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Medical Complications
PATIENT SAFETY PRIMERS
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ORGANIZATIONAL POLICY/GUIDELINES
Joint Policy Statement—Guidelines for Care of Children in the Emergency Department.
American Academy of Pediatrics Committee on Pediatric Emergency Medicine; American College of Emergency Physicians Pediatric Committee; Emergency Nurses Association Pediatric Committee. Pediatrics. 2009;124:1233-1243.
STUDY
Improved pain resolution in hospitalized patients through targeting of pain mismanagement as medical error.
Okon TR, Lutz PS, Liang H. J Pain Symptom Manage. 2009;37:1039-1049.
STUDY
Airway carts: a systems-based approach to airway safety.
Kane BG, Bond WF, Worrilow CC, Richardson DM, on behalf of the Lehigh Valley Hospital Airway Task Force. J Patient Saf. 2006;2:154-161.
REVIEW
Crisis resource management in emergency medicine.
Carne B, Kennedy M, Gray T. Emerg Med Australas. 2012;24:7-13.
ORGANIZATIONAL POLICY/GUIDELINES
Patient safety in the pediatric emergency care setting.
Krug SE, Frush K, for the Committee on Pediatric Emergency Medicine and American Academy of Pediatrics. Pediatrics. 2007;120:1367-1375.
STUDY
A reduction in cardiac arrests and duration of clinical instability after implementation of a paediatric rapid response system.
Hanson CC, Randolph GD, Erickson JA, et al. Qual Saf Health Care. 2009;18:500-504.
BOOK/REPORT
Pediatric Patient Safety in the Emergency Department.
Krug SE, ed. Oak Brook, IL: Joint Commission Resources and the American Academy of Pediatrics; 2010. ISBN: 9781599402123.
STUDY
Hospitalization-associated disability: "She was probably able to ambulate, but I'm not sure."
Covinsky KE, Pierluissi E, Johnston CB. JAMA. 2011;306:1782-1793.
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
Connected care: reducing errors through automated vital signs data upload.
Smith LB, Banner L, Lozano D, Olney CM, Friedman B. Comput Inform Nurs. 2009;27:318-323.
STUDY
A framework for evaluating the appropriateness of clinical decision support alerts and responses.
McCoy AB, Waitman LR, Lewis JB, et al. J Am Med Inform Assoc. 2012;19:346-352.
STUDY
Unplanned transfers to a medical intensive care unit: causes and relationship to preventable errors in care.
Bapoje SR, Gaudiani JL, Narayanan V, Albert RK. J Hosp Med. 2011;6:68-72.
COMMENTARY
NFL concussions and common sense: a recipe for medical errors and a lesson for physician leaders.
Lazarus A. Physician Exec. Jan-Feb 2011;37:6-9.
STUDY
Use of an electronic information system to identify adverse events resulting in an emergency department visit.
Ackroyd-Stolarz S, Mackinnon NJ, Zed PJ, Murphy N. Qual Saf Health Care. 2010;19:e53.
SPECIAL OR THEME ISSUE
Biomedical Complexity and Error.
Patel VL, Kahol K, Buchman T, eds. J Biomed Inform. 2011;44:385-506.
AWARD RECIPIENT
The Leapfrog Group Announces the 2008 Leapfrog Top Hospitals.
Washington, DC: Leapfrog Group; September 24, 2008.
STUDY
Single-parameter early warning criteria to predict life-threatening adverse events.
Rothschild JM, Gandara E, Woolf S, Williams DH, Bates DW. J Patient Saf. 2010;6:97-101.
STUDY
Preventable deaths: who, how often, and why?
Dubois RW, Brooke RH. Ann Intern Med. 1988;109:582-589.
STUDY
Beating the weekend trend: increased mortality in older adult traumatic brain injury (TBI) patients admitted on weekends.
Schneider EB, Hirani SA, Hambridge HL, et al. J Surg Res. 2012;177:295-300.
COMMENTARY
A 38-year-old woman with fetal loss and hysterectomy.
Sachs BP. JAMA. 2005;294:833-840.
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