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STUDY
Description and evaluation of adaptations to the Global Trigger Tool to enhance value to adverse event reduction efforts.
Kennerly DA, Saldaña M, Kudyakov R, da Graca B, Nicewander D, Compton J. J Patient Saf. 2013;9:87-95.
COMMENTARY
The Safe Tables Collaborative: a statewide experience.
Wagner CA, Cecchettini D, Fletcher J. Jt Comm J Qual Patient Saf. 2011;37:206-210.
MEETING/CONFERENCE PROCEEDINGS
Patient Safety as an Exercise in Behavioral Change.
Leape LL. Social and Behavioral Sciences in Action. Washington, DC: National Research Council of the National Academies. September 24, 2012.
NEWSPAPER/MAGAZINE ARTICLE
Could it happen here? Learning from other organizations' safety errors.
Conway J. Healthc Exec. November/December 2008;23:64-67.
COMMENTARY
The competitive imperative of learning.
Edmondson AC. Harv Bus Rev. 2008;86:60-67, 160.
MEETING/CONFERENCE PROCEEDINGS
The 2012 Fifth International High Reliability Conference Proceedings.
Oakbrook Terrace, IL: Joint Commission; May 21–23, 2012.
STUDY
A reengineered hospital discharge program to decrease rehospitalization: a randomized trial.
Jack BW, Chetty VK, Anthony D, et al. Ann Intern Med. 2009;150:178-187.
STUDY
Patient safety climate in hospitals: act locally on variation across units.
Campbell EG, Singer S, Kitch BT, Iezzoni LI, Meyer GS. Jt Comm J Qual Patient Saf. 2010;36:319-326.
NEWSPAPER/MAGAZINE ARTICLE
Tapping front-line knowledge: identifying problems as they occur helps enhance patient safety.
Luther K, Resar RK. Healthc Exec. Jan/Feb 2013;28:84-87.
BOOK/REPORT
Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2009.
Oakbrook Terrace, IL: The Joint Commission; January 2010.
NEWSPAPER/MAGAZINE ARTICLE
The pursuit of perfection: hospitals take heightened actions to reduce adverse events.
May EL. Healthc Exec. 2012;27:26-28,30-33.
BOOK/REPORT
Hospital Reporting Program.
Portland, OR: Oregon Patient Safety Commission.
NEWSPAPER/MAGAZINE ARTICLE
Piecing together medication administration.
Anderson HJ. Health Data Manage. May 1, 2009;17:22.
STUDY
Suicide attempts and completions on medical-surgical and intensive care units.
Mills PD, Watts BV, Hemphill RR. J Hosp Med. 2014;9:182-185.
COMMENTARY
Executive/senior leader checklist to improve culture and reduce central line–associated bloodstream infections.
Goeschel CA, Holzmueller CG, Berenholtz SM, et al. Jt Comm J Qual Patient Saf. 2010;36:519-524.
COMMENTARY
Assessing hospital safety on nights and weekends: the SWAN tool.
Shulkin DJ. J Patient Saf. 2009;5:75-78.
COMMENTARY
Minnesota Hospital Association Statewide Project: SAFE from FALLS.
Apold J, Quigley PA. J Nurs Care Qual. 2012;27:299-306.
STUDY
Sign-out snapshot: cross-sectional evaluation of written sign-outs among specialties.
Schoenfeld AR, Salim Al-Damluji M, Horwitz LI. BMJ Qual Saf. 2014;23:66-72.
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