U.S. Department of Health & Human Services
PATIENT SAFETY PRIMERS
2014 ANNUAL PERSPECTIVES
Device-related Complications (3)
Diagnostic Errors (2)
Identification Errors (2)
Discontinuities, Gaps, and Hand-Off Problems (8)
Medication Safety (14)
Medical Complications (10)
Nonsurgical Procedural Complications (2)
Surgical Complications (5)
Psychological and Social Complications (2)
Australia and New Zealand (2)
North America (73)
Journal Article (7)
Newspaper/Magazine Article (5)
Press Release/Announcement (1)
Special or Theme Issue (1)
Web Resource (45)
Epidemiology of Errors and Adverse Events (10)
Active Errors (17)
Latent Errors (11)
Approach to Improving Safety
Health Care Providers (59)
Health Care Executives and Administrators (49)
Non-Health Care Professionals (22)
Setting of Care
Residential Facilities (2)
Ambulatory Care (4)
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Lake Forest, IL.
The Partnership for Healthcare Excellence.
1135 Tremont Street, Suite 420, Boston, MA 02120.
Tackling tube misconnections.
Landro L. Wall Street Journal. June 27, 2007:D3.
Connecticut Center for Patient Safety.
PO Box 231335, Hartford, CT 06123-1335.
Antimicrobial Stewardship Toolkit.
Chicago, IL: American Hospital Association Physician Leadership Forum; July 2014.
Transitions of Care (TOC) Portal.
The Joint Commission.
Developing a Community-Based Patient Safety Advisory Council.
Leonhardt K, Bonin K, Pagel P. Rockville, MD: Agency for Healthcare Research and Quality; April 2008. AHRQ Publication Nos. 080048.
The Hidden Surcharge Americans Pay for Hospital Errors.
Questions Are the Answer.
Agency for Healthcare Research and Quality.
Building a Clinician Peer Support Program: A MITTSS and IHI Web&ACTION.
Medically Induced Trauma Support Services and Institute for Healthcare Improvement. July 9, July 23, and August 6, 2015; 12:00–1:30 PM (Eastern).
Adverse Drug Events.
Hospital Engagement Network. Chicago, IL: Health Research & Educational Trust and American Hospital Association.
MRI Safety Week.
World Sepsis Day.
Global Sepsis Alliance.
On the CUSP: Stop HAI.
Health Research & Educational Trust, MHA Keystone Center.
Improving the safety of medication administration using an interactive CD-ROM program.
Schneider PJ, Pedersen CA, Montanya KR, et al. Am J Health Syst Pharm. 2006;63:59-64.
Health Care–Associated Infections (HAI) Portal.
The Joint Commission.
Publicly available hospital comparison web sites: determination of useful, valid, and appropriate information for comparing surgical quality.
Leonardi MJ, McGory ML, Ko CY. Arch Surg. 2007;142:863-869.
Alper E, O'Malley TA, Greenwald J. UpToDate. May 14, 2013.
Strategies for Ensuring the Safe Use of Insulin Pens in the Hospital.
American Society of Health-System Pharmacists.
Surfing the Healthcare Tsunami: Bring Your Best Board.
Austin, TX: Texas Medical Institute for Technology; 2012.
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