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Specialty Hospitals
PATIENT SAFETY PRIMERS
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Safety Target
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Device-related Complications (6)
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Setting of Care
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Specialty Hospitals
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STUDY
Patient readmissions, emergency visits, and adverse events after software-assisted discharge from hospital: cluster randomized trial.
Graumlich JF, Novotny NL, Nace GS, et al. J Hosp Med. 2009;4:E11-E19.
STUDY
Structured interdisciplinary rounds in a medical teaching unit: improving patient safety.
O’Leary KJ, Buck R, Fligiel HM, et al. Arch Intern Med. 2011;171:678-684.
STUDY
An inpatient fall prevention initiative in a tertiary care hospital.
Weinberg J, Proske D, Szerszen A, et al. Jt Comm J Qual Patient Saf. 2011;37:317-325.
COMMENTARY
Creating a safety culture at the Children's and Women's Health Centre of British Columbia.
Verschoor KN, Taylor A, Northway TL, et al. J Pediatr Nurs. 2007;22:81-86.
STUDY
User satisfaction with computerized order entry system and its effect on workplace level of stress.
Ghahramani N, Lendel I, Haque R, Sawruk K. J Med Syst. 2009;33:199-205.
COMMENTARY
Organizational Change in the Face of Highly Public Errors—I. The Dana-Farber Cancer Institute Experience
Conway JB, Weingart SN. AHRQ WebM&M [serial online]. May 2005.
STUDY
Errors of diagnosis in pediatric practice: a multisite survey.
Singh H, Thomas EJ, Wilson L, et al. Pediatrics. 2010;126:70-79.
STUDY
Preventing potentially inappropriate medication use in hospitalized older patients with a computerized provider order entry warning system.
Mattison MLP, Afonso KA, Ngo LH, Mukamal KJ. Arch Intern Med. 2010;170:1331-1336.
STUDY
Using implementation safety indicators for CPOE implementation.
Weir CR, McCarthy CA. Jt Comm J Qual Patient Saf. 2009;35:21-28.
STUDY
Chemotherapy medication errors in a pediatric cancer treatment center: prospective characterization of error types and frequency and development of a quality improvement initiative to lower the error rate.
Watts RG, Parsons K. Pediatr Blood Cancer. 2013 Mar 20; [Epub ahead of print].
STUDY
Assessment of adverse drug events among patients in a tertiary care medical center.
Johnston PE, France DJ, Byrne DW, et al. Am J Health Syst Pharm. 2006;63:2218-2227.
NEWSPAPER/MAGAZINE ARTICLE
Doctor’s orders killed cancer patient: Dana-Farber admits drug overdose caused death of Globe columnist, damage to second woman.
Knox RA. The Boston Globe. March 23, 1995; Metro/Region section: 1.
STUDY
Hospital admission medication reconciliation in medically complex children: an observational study.
Stone BL, Boehme S, Mundorff MB, Maloney CG, Srivastava R. Arch Dis Child. 2010;95:250-255.
COMMENTARY
JCAHO proposal for patient-centered care brings concept to mainstream healthcare settings.
The Risk Management Reporter. June 2005;24:1,3-7.
STUDY
Unit-based care teams and the frequency and quality of physician–nurse communications.
Gordon MB, Melvin P, Graham D, et al. Arch Pediatr Adolesc Med. 2011;165:424-428.
STUDY
Developing a programme for medication reconciliation at the time of admission into hospital.
Manzorro AG, Zoni AC, Rieiro CR, et al. Int J Clin Pharm. 2011;33:603-609.
STUDY
Four years' experience with a hospitalist-led medical emergency team: an interrupted time series.
Rothberg MB, Belforti R, Fitzgerald J, Friderici J, Keyes M. J Hosp Med. 2012;7:98-103.
STUDY
Rapid response systems in adult academic medical centers.
Wood KA, Ranji SR, Ide B, Dracup K. Jt Comm J Qual Patient Saf. 2009;35:475-482.
STUDY
Inability of providers to predict unplanned readmissions.
Allaudeen N, Schnipper JL, Orav EJ, Wachter RM, Vidyarthi AR. J Gen Intern Med. 2011;26:771-776.
STUDY
Implementing standardized operating room briefings and debriefings at a large regional medical center.
Berenholtz SM, Schumacher K, Hayanga AJ, et al. Jt Comm J Qual Patient Saf. 2009;35:391-397.
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