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PATIENT SAFETY PRIMERS
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Safety Target
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Device-related Complications (147)
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Diagnostic Errors (191)
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Identification Errors (102)
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Discontinuities, Gaps, and Hand-Off Problems (462)
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Medication Safety (1079)
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Allied Health Professionals (7)
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Physicians (546)
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Pharmacists (169)
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Hospitals (2242)
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Ambulatory Care (386)
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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.
STUDY
Professionalism: a necessary ingredient in a culture of safety.
DuPree E, Anderson R, McEvoy MD, Brodman M. Jt Comm J Qual Patient Saf. 2011;37:447-455.
STUDY
Improving safety culture on adult medical units through multidisciplinary teamwork and communication interventions: the TOPS Project.
Blegen MA, Sehgal NL, Alldredge BK, Gearhart S, Auerbach AD, Wachter RM. Qual Saf Health Care. 2010;19:346-350.
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
Improving teamwork: impact of structured interdisciplinary rounds on a medical teaching unit.
O'Leary KJ, Wayne DB, Haviley C, Slade ME, Lee J, Williams MV. J Gen Intern Med. 2010;25:826-832.
STUDY
Rethinking resident supervision to improve safety: from hierarchical to interprofessional models.
Tamuz M, Giardina TD, Thomas EJ, Menon S, Singh H. J Hosp Med. 2011;6:448-456.
STUDY
A relational leadership perspective on unit-level safety climate.
Thompson DN, Hoffman LA, Sereika SM, et al. J Nurs Adm. 2011;41:479-487.
COMMENTARY
A leadership initiative to improve communication and enhance safety.
Donahue M, Miller M, Smith L, Dykes P, Fitzpatrick JJ. Am J Med Qual. 2011;26:206-211.
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
Patient whiteboards as a communication tool in the hospital setting: A survey of practices and recommendations.
Sehgal NL, Green A, Vidyarthi AR, Blegen MA, Wachter RM. J Hosp Med. 2010;5:234-239.
STUDY
The efficacy of medical team training: improved team performance and decreased operating room delays: a detailed analysis of 4863 cases.
Wolf FA, Way LW, Stewart L. Ann Surg. 2010;252:477-485.
STUDY
Standardizing hospital discharge planning at the Mayo Clinic.
Holland DE, Hemann MA. Jt Comm J Qual Patient Saf. 2011;37:29-36.
COMMENTARY
An anesthesiology department leads culture change at a hospital system level to improve quality and patient safety.
Fleischut PM, Evans AS, Faggiani SL, Lazar EJ, Kerr GE. Anesthesiol Clin. 2011;29:153-167.
COMMENTARY
Medication reconciliation in a community, nonteaching hospital.
Wortman SB. Am J Health Syst Pharm. 2008;65:2047-2054.
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.
COMMENTARY
The collapse of sensemaking in organizations: the Mann Gulch disaster.
Weick KE. Adm Sci Q. 1993;38:628-652.
REVIEW
Hospital do-not-resuscitate orders: why they have failed and how to fix them.
Yuen JK, Reid MC, Fetters MD. J Gen Intern Med. 2011;26:791-797.
NEWSPAPER/MAGAZINE ARTICLE
Patient safety: the synergy of technology and behavior.
Yarbrough C, Rypkema S. Patient Safety & Quality Healthcare. January-February 2008;5:32-35.
STUDY
Patient Safety Dialogue: evaluation of an intervention aimed at achieving an improved patient safety culture.
Öhrn A, Rutberg H, Nilsen P. J Patient Saf. 2011;7:185-192.
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.
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