U.S. Department of Health & Human Services
Audit and Feedback
PATIENT SAFETY PRIMERS
Device-related Complications (18)
Diagnostic Errors (33)
Identification Errors (7)
Discontinuities, Gaps, and Hand-Off Problems (33)
Fatigue and Sleep Deprivation (4)
Medication Safety (111)
Medical Complications (52)
Nonsurgical Procedural Complications (8)
Surgical Complications (34)
Transfusion Complications (1)
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Australia and New Zealand (8)
North America (218)
Journal Article (272)
Newspaper/Magazine Article (28)
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Epidemiology of Errors and Adverse Events (114)
Active Errors (77)
Latent Errors (29)
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Approach to Improving Safety
Audit and Feedback
Allied Health Services (1)
Health Care Providers (227)
Health Care Executives and Administrators (285)
Non-Health Care Professionals (111)
Setting of Care
Residential Facilities (5)
Ambulatory Care (30)
Outpatient Surgery (6)
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Saving lives by studying deaths: using standardized mortality reviews to improve inpatient safety.
Lau H, Litman KC. Jt Comm J Qual Patient Saf. 2011;37:400-408.
Characteristics of medication errors and adverse drug events in hospitals participating in the California Pediatric Patient Safety Initiative.
Takata GS, Taketomo CK, Waite S; for the California Pediatric Patient Safety Initiative. Am J Health Syst Pharm. 2008;65:2036-2044.
National estimates of adverse events during nonpsychiatric hospitalizations for persons with schizophrenia.
Khaykin E, Ford DE, Pronovost PJ, Dixon L, Daumit GL. Gen Hosp Psychiatry. 2010;32:419-425.
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.
Temporal trends in rates of patient harm resulting from medical care.
Landrigan CP, Parry GJ, Bones CB, Hackbarth AD, Goldmann DA, Sharek PJ. N Engl J Med. 2010;363:2124-2134.
The Team Checkup Tool: evaluating QI team activities and giving feedback to senior leaders.
Lubomski LH, Marsteller JA, Hsu YJ, et al. Jt Comm J Qual Patient Saf. 2008;34:619-623.
Identifying causes of adverse events detected by an automated trigger tool through in-depth analysis.
Muething SE, Conway PH, Kloppenborg E, et al. Qual Saf Health Care. 2010;19:435-439.
Medication Safety Self Assessment for Automated Dispensing Cabinets.
Horsham, PA: Institute for Safe Medication Practices; 2009.
Governing patient safety: lessons learned from a mixed methods evaluation of implementing a ward-level medication safety scorecard in two English NHS hospitals.
Ramsay AI, Turner S, Cavell G, et al. BMJ Qual Saf. 2014;23:136-146.
Hospital discharge documentation and risk of rehospitalisation.
Hansen LO, Strater A, Smith L, et al. BMJ Qual Saf. 2011;20:773-778.
'Global Trigger Tool' shows that adverse events in hospitals may be ten times greater than previously measured.
Classen DC, Resar R, Griffin F, et al. Health Aff (Millwood). 2011;30:581-589.
Structured interdisciplinary rounds in a medical teaching unit: improving patient safety.
O’Leary KJ, Buck R, Fligiel HM, et al. Arch Intern Med. 2011;171:678-684.
Application of a theoretical framework for behavior change to hospital workers' real-time explanations for noncompliance with hand hygiene guidelines.
Fuller C, Besser S, Savage J, McAteer J, Stone S, Michie S. Am J Infect Control. 2014;42:106-110.
Collaboration focused on priority issues promotes safety.
ISMP Medication Safety Alert! Acute Care Edition. October 10, 2008;13:1-3.
Professionalism: a necessary ingredient in a culture of safety.
DuPree E, Anderson R, McEvoy MD, Brodman M. Jt Comm J Qual Patient Saf. 2011;37:447-455.
Analysis of staff safety concerns.
Davidson J, Lamontagne G, Burnell L, et al. J Nurs Care Qual. 2013;28:147-152.
The safety of hospital stroke care.
Holloway RG, Tuttle D, Baird T, Skelton WK. Neurology. 2007;68:550-555.
National Diabetes Inpatient Audit 2011.
Leeds, UK: Health and Social Care Information Centre; 2012.
Improving resident engagement in quality improvement and patient safety initiatives at the bedside: the Advocate for Clinical Education (ACE).
Schleyer AM, Best JA, McIntyre LK, Ehrmantraut R, Calver P, Goss JR. Am J Med Qual. 2013;28:243-249.
Early readmissions to the department of medicine as a screening tool for monitoring quality of care problems.
Balla U, Malnick S, Schattner A. Medicine (Baltimore). 2008;87:294-300.
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