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Cardiology
PATIENT SAFETY PRIMERS
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Device-related Complications (6)
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STUDY
Excess dosing of antiplatelet and antithrombin agents in the treatment of non–ST-segment elevation acute coronary syndromes.
Alexander KP, Chen AY, Roe MT, et al; CRUSADE Investigators. JAMA. 2005;294:3108-3116.
STUDY
Reducing interruptions to improve medication safety.
Freeman R, McKee S, Lee-Lehner B, Pesenecker J. J Nurs Care Qual. 2013;28:176-185.
COMMENTARY
Intrahospital transport to the radiology department: risk for adverse events, nursing surveillance, utilization of a MET and practice implications.
Ott LK, Hoffman LA, Hravnak M. J Radiol Nurs. 2011;30:49-52.
COMMENTARY
Crossed Coverage
Kayser SR. AHRQ WebM&M [serial online]. February 2007.
STUDY
Enhancing patient safety with intelligent intravenous infusion devices: experience in a specialty cardiac hospital.
Wood JL, Burnette JS. Heart Lung. 2012;41:173-176.
STUDY
Weekend versus weekday admission and mortality from myocardial infarction.
Kostis WJ, Demissie K, Marcella SW, Shao YH, Wilson AC, Moreyra AE, for the Myocardial Infarction Data Acquisition System (MIDAS 10) Study Group. N Engl J Med. 2007;356:1099-1109.
STUDY
Relationship of incorrect dosing of fibrinolytic therapy and clinical outcomes.
Mehta RH, Alexander JH, Van de Werf F, et al. JAMA. 2005;293:1746-1750.
STUDY
Nurse decision making in the prearrest period.
Gazarian PK, Henneman EA, Chandler GE. Clin Nurs Res. 2010;19:21-37.
STUDY
Delayed time to defibrillation after in-hospital cardiac arrest.
Chan PS, Krumholz HM, Nichol G, Nallamothu BK, and American Heart Association National Registry of Cardiopulmonary Resuscitation Investigators. N Engl J Med. 2008;358:9-17.
STUDY
Impact of duty hours restrictions on quality of care and clinical outcomes.
Bhavsar J, Montgomery D, Li J, et al. Am J Med. 2007;120:968-974.
STUDY
The impact of resident duty hour reform on hospital readmission rates among Medicare beneficiaries.
Press MJ, Silber JH, Rosen AK, et al. J Gen Intern Med. 2011;26:405-411.
AWARD RECIPIENT
John M. Eisenberg Patient Safety Awards. Safety, effectiveness, and efficiency: a Web-based virtual anticoagulation clinic.
Kelly JJ, Sweigard KW, Shields K, Schneider D. Jt Comm J Qual Saf. 2003;29:646-651.
COMMENTARY
ISMP medication error report analysis.
Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:847-853.
COMMENTARY
Dealing honestly with an honest mistake.
Liang NL, Herring ME, Bush RL. J Vasc Surg. 2010;51:494-495.
STUDY
Survival from in-hospital cardiac arrest during nights and weekends.
Peberdy MA, Ornato JP, Larkin GL, et al; for National Registry of Cardiopulmonary Resuscitation Investigators. JAMA. 2008;299:785-792.
STUDY
Diagnostic blood loss from phlebotomy and hospital-acquired anemia during acute myocardial infarction.
Salisbury AC, Reid KJ, Alexander KP, et al. Arch Intern Med. 2011;171:1646-1653.
STUDY
Survey of medication documentation at hospital discharge: implications for patient safety and continuity of care.
Grimes T, Delaney T, Duggan C, Kelly JG, Graham IM. Ir J Med Sci. 2008;177:93-97.
STUDY
Physician implicit review to identify preventable errors during in-hospital cardiac arrest.
Jain R, Kuhn L, Repaskey W, et al. Arch Intern Med. 2011;171:89-90.
STUDY
Contraindicated medication use in dialysis patients undergoing percutaneous coronary intervention.
Tsai TT, Maddox TM, Roe MT, et al; National Cardiovascular Data Registry. JAMA. 2009;302:2458-2464.
STUDY
Discontinuation of antihyperglycemic therapy after acute myocardial infarction: medical necessity or medical error?
Lovig KO, Horwitz L, Lipska K, Kosiborod M, Krumholz HM, Inzucchi SE. Jt Comm J Qual Patient Saf. 2012;38:403-407.
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