U.S. Department of Health & Human Services
Education and Training
PATIENT SAFETY PRIMERS
2014 ANNUAL PERSPECTIVES
Device-related Complications (50)
Diagnostic Errors (53)
Identification Errors (20)
Discontinuities, Gaps, and Hand-Off Problems (127)
Fatigue and Sleep Deprivation (50)
Medication Safety (203)
Medical Complications (95)
Nonsurgical Procedural Complications (21)
Surgical Complications (86)
Transfusion Complications (4)
Psychological and Social Complications (50)
Australia and New Zealand (36)
Central and South America (5)
North America (706)
Journal Article (617)
Newspaper/Magazine Article (77)
Press Release/Announcement (11)
Special or Theme Issue (26)
Web Resource (62)
Epidemiology of Errors and Adverse Events (157)
Active Errors (189)
Latent Errors (104)
Near Miss (19)
Approach to Improving Safety
Education and Training
Residents and Fellows (160)
Continuing Education (72)
Online Education (51)
Teamwork Training (84)
Patient Education (84)
Allied Health Services (5)
Complementary and Alternative Medicine (1)
Health Care Providers (677)
Health Care Executives and Administrators (740)
Non-Health Care Professionals (511)
Setting of Care
Psychiatric Facilities (2)
Residential Facilities (17)
Ambulatory Care (65)
Outpatient Surgery (7)
Patient Transport (8)
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A new frontier in patient safety.
McCannon J, Berwick DM. JAMA
Patient Safety Authority Annual Reports.
Harrisburg, PA: Patient Safety Authority; April 2015.
The Patient Safety Initiative at America’s Public Hospitals: The Year One Overview.
Research Brief. Washington, DC: National Association of Public Hospitals and Health Systems; January 2011.
The partnership with patients: a call to action for leaders.
Denham CR. J Patient Saf. 2011;7:113-121.
African Partnerships for Patient Safety.
Geneva, Switzerland: WHO Patient Safety, World Health Organization.
BOOSTing Care Transitions Resource Room.
Project BOOST (Better Outcomes for Older adults through Safe Transitions), Society of Hospital Medicine.
Medication safety in acute care in Australia: where are we now? Part 2: a review of strategies and activities for improving medication safety 2002-2008.
Semple SJ, Roughead EE. Aust New Zealand Health Policy. 2009;6:24.
What is patient safety culture? A review of the literature.
Sammer CE, Lykens K, Singh KP, Mains DA, Lackan NA. J Nurs Scholarsh. 2010;42:156-165.
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.
Revisiting duty-hour limits — IOM recommendations for patient safety and resident education.
Iglehart JK. N Engl J Med. 2008;359:2633-2635.
Exploring the causes of adverse events in hospitals and potential prevention strategies.
Smits M, Zegers M, Groenewegen PP, et al. Qual Saf Health Care. 2010;19:e5.
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.
Preparing your hospital for compliance with The Joint Commission's National Patient Safety Goals.
Murdaugh L, Jordin R. Hosp Pharm. 2008;43:728-733.
Agency information collection activities: Assessing the Impact of the National Implementation of TeamSTEPPS Master Training Program; comment request.
Federal Register. Rockville, MD: Agency for Healthcare Research and Quality. August 27, 2013;78:52927-52929.
Resident Duty Hours: Enhancing Sleep, Supervision, and Safety.
Ulmer C, Wolman DM, Johns MME, eds. Committee on Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedule to Improve Patient Safety, Institute of Medicine. Washington, DC: The National Academies Press; 2008. ISBN: 9780309127721.
Partnering to Heal: Teaming-Up Against Healthcare-Associated Infections.
Washington, DC: US Department of Health and Human Services; May 2011.
Use of electronic health records in US hospitals.
Jha AK, Desroches CM, Campbell EG, et al. N Engl J Med. 2009;360:1628-1638.
Improving heparin safety: a multidisciplinary invited conference.
Peterson C, Ham CW, Vanderveen T. Hosp Pharm. 2008;43:491-497.
Creating a Culture of Patient Safety Workshop.
Virginia Mason Institute. July 8-10, 2015; Seattle, WA.
Advances in Patient Safety: New Directions and Alternative Approaches.
Rockville, MD: Agency for Healthcare Research and Quality; July 2008. AHRQ Publication Nos. 080034 (1-4).
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