Institute:Office of National Coordinator (ONC) Workforce Training Curriculum
Component:The Culture of Health Care
Unit:Sociotechnical Aspects: Clinicians and Technology
Lecture:Medical errors
Patient safety
Slide content:Sociotechnical Aspects: Clinicians and Technology References Lecture a References Agency for Healthcare Research and Quality. (2015). Medication errors, patient safety primer. Retrieved from https://psnet.ahrq.gov/primers/primer/23/medication-errors Agency for Healthcare Research and Quality. (2014). The patient safety and quality improvement act of 2005 (Public Law 109-41). Retrieved from http://www.ahrq.gov/policymakers/psoact.html Allen, Marshall. (2013). How many die from medical mistakes in U.S. hospitals? NPR. Retrieved from http://www.npr.org/sections/health-shots/2013/09/20/224507654/how-many-die-from-medical-mistakes-in-u-s-hospitals Auerbach , A., Landefeld , C., & Shojania , K. G . (2007). The tension between needing to improve care and knowing how to do it. New England Journal of Medicine , 357, 608613. Boockvar , K., Fishman, E., Kyriacou , C., Monias , A., Gavi, S. Cortes, T. (2004). Original investigation. Adverse events due to discontinuations in drug use and dose changes in patients transferred between acute and log-term care facilities. Archives of Internal Medicine. 2004;146(5):545-550. Retrieved from http://jamanetwork.com/journals/jamainternalmedicine/fullarticle/216786 Donabedian , A. (1988). The quality of care: How can it be assessed? JAMA , 260, 17431748. Ebright , P. (2014). Culture of safety part one: Moving beyond blame. University of California. MERLOT. Retrieved from https://www.merlot.org/merlot/materials.htm%3Bjsessionid= F7A1AA5120282BC1123A261CCB3EEEDC?pageSize=&page=10&userId=19195 Grober , E. D., & Bohnen , J. (2005). Defining medical error. Canadian Journal of Surgery , 48 (1), 3944. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3211566 James, J. (2013). A new, evidence-based estimate of patient harms associated with hospital care. Journal of Patient Safety , 9 (3): 122128. 20
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