U.S. Department of Health & Human Services
PATIENT SAFETY PRIMERS
The Role of the Patient in Safety
2014 ANNUAL PERSPECTIVES
Device-related Complications (9)
Diagnostic Errors (38)
Identification Errors (17)
Discontinuities, Gaps, and Hand-Off Problems (105)
Fatigue and Sleep Deprivation (4)
Medication Safety (151)
Medical Complications (32)
Nonsurgical Procedural Complications (5)
Surgical Complications (39)
Psychological and Social Complications (55)
Australia and New Zealand (11)
North America (476)
Journal Article (351)
Newspaper/Magazine Article (97)
Press Release/Announcement (1)
Special or Theme Issue (7)
Web Resource (9)
Epidemiology of Errors and Adverse Events (82)
Active Errors (100)
Latent Errors (53)
Near Miss (10)
Approach to Improving Safety
Informed Consent (19)
Health Literacy Improvement (64)
Allied Health Services (2)
Health Care Providers (421)
Health Care Executives and Administrators (353)
Non-Health Care Professionals (143)
Setting of Care
Psychiatric Facilities (1)
Residential Facilities (5)
Ambulatory Care (120)
Outpatient Surgery (5)
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Howell EA, Chassin MR. AHRQ WebM&M [serial online]. May 2006.
Patient safety in the dialysis facility.
Kliger AS. Blood Purif. 2006;24:19-21.
The impact of the 80-hour resident workweek on surgical residents and attending surgeons.
Hutter MM, Kellogg KC, Ferguson CM, Abbott WM, Warshaw AL. Ann Surg. 2006;243:864-871; discussion 871-875.
An intervention to improve transitions from NICU to ambulatory care: quasi-experimental study.
Moyer VA, Papile LA, Eichenwald E, Giardino AP, Khan MM, Singh H. BMJ Qual Saf. 2014;23:e3.
The challenge of medication reconciliation.
Patient Safety & Quality Healthcare. May 10, 2006.
The Patients' View: 2004 ISQSH National Survey.
Dublin, Ireland: Irish Society for Quality & Safety in Healthcare; 2005.
Partnering with Patients and Families to Enhance Safety and Quality: A Mini Toolkit.
Bethesda, MD: Institute for Patient- and Family-Centered Care; 2011.
Lack of patient knowledge regarding hospital medications.
Cumbler E, Wald H, Kutner J. J Hosp Med. 2010;5-83-86.
Improving medication reconciliation in the outpatient setting.
Varkey P, Cunningham J, Bisping S. Jt Comm J Qual Patient Saf. 2007;33:286-292.
Using improvement science methods to increase accuracy of surgical consents.
Mercurio P, Shaffer Ellis A, Schoettker PJ, Stone R, Lenk MA, Ryckman FC. AORN J. 2014;100:42-53.
Drug errors, qualitative research and some reflections on ethics.
Armitage G. J Clin Nurs. 2005;14:869-875.
Patient-reported service quality on a medicine unit.
Weingart SN, Pagovich O, Sands DZ, et al. Int J Qual Health Care. 2005;18:95-101.
A Hospital Accident: Lessons Learned – A Death, A Conviction, and A Healing.
Texas Medical Institute of Technology. June 16, 2011.
10 ways to guarantee a lawsuit.
Rice B. Med Econ. 2005 Jul 8;82:66-69
Non-English speakers find ERs hard to reach.
Hua V. San Francisco Chronicle. February 17, 2006:B6.
DNR in the OR and Afterwards
Lo B. AHRQ WebM&M [serial online]. September 2006.
Family of woman who died after a medical error joins hospital's safety panel.
Shelton DL. Chicago Tribune. October 7, 2011.
Partners in safety: implementing a community-based patient safety advisory council.
Leonhardt KK, Bonin D, Pagel P. Wisc Med J. 2006;105;54-59.
Patients taking their own medications while in the hospital.
PA-PSRS Patient Saf Advis. June 2012;9:50-57.
Quality & Safety Research Group.
Johns Hopkins University, Department of Anesthesiology & Critical Care Medicine.
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