U.S. Department of Health & Human Services
PATIENT SAFETY PRIMERS
2014 ANNUAL PERSPECTIVES
Device-related Complications (9)
Diagnostic Errors (7)
Identification Errors (11)
Discontinuities, Gaps, and Hand-Off Problems (54)
Fatigue and Sleep Deprivation (6)
Medication Safety (53)
Medical Complications (53)
Nonsurgical Procedural Complications (12)
Surgical Complications (106)
Psychological and Social Complications (40)
Australia and New Zealand (17)
North America (392)
Journal Article (371)
Newspaper/Magazine Article (41)
Special or Theme Issue (29)
Web Resource (7)
Epidemiology of Errors and Adverse Events (46)
Active Errors (43)
Latent Errors (33)
Near Miss (4)
Approach to Improving Safety
Teamwork Training (79)
Allied Health Services (1)
Health Care Providers (343)
Health Care Executives and Administrators (435)
Non-Health Care Professionals (258)
Setting of Care
Psychiatric Facilities (1)
Residential Facilities (6)
Ambulatory Care (29)
Outpatient Surgery (4)
Patient Transport (6)
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SPECIAL OR THEME ISSUE
Patient Safety in Pediatric Emergency Medicine.
Frush KS, Hohenhaus SM, eds. Clin Ped Emerg Med. 2006;7:213-277.
Committed to Safety: Ten Case Studies on Reducing Harm to Patients.
McCarthy D, Blumenthal D. New York, NY: The Commonwealth Fund; April 2006.
Have you M.E.T. the future of better patient safety?
Larson L. Trustee. September 2005;58:6-10.
Pediatric rapid response teams in the academic medical center.
Mistry KP, Turi J, Hueckel R, Mericle JM, Meliones JN. Clin Ped Emerg Med. 2006;7:241-247.
Nurse decision making in the prearrest period.
Gazarian PK, Henneman EA, Chandler GE. Clin Nurs Res. 2010;19:21-37.
Nurses' perceptions of simulation-based interprofessional training program for rapid response and code blue events.
Wehbe-Janek H, Lenzmeier CR, Ogden PE, et al. J Nurs Care Qual. 2012;27:43-50.
What pilots can teach hospitals about patient safety.
Murphy K. New York Times. October 31, 2006:F5.
How RNs rescue patients: a qualitative study of RNs' perceived involvement in rapid response teams.
Leach LS, Mayo A, O'Rourke M. Qual Saf Health Care. 2010;19:e13.
Rapid response teams: qualitative analysis of their effectiveness.
Leach LS, Mayo AM. Am J Crit Care. 2013;22:198-210.
SPECIAL OR THEME ISSUE
Nurses Transforming Care.
Am J Nurs. 2009;109(suppl 11):3-80, C3.
Development and implementation of a pediatric patient safety program.
Alton M, Frush K, Brandon D, Mericle J. Adv Neonatal Care. 2006;6:104-111.
Implementing a rapid response team: a practical guide.
Garretson S, Dip HE, Rauzi MB. Nursing. 2008;38:56cc1-56cc3.
Effect of a rapid response system for patients in shock on time to treatment and mortality during 5 years.
Sebat F, Musthafa AA, Johnson D, et al. Crit Care Med. 2007;35:2568-2575.
A model for developing high-reliability teams.
Riley W, Davis SE, Miller KK, McCullough M. J Nurs Manag. 2010;18:556-563.
The Transforming Care at the Bedside (TCAB) Toolkit.
Princeton, NJ: Robert Wood Johnson Foundation; 2008.
Quality and safety in the intensive care unit.
Stockwell DC, Slonim AD. J Intensive Care Med. 2006;21:199-210.
A comprehensive collaborative patient safety residency curriculum to address the ACGME core competencies.
Singh R, Naughton B, Taylor JS, et al. Med Educ. 2005;39:1195-1204.
Problems and solutions arising during a study in visual semantics of the medical emergency team system.
Santiano N, Baramy LS, Young L, et al. Qual Health Res. 2008 ct: 18: 1336-44.
Leadership Guide to Patient Safety: Resources and Tools for Establishing and Maintaining Patient Safety.
Boston, MA: Institute for Healthcare Improvement; 2005.
BOOSTing Care Transitions Resource Room.
Project BOOST (Better Outcomes for Older adults through Safe Transitions), Society of Hospital Medicine.
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