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PATIENT SAFETY PRIMERS
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Safety Target
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Device-related Complications (100)
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STUDY
Cost implications of reduced work hours and workloads for resident physicians.
Nuckols TK, Bhattacharya J, Miller Wolman D, Ulmer C, Escarce JJ. N Engl J Med. 2009;360:2202-2215.
BOOK/REPORT
Resident Duty Hours: Enhancing Sleep, Supervision, and Safety.
Ulmer C, Wolman DM, Johns MME, eds. Committee on Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedule to Improve Patient Safety, Institute of Medicine. Washington, DC: The National Academies Press; 2008. ISBN: 9780309127721.
CANADA MEETING/CONFERENCE
9th Annual Paediatric Patient Safety Symposium.
Hospital for Sick Children. June 13, 2013; Hospital for Sick Children, Toronto, ON.
BOOK/REPORT
Safe Handover: Safe Patients.
Kingston, ACT, Australia: Australian Medical Association; 2006.
COMMENTARY
Can you prevent adverse drug events after hospital discharge?
Forster AJ. CMAJ. 2006;174:921-922.
BOOK/REPORT
HSMR: A New Approach for Measuring Hospital Mortality Trends in Canada.
Ottawa, ON, Canada: Canadian Institute for Health Information; 2007. ISBN: 9781554651849.
NEWSPAPER/MAGAZINE ARTICLE
IOM: shorten residents' work shifts to reduce fatigue, improve patient safety.
Kuehn BM. JAMA. 2009;301:259-261.
STUDY
Effective implementation of work-hour limits and systemic improvements.
Landrigan CP, Czeisler CA, Barger LK, et al. Jt Comm J Qual Patient Saf. 2007;33(suppl 1):19-29.
MEASUREMENT TOOL/INDICATOR
2012 ISMP International Medication Safety Self Assessment for Oncology.
Institute for Safe Medication Practices and Institute for Safe Medication Practices Canada.
COMMENTARY
The ACGME’s final duty-hour standards—special PGY-1 limits and strategic napping.
Iglehart JK. N Engl J Med. 2010;363:1589-1591.
STUDY
Influence of house-staff experience on teaching-hospital mortality: the "July Phenomenon" revisited.
van Walraven C, Jennings A, Wong J, Forster AJ. J Hosp Med. 2011;6:389-394.
STUDY
Catching and correcting near misses: the collective vigilance and individual accountability trade-off.
Jeffs LP, Lingard L, Berta W, Baker GR. J Interprof Care. 2012;26:121-126.
REVIEW
Effects of shift length on quality of patient care and health provider outcomes: systematic review.
Estabrooks CA, Cummings GG, Olivo SA, Squires JE, Giblin C, Simpson N. Qual Saf Health Care. 2009;18:181-188.
STUDY
Frequency and clinical importance of pages sent to the wrong physician.
Wong BM, Quan S, Cheung CM, et al. Arch Intern Med. 2009;169:1072-1073.
COMMENTARY
Revisiting duty-hour limits — IOM recommendations for patient safety and resident education.
Iglehart JK. N Engl J Med. 2008;359:2633-2635.
BOOK/REPORT
Patient Safety in Canada: An Update.
Ottawa, ON, Canada: Canadian Institute for Health Information; August 14, 2007.
SPECIAL OR THEME ISSUE
Healthcare-Associated Infections.
Healthc Pap. 2009;9(3):1-62.
COMMENTARY
Do Not Disturb!
Duffy FD, Cassel CK. AHRQ WebM&M [serial online]. October 2007.
COMMENTARY
Misgivings.
Farlow B. Hastings Cent Rep. 2009;39:19-21.
STUDY
Residents' perspectives on ACGME regulation of supervision and duty hours—a national survey.
Drolet BC, Spalluto LB, Fischer SA. N Engl J Med. 2010;363:e34.
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