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PATIENT SAFETY PRIMERS
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Safety Target
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Device-related Complications (204)
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Diagnostic Errors (247)
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Identification Errors (140)
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Discontinuities, Gaps, and Hand-Off Problems (638)
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Fatigue and Sleep Deprivation (131)
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Medication Safety (1392)
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Medical Complications (615)
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Epidemiology of Errors and Adverse Events (1055)
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Near Miss (87)
Approach to Improving Safety
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Error Reporting and Analysis (1551)
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Human Factors Engineering (631)
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Specialization of Care (361)
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Allied Health Services (16)
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Dentistry (5)
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Medicine (3572)
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Nursing (457)
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Pharmacy (525)
Target Audience
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Health Care Providers (3916)
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Health Care Executives and Administrators (4336)
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Non-Health Care Professionals (2433)
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Patients (468)
Setting of Care
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Hospitals (3629)
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Psychiatric Facilities (23)
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Residential Facilities (91)
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Ambulatory Care (498)
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Outpatient Surgery (50)
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Patient Transport (35)
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STUDY
A multidisciplinary teamwork training program: The Triad for Optimal Patient Safety (TOPS) experience.
Sehgal NL, Fox M, Vidyarthi AR, et al; TOPS Project. J Gen Intern Med. 2008;23:2053-2057.
BOOK/REPORT
Medical Team Training.
Oakbrook, IL: Joint Commission Resources; 2008. ISBN: 9781599400921.
REVIEW
Outcomes of classroom-based team training interventions for multiprofessional hospital staff. A systematic review.
Rabøl LI, Østergaard D, Mogensen T. Qual Saf Health Care. 2010;19:e27.
REVIEW
Promoting a culture of safety as a patient safety strategy: a systematic review.
Weaver SJ, Lubomski LH, Wilson RF, Pfoh ER, Martinez KA, Dy SM. Ann Intern Med. 2013;158(5 Pt 2):369-374.
STUDY
Health care workers as second victims of medical errors.
Edrees HH, Paine LA, Feroli ER, Wu AW. Pol Arch Med Wewn. 2011;121:101-108.
STUDY
Assessing and improving safety culture throughout an academic medical centre: a prospective cohort study.
Paine LA, Rosenstein BJ, Sexton JB, Kent P, Holzmueller CG, Pronovost PJ. Qual Saf Health Care. 2010;19:547-554.
NEWSPAPER/MAGAZINE ARTICLE
Team-based care.
Weinstock M. Hosp Health Netw. March 2010;84:6p following 28,2.
REVIEW
Interventions to improve team effectiveness: a systematic review.
Buljac-Samardzic M, Dekker-van Doorn CM, van Wijngaarden JDH, van Wijk KP. Health Policy. 2010;94:183-195.
NEWSPAPER/MAGAZINE ARTICLE
Raising the index of suspicion: red flags that represent credible threats to patient safety.
ISMP Medication Safety Alert! Acute Care Edition. July 26, 2012;17:1-3.
COMMENTARY
What are the critical success factors for team training in health care?
Salas E, Almeida SA, Salisbury M, et al. Jt Comm J Qual Patient Saf. 2009;35:398-405.
STUDY
Identifying organizational cultures that promote patient safety.
Singer SJ, Falwell A, Gaba DM, et al. Health Care Manage Rev. 2009;34:300-311.
STUDY
Communication and collaboration: it's about the pharmacists, as well as the physicians and nurses.
Holden LM, Watts DD, Walker PH. Qual Saf Health Care. 2010;19:169-172.
STUDY
Evaluation of organizational culture among different levels of healthcare staff participating in the Institute for Healthcare Improvement's 100,000 Lives Campaign.
Sinkowitz-Cochran RL, Garcia-Williams A, Hackbarth AD, et al. Infect Control Hosp Epidemiol. 2012;33:135-143.
STUDY
Association between hospital-reported Leapfrog Safe Practices scores and inpatient mortality.
Kernisan LP, Lee SJ, Boscardin WJ, Landefeld CS, Dudley RA. JAMA. 2009;301:1341-1348.
STUDY
Effects of a multicentre teamwork and communication programme on patient outcomes: results from the Triad for Optimal Patient Safety (TOPS) project.
Auerbach AD, Sehgal NL, Blegen MA, et al. BMJ Qual Saf. 2012;22:118-126.
STUDY
A novel method for reproducibly measuring the effects of interventions to improve emotional climate, indices of team skills and communication, and threat to patient outcome in a high-volume thoracic surgery center.
Nurok M, Lipsitz S, Satwicz P, Kelly A, Frankel A. Arch Surg. 2010;145:489-495.
STUDY
A case for safety leadership team training of hospital managers.
Singer SJ, Hayes J, Cooper JB, et al. Health Care Manage Rev. 2011;36:1-13.
NEWSPAPER/MAGAZINE ARTICLE
That’s the way we do things around here!
ISMP Medication Safety Alert! Acute Care Edition. February 24, 2011;16:1-2.
BOOK/REPORT
First, Do Less Harm: Confronting the Inconvenient Problems of Patient Safety.
Koppel R, Gordon S, ed. Ithaca, NY: Cornell University Press; 2012. ISBN: 9780801450778.
COMMENTARY
Integrating CUSP and TRIP to improve patient safety.
Romig M, Goeschel C, Pronovost P, Berenholtz SM. Hosp Pract (Minneap). 2010;38:114-121.
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