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PATIENT SAFETY PRIMERS
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Device-related Complications (152)
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STUDY
Results of a medication reconciliation survey from the 2006 Society of Hospital Medicine national meeting.
Clay BJ, Halasyamani L, Stucky ER, Greenwald JL, Williams MV. J Hosp Med. 2008;3:465-472.
STUDY
Impact of a hospital-wide hand hygiene initiative on healthcare-associated infections: results of an interrupted time series.
Kirkland KB, Homa KA, Lasky RA, Ptak JA, Taylor EA, Splaine ME. BMJ Qual Saf. 2012;21:1019-1026.
COMMENTARY
Infusing fun into quality and safety initiatives.
Foulk KC, Tocydlowski P, Snow TM, et al. Nursing. 2012;42:14-16.
NEWSPAPER/MAGAZINE ARTICLE
Your high-alert medication list—relatively useless without associated risk-reduction strategies.
ISMP Medication Safety Alert! Acute Care Edition. April 4, 2013;18:1-5.
BOOK/REPORT
Preventing Central Line–Associated Bloodstream Infections: a Global Challenge, a Global Perspective.
The Joint Commission. Oakbrook Terrace, IL: Joint Commission Resources; May 2012.
PRESS RELEASE/ANNOUNCEMENT
New 2012 National Patient Safety Goal - catheter-associated urinary tract infection (CAUTI).
Oakbrook Terrace, IL: Joint Commission; May 17, 2011.
STUDY
Improving patient safety using the sterile cockpit principle during medication administration: a collaborative, unit-based project.
Fore AM, Sculli GL, Albee D, Neily J. J Nurs Manag. 2013;21:106-111.
TOOLS/TOOLKIT
Improving Transitions of Care: Hand-off Communications.
Oakbrook Terrace, IL: Joint Commission Center for Transforming Healthcare; June 2012.
AWARD RECIPIENT
Achievements in eliminating healthcare-associated infections awards.
Washington, DC: US Health and Human Services and Critical Care Societies Collaborative. December 7, 2010.
STUDY
Improving situation awareness to reduce unrecognized clinical deterioration and serious safety events.
Brady PW, Muething S, Kotagal U, et al. Pediatrics. 2013;131:e298-e308.
NEWSPAPER/MAGAZINE ARTICLE
Shakespeare was on target—don't be a borrower or lender.
ISMP Medication Safety Alert! Acute Care Edition. November 19, 2009;14:1-3.
STUDY
Challenges and opportunities to prevent transfusion errors: a Qualitative Evaluation for Safer Transfusion (QUEST).
Heddle NM, Fung M, Hervig T, et al; BEST Collaborative. Transfusion. 2012;52:1687-1695.
STUDY
Improving RCA performance: the Cornerstone Award and the power of positive reinforcement.
Bagian JP, King BJ, Mills PD, McKnight SD. BMJ Qual Saf. 2011;20:974-982.
STUDY
The effects of a 'discharge time-out' on the quality of hospital discharge summaries.
Mohta N, Vaishnava P, Liang C, et al. BMJ Qual Saf. 2012;21:885-890.
MULTI-USE WEBSITE
Aware in Care.
Miami, FL: National Parkinson Foundation; October 2012.
STUDY
Beyond communication: the role of standardized protocols in a changing health care environment.
Vardaman JM, Cornell P, Gondo MB, Amis JM, Townsend-Gervis M, Thetford C. Health Care Manage Rev. 2012;37:88-97.
STUDY
Family-centered rounds on pediatric wards: a PRIS network survey of US and Canadian hospitalists.
Mittal VS, Sigrest T, Ottolini MC, et al. Pediatrics. 2010;126:37-43.
STUDY
He thought the "lady in the door" was the "lady in the window": a qualitative study of patient identification practices.
Phipps E, Turkel M, Mackenzie ER, Urrea C. Jt Comm J Qual Patient Saf. 2012;38:127-134.
NEWSPAPER/MAGAZINE ARTICLE
Top 10 ways to improve patient safety now.
O'Reilly KB. American Medical News. April 15, 2013.
AWARD RECIPIENT
2006 Quest for Quality Prize.
Runy LA. Hosp Health Netw. September 2006.
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