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Discontinuities, Gaps, and Hand-Off Problems
PATIENT SAFETY PRIMERS
Adverse Events after Hospital Discharge
Handoffs and Signouts
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Discontinuities, Gaps, and Hand-Off Problems
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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
Patient safety beyond the hospital.
Gandhi TK, Lee TH. N Engl J Med. 2010;363:1001-1003.
SPECIAL OR THEME ISSUE
Patient Safety Papers 4.
Baker GR, ed. Healthc Q. 2009;12:1-198.
BOOK/REPORT
Safe Practices for Better Healthcare—2010 Update.
National Quality Forum. Washington, DC: National Quality Forum; 2010.
NEWSPAPER/MAGAZINE ARTICLE
Survive your doctor.
Holt TE. Men's Health. November 3, 2006.
BOOK/REPORT
Practical Patient Safety.
Reynard J, Reynolds J, Stevenson P. Oxford, UK: Oxford University Press; 2009. ISBN: 9780199239931.
BOOK/REPORT
Medication Needs During Transitions May Not Be Managed for All Servicemembers.
Washington, DC: United States Government Accountability Office; November 2, 2012. Publication GAO-13-26.
SPECIAL OR THEME ISSUE
Patient Safety Papers 5.
Baker GR, ed. Healthc Q. 2010;13:1-136.
REVIEW
The efficacy of computer-enabled discharge communication interventions: a systematic review.
Motamedi SM, Posadas-Calleja J, Straus S, et al. BMJ Qual Saf. 2011;20:403-415.
STUDY
Reconcilable differences: correcting medication errors at hospital admission and discharge.
Vira T, Colquhoun M, Etchells E. Qual Saf Health Care. 2006;15:122-126.
BOOK/REPORT
Managing Patients' Medicines after Discharge from Hospital.
London, UK: Care Quality Commission; October 2009. CQC-039-500-ESP-102009. ISBN: 9781845622442.
SPECIAL OR THEME ISSUE
Patient Safety Papers.
Baker GE, ed. Healthc Q. 2006;9:1-140.
STUDY
Incidence of potentially avoidable urgent readmissions and their relation to all-cause urgent readmissions.
van Walraven C, Jennings A, Taljaard M, et al. CMAJ. 2011;183:E1067-E1072.
NEWSPAPER/MAGAZINE ARTICLE
Can high tech save your life?
Fischman J. US News and World Report. August 1, 2005;139:45,49-50,52.
NEWSPAPER/MAGAZINE ARTICLE
Most adverse events at hospitals still go unreported.
Shaw G. The Hospitalist. August 2012.
ORGANIZATIONAL POLICY/GUIDELINES
Using medication reconciliation to prevent errors.
Sentinel Event Alert. January 25, 2006;(35):1-4.
STUDY
The care transitions intervention: translating from efficacy to effectiveness.
Voss R, Gardner R, Baier R, Butterfield K, Lehrman S, Gravenstein S. Arch Intern Med. 2011;171:1232-1237.
NEWSPAPER/MAGAZINE ARTICLE
Get me out alive.
Feldman R. The Washington Post. May 2, 2006:HE01.
SPECIAL OR THEME ISSUE
Safety in EMS.
Brice JH, Patterson PD, eds. Prehosp Emerg Care. 2012;16:1-108.
COMMENTARY
Revisiting duty-hour limits — IOM recommendations for patient safety and resident education.
Iglehart JK. N Engl J Med. 2008;359:2633-2635.
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