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Commentary
PATIENT SAFETY PRIMERS
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Device-related Complications (32)
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Diagnostic Errors (56)
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Identification Errors (26)
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Discontinuities, Gaps, and Hand-Off Problems (155)
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Fatigue and Sleep Deprivation (31)
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Commentary
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Epidemiology of Errors and Adverse Events (25)
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Approach to Improving Safety
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Health Care Providers (562)
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Hospitals (421)
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Patient Transport (4)
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COMMENTARY
Right? Left? Neither!
Howell EA, Chassin MR. AHRQ WebM&M [serial online]. May 2006.
COMMENTARY
Deciphering the Code
Goldstein MK. AHRQ WebM&M [serial online]. Febuary 2006.
COMMENTARY
Around the Block.
Minichiello T. AHRQ WebM&M [serial online]. March 2005.
COMMENTARY
Triple Handoff
Vidyarthi AR. AHRQ WebM&M [serial online]. September 2006.
COMMENTARY
A model for building a standardized hand-off protocol.
Arora V, Johnson J. Jt Comm J Qual Patient Saf. 2006;32:646-655.
COMMENTARY
Fumbled Handoff.
Vidyarthi A. AHRQ WebM&M [serial online]. March 2004.
COMMENTARY
On O.R. Off?
Leonard M. AHRQ WebM&M [serial online]. March 2005.
COMMENTARY
Creating a culture of safety by using checklists.
Huang L, Kim R, Berry W. AORN J. 2013;97:365-368.
COMMENTARY
The top 10 list for a safe and effective sign-out.
Kemp CD, Bath JM, Berger J, et al. Arch Surg. 2008;143:1008-1010.
COMMENTARY
Beeline to Spine
Smetana GW. AHRQ WebM&M [serial online]. June 2007.
COMMENTARY
Physical Diagnosis: A Lost Art?
Thompson GR, Verghese A. AHRQ WebM&M [serial online]. August 2006.
COMMENTARY
Wrong site surgery.
Fraser SG, Adams W. Br J Ophthalmol. 2006;90:814-816.
COMMENTARY
The lost sponge: patient safety in the operating room.
Grant-Orser A, Davies P, Singh SS. CMAJ. 2012;184:1275-1278.
COMMENTARY
Surgical count practice variability and the potential for retained surgical items.
Edel EM. AORN J. 2012;95:228-238.
COMMENTARY
Ticket to ride: reducing handoff risk during hospital patient transport.
Pesanka DA, Greenhouse PK, Rack LL, et al. J Nurs Care Qual. 2009;24:109-115.
COMMENTARY
Waiting Too Long.
Rosen MA. AHRQ WebM&M [serial online]. November 2003.
COMMENTARY
Surgical site verification: A through Z.
Dunn D. J Perianesth Nurs. 2006;21:317-328.
COMMENTARY
Crisis management during anaesthesia: the development of an anaesthetic crisis management manual.
Runciman WB, Kluger MT, Morris RW, Paix AD, Watterson LM, Webb RK. Qual Saf Health Care. 2005;14:e1.
COMMENTARY
Operating room briefings.
Makary MA, Holzmueller CG, Sexton BJ, et al. Jt Comm J Qual Patient Saf. 2006;32:407-410.
COMMENTARY
Lost in Transition
Beach C. AHRQ WebM&M [serial online]. Febuary 2006.
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