U.S. Department of Health & Human Services
PATIENT SAFETY PRIMERS
Device-related Complications (9)
Diagnostic Errors (12)
Identification Errors (16)
Discontinuities, Gaps, and Hand-Off Problems (63)
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Medication Safety (64)
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Nonsurgical Procedural Complications (12)
Surgical Complications (138)
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Australia and New Zealand (16)
North America (424)
Journal Article (411)
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Epidemiology of Errors and Adverse Events (50)
Active Errors (52)
Latent Errors (36)
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Approach to Improving Safety
Teamwork Training (113)
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Health Care Providers (402)
Health Care Executives and Administrators (444)
Non-Health Care Professionals (279)
Setting of Care
Psychiatric Facilities (2)
Residential Facilities (5)
Ambulatory Care (33)
Outpatient Surgery (4)
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Collaboration between pharmacists, physicians and nurse practitioners: a qualitative investigation of working relationships in the inpatient medical setting.
Makowsky MJ, Schindel TJ, Rosenthal M, Campbell K, Tsuyuki RT, Madill HM. J Interprof Care. 2009;23:169-84.
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.
Medication Safety Self Assessment for Automated Dispensing Cabinets.
Horsham, PA: Institute for Safe Medication Practices; 2009.
Improvement of medication event interventions through use of an electronic database.
Merandi J, Morvay S, Lewe D, et al. Am J Health Syst Pharm. 2013;70:1708-1714.
Tennessee Center for Patient Safety.
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.
Learning accountability for patient outcomes.
Pronovost PJ. JAMA. 2010;304:204-205.
'You talking to me?' Docs and feedback.
Diamond F. Manag Care. July 2013;22:30-32.
View the world through a different lens: shadowing another provider.
Thompson DA, Holzmueller CG, Lubomski L, Pronovost PJ. Jt Comm J Qual Patient Saf. 2008;34:614-618.
Health Care Leader Action Guide to Reduce Avoidable Readmissions.
Osei-Anto A, Joshi M, Audet AJ, Berman A, Jencks SF. New York, NY: The Commonwealth Fund, The John Hartford Foundation, Health Research and Educational Trust; January 25, 2010.
Hand Hygiene Project: Best Practices from Hospitals Participating in the Joint Commission Center for Transforming Healthcare Project.
Health Research and Educational Trust. Chicago, IL: American Hospital Association; 2010.
Integrating CUSP and TRIP to improve patient safety.
Romig M, Goeschel C, Pronovost P, Berenholtz SM. Hosp Pract (Minneap). 2010;38:114-121.
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.
The power of collaboration with patient safety programs: building safe passage for patients, nurses, and clinical staff.
Kerfoot KM, Rapala K, Ebright P, Rogers SM. J Nurs Adm. 2006;36:582-588.
How-to Guide: Multidisciplinary Rounds.
Cambridge, MA: Institute for Healthcare Improvement; February 2010.
Operating room briefings: working on the same page.
Makary MA, Holzmueller CG, Thompson D, et al. Jt Comm J Qual Patient Saf. 2006;32:351-355.
A new frontier in patient safety.
McCannon J, Berwick DM. JAMA
Practically speaking: rethinking hand hygiene improvement programs in health care settings.
Son C, Chuck T, Childers T, et al. Am J Infect Control. 2011;39:716-724.
BOOSTing Care Transitions Resource Room.
Project BOOST (Better Outcomes for Older adults through Safe Transitions), Society of Hospital Medicine.
Interdisciplinary teamwork in hospitals: a review and practical recommendations for improvement.
O'Leary KJ, Sehgal NL, Terrell G, Williams MV; High Performance Teams and the Hospital of the Future Project Team. J Hosp Med. 2011 Oct 31; [Epub ahead of print].
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