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PATIENT SAFETY PRIMERS
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Safety Target
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Device-related Complications (83)
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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.
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.
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.
STUDY
Effects of the Accreditation Council for Graduate Medical Education duty hour limits on sleep, work hours, and safety.
Landrigan CP, Fahrenkopf AM, Lewin D, et al. Pediatrics. 2008;122:250-258.
COMMENTARY
Achieving the 'perfect handoff' in patient transfers: building teamwork and trust.
Clarke D, Werestiuk K, Schoffner A, et al. J Nurs Manag. 2012;20:592-598.
COMMENTARY
Can you prevent adverse drug events after hospital discharge?
Forster AJ. CMAJ. 2006;174:921-922.
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
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.
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.
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.
STUDY
The relationship between organizational leadership for safety and learning from patient safety events.
Ginsburg LR, Chuang YT, Berta WB, et al. Health Serv Res. 2010;45:607-632.
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.
SPECIAL OR THEME ISSUE
Elderly Falls.
J Safety Res. 2011;42:415-542.
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