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PATIENT SAFETY PRIMERS
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Device-related Complications (78)
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NEWSPAPER/MAGAZINE ARTICLE
A hospital races to learn lessons of Ferrari pit stop.
Naik G. Wall Street Journal. November 14, 2006:A1. [reprinted on Post-gazette.com].
NEWSPAPER/MAGAZINE ARTICLE
Save lives now: five ways to improve patient safety in the ED.
Dunn P. Hosp Health Netw. April 2007;81:42-44,46,48,2.
COMMENTARY
Improving handoffs in the emergency department.
Cheung DS, Kelly JJ, Beach C, et al; American College of Emergency Physicians Section of Quality Improvement and Patient Safety. Ann Emerg Med. 2010;55:171-180.
STUDY
Exploring emergency physician–hospitalist handoff interactions: development of the Handoff Communication Assessment.
Apker J, Mallak LA, Applegate EB 3rd, et al. Ann Emerg Med. 2010;55:161-170.
STUDY
Teamwork errors in trauma resuscitation.
Sarcevic A, Marsic I, Burd RS. ACM Trans Comput Hum Interact. 2012;19:13:1-13:30.
STUDY
A pilot study examining undesirable events among emergency department–boarded patients awaiting inpatient beds.
Liu SW, Thomas SH, Gordon JA, Hamedani AG, Weissman JS. Ann Emerg Med. 2009;54:381-385.
MULTI-USE WEBSITE
Safer Sign Out.
Emergency Medicine Patient Safety Foundation.
STUDY
Dropping the baton during the handoff from emergency department to primary care: pediatric asthma continuity errors.
Hsiao AL, Shiffman RN. Jt Comm J Qual Patient Saf. 2009;35:467-474.
MEASUREMENT TOOL/INDICATOR
Pediatric Patient Safety in the Emergency Department - Survey Preview Version.
Oakbrook Terrace, IL: Joint Commission Resources; 2008.
STUDY
Flow disruptions in trauma care handoffs.
Catchpole KR, Gangi A, Blocker RC, et al. J Surg Res. 2013 Mar 13; [Epub ahead of print].
STUDY
Pediatric adverse drug events in the outpatient setting: an 11-year national analysis.
Bourgeois FT, Mandl KD, Valim C, Shannon MW. Pediatrics. 2009;124:e744-e750.
STUDY
'The ABC of Handover': impact on shift handover in the emergency department.
Farhan M, Brown R, Vincent C, Woloshynowych M. Emerg Med J. 2012;29:947-953.
COMMENTARY
Bedside shift report improves patient safety and nurse accountability.
Baker SJ. J Emerg Nurs. 2010;36:355-358.
STUDY
Creating an infrastructure for safety event reporting and analysis in a multicenter pediatric emergency department network.
Chamberlain JM, Shaw KN, Lillis KA, et al. Pediatr Emerg Care. 2013;29:125-130.
NEWSPAPER/MAGAZINE ARTICLE
Inquiry into reporter's death finds multiple failures in care.
Stout D. New York Times. June 17, 2006;National desk:9.
STUDY
Pediatric patient safety in emergency departments: unit characteristics and staff perceptions.
Shaw KN, Ruddy RM, Olsen CS, et al; Pediatric Emergency Care Applied Research Network. Pediatrics. 2009;124:485-493.
COMMENTARY
JCAHO's safety goals—the clock is ticking, will your ED be compliant?
ED Manag. 2005;17:73-75.
STUDY
The association between transfer of emergency department boarders to inpatient hallways and mortality: a 4-year experience.
Viccellio A, Santora C, Singer AJ, Thode HC Jr, Henry MC. Ann Emerg Med. 2009;54:511-513.
COMMENTARY
All in the History
Fee C. AHRQ WebM&M [serial online]. February/March 2009.
COMMENTARY
For whom the Bell Commission tolls: unintended effects of limiting residents' hours.
Millard WB. Ann Emerg Med. 2009;54:A25-A29.
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