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Facility and Group Administrators
PATIENT SAFETY PRIMERS
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COMMENTARY
Suicidal Man with Gun.
Simon RI. AHRQ WebM&M [serial online]. May 2003.
COMMENTARY
Flying Object Hits MRI.
Gosbee J, Gosbee LL. AHRQ WebM&M [serial online]. February 2003.
BOOK/REPORT
When Things Go Wrong: Responding to Adverse Events.
A Consensus Statement of the Harvard Hospitals. Burlington: Massachusetts Coalition for the Prevention of Medical Errors; 2006.
BOOK/REPORT
Vincristine: Learning from Error Workshop.
World Alliance for Patient Safety. Geneva, Switzerland: World Health Organization; 2008.
COMMENTARY
Waiting Too Long.
Rosen MA. AHRQ WebM&M [serial online]. November 2003.
TOOLKIT
Toolkit for Reduction of
Clostridium difficile
Infections Through Antimicrobial Stewardship.
Boston University School of Public Health. Rockville, MD: Agency for Healthcare Research and Quality; September 2012. AHRQ Publication No. 120082EF.
COMMENTARY
Fixing healthcare from the inside, today.
Spear SJ. Harv Bus Rev. September 2005;83:78-91.
COMMENTARY
Balancing "no blame" with accountability in patient safety.
Wachter RM, Pronovost PJ. N Engl J Med. 2009;361:1401-1406.
COMMENTARY
Delay in Initiating Antibiotics Leads to Fatal Error.
Bellini LM. AHRQ WebM&M [serial online]. February 2004.
COMMENTARY
Security Lapse.
Mason D. AHRQ WebM&M [serial online]. September 2004.
STUDY
Communication failures in patient sign-out and suggestions for improvement: a critical incident analysis.
Arora V, Johnson J, Lovinger D, Humphrey HJ, Meltzer DO. Qual Saf Health Care. 2005;14:401-407.
COMMENTARY
Triage Time Bomb.
Washington DL. AHRQ WebM&M [serial online]. January 2004.
STUDY
A 'Communication and Patient Safety' training programme for all healthcare staff: can it make a difference?
Lee P, Allen K, Daly M. BMJ Qual Saf. 2012;21:84-88.
REVIEW
Meta-analysis: effect of interactive communication between collaborating primary care physicians and specialists.
Foy R, Hempel S, Rubenstein L, et al. Ann Intern Med. 2010;152:247-258.
COMMENTARY
Moved Too Soon.
Lindenauer P. AHRQ WebM&M [serial online]. October 2004.
ORGANIZATIONAL POLICY/GUIDELINES
ACOG Committee Opinion #546: tracking and reminder systems.
ACOG Committee on Patient Safety and Quality Improvement. Obstet Gynecol. 2012;120:1535-1537.
STUDY
Patient safety in patients who occupy beds on clinically inappropriate wards: a qualitative interview study with NHS staff.
Goulding L, Adamson J, Watt I, Wright J. BMJ Qual Saf. 2012;21;218-224.
STUDY
Performance of a fail-safe system to follow up abnormal mammograms in primary care.
Grossman E, Phillips RS, Weingart SN. J Patient Saf. 2010;6:172-179.
BOOK/REPORT
Patient Safety in Primary Care.
Kingston-Riechers J, Ospina M, Jonsson E, Childs P, McLeod L, Maxted JM. Edmondton, AB, Canada: Canadian Patient Safety Institute; 2010. ISBN: 9781926541273.
COMMENTARY
Discharge Against Medical Advice.
Hwang SW. WebM&M [serial online]. May 2005.
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