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PATIENT SAFETY PRIMERS
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Device-related Complications (64)
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ORGANIZATIONAL POLICY/GUIDELINES
Dana-Farber Cancer Institute Principles of a Fair and Just Culture.
Boston, MA: Dana-Farber Cancer Institute.
SPECIAL OR THEME ISSUE
The Criminal Edition.
The Just Culture Community. January/February 2007;1-6.
NEWSPAPER/MAGAZINE ARTICLE
Do you hold staff accountable for safety?
Terry K. Hosp Health Netw. February 2010.
ORGANIZATIONAL POLICY/GUIDELINES
Leadership committed to safety.
Sentinel Event Alert. August 27, 2009;(43):1-3.
TEXAS MEETING/CONFERENCE
Just Culture Certification Course.
Outcome Engenuity. July 22–26, 2013; Westin Stonebriar, Frisco, TX.
COMMENTARY
Leading a highly visible hospital through a serious reportable event.
Erickson JI. J Nurs Adm. 2012;42:131-133.
AUDIOVISUAL PRESENTATION
North Carolina Just Culture Journey.
Plano, TX: Just Culture Community; November 2008.
STUDY
A survey of the impact of disruptive behaviors and communication defects on patient safety.
Rosenstein AH, O'Daniel M. Jt Comm J Qual Patient Saf. 2008;34:464-471.
COMMENTARY
The meaning of justice in safety incident reporting.
Weiner BJ, Hobgood C, Lewis MA. Soc Sci Med. 2008;66;403-413.
COMMENTARY
Balancing "no blame" with accountability in patient safety.
Wachter RM, Pronovost PJ. N Engl J Med. 2009;361:1401-1406.
COMMENTARY
From a blame culture to a just culture in health care.
Khatri N, Brown GD, Hicks LL. Health Care Manage Rev. 2009;34:312-322.
COMMENTARY
New world of patient safety. 23rd Annual Samuel Jason Mixter Lecture.
Leape LL. Arch Surg. 2009;144:394-398.
BOOK/REPORT
Patient Safety: A Human Factors Approach.
Dekker S. New York, NY: CRC Press; 2011. ISBN: 1439852251.
COMMENTARY
Getting it right when things go wrong.
Pettker CM, Funai EF. JAMA. 2010;303:977-978.
COMMENTARY
Creating a fair and just culture: one institution's path toward organizational change.
Connor M, Duncombe D, Barclay E, et al. Jt Comm J Qual Patient Saf. 2007;33:617-624.
STUDY
Seasoned surgeons assessed in a laparoscopic surgical crisis.
Powers K, Rehrig ST, Schwaitzberg SD, Callery MP, Jones DB. J Gastrointest Surg. 2009;13:994-1003.
NEWSPAPER/MAGAZINE ARTICLE
MRI safety 10 years later.
Gilk T, Latino RJ. Patient Saf Qual Healthc. November/December 2011;8:22-23,26-29.
AWARD RECIPIENT
Building and sustaining a systemwide culture of safety.
Yates GR, Bernd DL, Sayles SM, Stockmeier CA, Burke G, Merti GE. Jt Comm J Qual Patient Saf. 2005;31:684-689.
NEWSPAPER/MAGAZINE ARTICLE
The 'second victims' of medication errors begin to gain support.
Blum K. Pharm Pract News. November 2011.
BOOK/REPORT
Preventing Medication Errors: Quality Chasm Series.
Committee on Identifying and Preventing Medication Errors, Aspden P, Wolcott J, Bootman JL, Cronenwett LR, eds. Washington, DC: The National Academies Press; 2007.
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