47-53.
Bridging the communication gap in the operating room with medical team training.
Awad SS, Fagan SP, Bellows C, et al. Am J Surg. 2005;190:770-774.
Trends influencing the cost of care and patient safety.
Clark R. Health Manage Tech. July 2006:18, 20-21.
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