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STUDY
Venous thromboembolism after trauma: a never event?
Thorson CM, Ryan ML, Van Haren RM, et al. Crit Care Med. 2012;40:2967-2973.
STUDY
Supratherapeutic dosing of acetaminophen among hospitalized patients.
Zhou L, Maviglia SM, Mahoney LM, et al. Arch Intern Med. 2012;172:1721-1728.
STUDYclassic
Factors contributing to all-cause 30-day readmissions: a structured case series across 18 hospitals.
Feigenbaum P, Neuwirth E, Trowbridge L, et al. Med Care. 2012;50:599-605.
NEWSPAPER/MAGAZINE ARTICLE
Events associated with the prescribing, dispensing, and administering of medication loading doses.
Carson SL, Gaunt MJ. PA-PSRS Patient Saf Advis. 2012;9:82-88.
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.
STUDY
Comprehensive stroke centers overcome the weekend versus weekday gap in stroke treatment and mortality.
McKinney JS, Deng Y, Kasner SE, Kostis JB; Myocardial Infarction Data Acquisition System (MIDAS 15) Study Group. Stroke. 2011;42:2403-2409.
COMMENTARY
Using the opportunity estimator tool to improve engagement in a quality and safety intervention.
Duval-Arnould J, Mathews SC, Weeks K, et al. Jt Comm J Qual Patient Saf. 2012;38:41-47.
STUDY
Medication reconciliation accuracy and patient understanding of intended medication changes on hospital discharge.
Ziaeian B, Araujo KLB, Van Ness PH, Horwitz LI. J Gen Intern Med. 2012;27:1513-1520.
STUDY
Smartphone use during inpatient attending rounds: prevalence, patterns and potential for distraction.
Katz-Sidlow RJ, Ludwig A, Miller S, Sidlow R. J Hosp Med. 2012;7:595-599.
STUDY
Contemporary evidence about hospital strategies for reducing 30-day readmissions: a national study.
Bradley EH, Curry L, Horwitz LI, et al. J Am Coll Cardiol. 2012;60:607-614.
STUDY
Using prospective clinical surveillance to identify adverse events in hospital.
Forster AJ, Worthington JR, Hawken S, et al. BMJ Qual Saf. 2011;20:756-763.
STUDY
Anticoagulation-associated adverse drug events.
Piazza G, Nguyen TN, Cios D, et al. Am J Med. 2011;124:1136-1142.
STUDYclassic
Can we rely on patients' reports of adverse events?
Zhu J, Stuver SO, Epstein AM, Schneider EC, Weissman JS, Weingart SN. Med Care. 2011;49:948-955.
STUDY
Identifying causes of adverse events detected by an automated trigger tool through in-depth analysis.
Muething SE, Conway PH, Kloppenborg E, et al. Qual Saf Health Care. 2010;19:435-439.
NEWSPAPER/MAGAZINE ARTICLE
Never events: Utah hospitals saw nearly 60 serious errors in 2007.
May H. Salt Lake Tribune. August 18, 2008.
COMMENTARY
Medication reconciliation in the hospital: what, why, where, when, who and how?
Fernandes O, Shojania KG. Healthc Q. 2012;15:42-49.
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