PATIENT SAFETY PRIMERS
Australia and New Zealand (3)
North America (82)
Clinical Guideline (2)
Journal Article (70)
Newspaper/Magazine Article (2)
Special or Theme Issue (4)
Web Resource (5)
Epidemiology of Errors and Adverse Events (33)
Active Errors (6)
Latent Errors (5)
Near Miss (1)
Approach to Improving Safety
Quality Improvement Strategies (33)
Legal and Policy Approaches (6)
Error Reporting and Analysis (32)
Communication Improvement (15)
Human Factors Engineering (16)
Specialization of Care (6)
Logistical Approaches (16)
Culture of Safety (15)
Technologic Approaches (8)
Education and Training (13)
Health Care Providers (69)
Health Care Executives and Administrators (87)
Non-Health Care Professionals (30)
Setting of Care
Psychiatric Facilities (3)
Residential Facilities (12)
Ambulatory Care (13)
Outpatient Surgery (3)
1 - 20
Don't Show Excerpt
Sort by relevance
Sort by significance
Sort by title
Sort by date
Sort by author
Racial disparities in the frequency of patient safety events: results from the National Medicare Patient Safety Monitoring System.
Metersky ML, Hunt DR, Kliman R, et al. Med Care. 2011;49:504-510.
An inpatient fall prevention initiative in a tertiary care hospital.
Weinberg J, Proske D, Szerszen A, et al. Jt Comm J Qual Patient Saf. 2011;37:317-325.
Patient Safety Authority Annual Reports.
Harrisburg, PA: Patient Safety Authority; April 2013.
Inpatient fall prevention: use of in-room Webcams.
Hardin SR, Dienemann J, Rudisill P, Mills KK. J Patient Saf. 2013;9:29-35.
The no-fall zone.
Butcher L. Hosp Health Netw. June 2013.
Injury and death associated with incidents reported to the Patient Safety Net.
Reid M, Estacio R, Albert R. Am J Med Qual. 2009;24:520-524.
Medicare nonpayment, hospital falls, and unintended consequences.
Inouye SK, Brown CJ, Tinetti ME. N Engl J Med. 2009;360:2390-2393.
Serious Reportable Events in Massachusetts Acute Care Hospitals: January 1, 2008–December 31, 2008.
Executive Office of Health and Human Services, Department of Public Health, Bureau of Health Care Safety and Quality. Boston, MA: Commonwealth of Massachusetts; 2009.
Chronic kidney disease adversely influences patient safety.
Seliger SL, Zhan M, Hsu VD, Walker LD, Fink JC. J Am Soc Nephrol. 2008;19:2414-2419.
To reduce patient falls, hospitals try alarms, more nurses.
Ryan J. All Things Considered. National Public Radio. October 16, 2013.
Effects of an intervention to increase bed alarm use to prevent falls in hospitalized patients: a cluster randomized trial.
Shorr RI, Chandler AM, Mion LC, et al. Ann Intern Med. 2012;157:692-699.
Inpatient fall prevention programs as a patient safety strategy: a systematic review.
Miake-Lye IM, Hempel S, Ganz DA, Shekelle PG. Ann Intern Med. 2013;158(5 Pt 2):390-396.
SPECIAL OR THEME ISSUE
J Safety Res. 2011;42:415-542.
Is it possible to identify risks for injurious falls in hospitalized patients?
Mion LC, Chandler AM, Waters TM, et al. Jt Comm J Qual Patient Saf. 2012;38:408-413.
Fall prevention in acute care hospitals: a randomized trial.
Dykes PC, Carroll DL, Hurley A, et al. JAMA. 2010;304:1912-1918.
Meeting the Joint Commission's 2013 National Patient Safety Goals.
Oakbrook Terrace, IL: The Joint Commission; September 2012. ISBN: 9781599407555.
HAC Posting on Hospital Compare.
Centers for Medicare & Medicaid Services.
Effect of a pharmacist-led multicomponent intervention focusing on the medication monitoring phase to prevent potential adverse drug events in nursing homes.
Lapane KL, Hughes CM, Daiello LA, Cameron KA, Feinberg J. J Am Geriatr Soc. 2011;59:1238-1245.
The cost of serious fall-related injuries at three midwestern hospitals.
Wong CA, Recktenwald AJ, Jones ML, Waterman BM, Bollini ML, Dunagan WC. Jt Comm J Qual Patient Saf. 2011;37:81-87.
Impact of the unit-based patient safety officer.
Nedved P, Chaudhry R, Pilipczuk D, Shah S. J Nurs Adm. 2012;42:431-434.
Produced for the
Agency for Healthcare Research and Quality
team of editors
University of California, San Francisco
with guidance from a prominent
. The AHRQ PSNet site was designed and implemented by Silverchair.
Contact AHRQ PSNet
Terms & Conditions
Freedom of Information Act
The White House
USA.gov: U.S. Government Official Web Portal
Agency for Healthcare Research and Quality • 540 Gaither Road Rockville, MD 20850 • Telephone: (301) 427-1364