U.S. Department of Health & Human Services
PATIENT SAFETY PRIMERS
2014 ANNUAL PERSPECTIVES
Device-related Complications (4)
Diagnostic Errors (6)
Identification Errors (3)
Discontinuities, Gaps, and Hand-Off Problems (10)
Fatigue and Sleep Deprivation (2)
Medication Safety (26)
Medical Complications (35)
Surgical Complications (19)
Transfusion Complications (3)
Psychological and Social Complications (2)
Australia and New Zealand (7)
North America (157)
Journal Article (90)
Newspaper/Magazine Article (29)
Special or Theme Issue (8)
Web Resource (6)
Epidemiology of Errors and Adverse Events (25)
Active Errors (11)
Latent Errors (6)
Near Miss (2)
Approach to Improving Safety
Public Reporting (38)
Allied Health Services (1)
Health Care Providers (88)
Health Care Executives and Administrators (155)
Non-Health Care Professionals (111)
Setting of Care
Ambulatory Care (9)
Outpatient Surgery (1)
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A new frontier in patient safety.
McCannon J, Berwick DM. JAMA
Adverse Events in Hospitals: Overview of Key Issues.
Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; December 2008. Report No. OEI-06-07-00470.
Advancing Patient Safety: A Decade of Evidence, Design, and Implementation.
Rockville, MD; Agency for Healthcare Research and Quality; November 2009. AHRQ Publication No. 09(10)-0084.
How much diagnostic safety can we afford, and how should we decide? A health economics perspective.
Newman-Toker DE, McDonald KM, Meltzer DO. BMJ Qual Saf. 2013;22(suppl 2):ii11-ii20.
Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2009.
Oakbrook Terrace, IL: The Joint Commission; January 2010.
HealthGrades Sixth Annual Patient Safety in American Hospitals Study.
Golden, CO: HealthGrades, Inc.; April 2009.
Medicare says it won't cover hospital errors.
Pear R. New York Times. August 19, 2007.
NY Medicaid ups the ante: by refusing to pay for 14 'never events,' the nation's biggest Medicaid program could propel other states into action.
DerGurahian J. Mod Healthc. June 16, 2008;38:6.
Financial incentives to promote health care quality: the hospital acquired conditions nonpayment policy.
Kavanagh KT. Soc Work Public Health. 2011;26:524-541.
Making inpatient medication reconciliation patient centered, clinically relevant and implementable: a consensus statement on key principles and necessary first steps.
Greenwald JL, Halasyamani L, Greene J, et al. J Hosp Med. 2010;5:477-485.
2013 John M. Eisenberg Patient Safety and Quality Award Recipients Announced.
Joint Commission. January 27, 2014.
SPECIAL OR THEME ISSUE
The 2013 John M. Eisenberg Patient Safety and Quality Awards.
Jt Comm J Qual Patient Saf. 2014;40:195-218.
SPECIAL OR THEME ISSUE
2011 John M. Eisenberg Patient Safety and Quality Awards.
Jt Comm J Qual Patient Saf. 2012;38:289-327.
CMS seeks to add 9 hospital-acquired conditions to no-pay list.
O'Reilly KB. American Medical News. May 12, 2008.
Measurement for improvement: a survey of current practice in Australian public hospitals.
Brand CA, Tropea J, Ibrahim JE, et al. Med J Aust. 2008;189:35-40.
Hospital complications: linking payment reduction to preventability.
Averill RF, Hughes JS, Goldfield NI, McCullough EC. Jt Comm J Qual Patient Saf. 2009;35:283-285.
HealthGrades Quality Study: Fourth Annual Patient Safety in American Hospitals Study.
Golden, CO: HealthGrades, Inc.; April 2007.
Stories from the sharp end: case studies in safety improvement.
McCarthy D, Blumenthal D. Milbank Q. 2006;84:165-200.
Accountability measures—using measurement to promote quality improvement.
Chassin MR, Loeb JM, Schmaltz SP, Wachter RM. N Engl J Med. 2010;363:683-688.
Safety in numbers.
Robeznieks A. Mod Healthc. October 16, 2006;36:41.
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