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Pressure Ulcers

Origin/Sponsor

Resource Types

•Journal Article (21)

•Newspaper/Magazine Article (2)

•Web Resource (2)

Error Types

•Epidemiology of Errors and Adverse Events (10)

•Active Errors (1)

Approach to Improving Safety

•Quality Improvement Strategies (19)

•Legal and Policy Approaches (3)

•Error Reporting and Analysis (16)

•Communication Improvement (6)

•Human Factors Engineering (4)

•Teamwork (1)

•Specialization of Care (1)

•Logistical Approaches (4)

•Culture of Safety (2)

•Technologic Approaches (3)

•Education and Training (2)

Clinical Areas

•Medicine (21)

•Nursing (1)

•Pharmacy (1)

Target Audience

•Health Care Providers (13)

•Health Care Executives and Administrators (29)

•Non-Health Care Professionals (13)

•Patients (4)

Setting of Care

•Hospitals (26)

•Residential Facilities (1)

•Ambulatory Care (1)

1 - 20 of 31

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STUDY

Saving lives by studying deaths: using standardized mortality reviews to improve inpatient safety.

Lau H, Litman KC. Jt Comm J Qual Patient Saf. 2011;37:400-408.

STUDY

How dangerous is a day in hospital?: A model of adverse events and length of stay for medical inpatients.

Hauck K, Zhao X. Med Care. 2011;49:1068-1075.

BOOK/REPORT

Meeting the Joint Commission's 2013 National Patient Safety Goals.

Oakbrook Terrace, IL: The Joint Commission; September 2012. ISBN: 9781599407555.

STUDY

Injury and death associated with incidents reported to the Patient Safety Net.

Reid M, Estacio R, Albert R. Am J Med Qual. 2009;24:520-524.

STUDY

National estimates of adverse events during nonpsychiatric hospitalizations for persons with schizophrenia.

Khaykin E, Ford DE, Pronovost PJ, Dixon L, Daumit GL. Gen Hosp Psychiatry. 2010;32:419-425.

BOOK/REPORT

HealthGrades Sixth Annual Patient Safety in American Hospitals Study.

Golden, CO: HealthGrades, Inc.; April 2009.

BOOK/REPORT

Back to Basics.

Gima Z, Gosselar P, Levine A, Lincoln T, Ramirez A. Washington, DC: Public Citizen; August 6, 2009.

NEWSPAPER/MAGAZINE ARTICLE

Don't let a hospital make you sick.

Mishori R. Parade Magazine. February 8, 2009.

REVIEW

Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review.

Sullivan N, Schoelles KM. Ann Intern Med. 2013;158(5 Pt 2):410-416.

BOOK/REPORT

To Err Is Human—But Don't Expect to Get Paid For It.

ASQ Quarterly Quality Report. Milwaukee, WI: American Society of Quality; October 2008.

NEWSPAPER/MAGAZINE ARTICLE

As industry automates, adverse events continue to haunt caregivers.

Wetzel TG. Health Data Manage. 2011 Feb;19:86, 88, 90 passim.

STUDY

The $17.1 billion problem: the annual cost of measurable medical errors.

Van Den Bos J, Rustagi K, Gray T, Halford M, Ziemkiewicz E, Shreve J. Health Aff (Millwood). 2011;30:596-603.

STUDY

The design of the SAFE or SORRY? study: a cluster randomised trial on the development and testing of an evidence based inpatient safety program for the prevention of adverse events.

van Gaal BG, Schoonhoven L, Hulscher ME, et al. BMC Health Serv Res. 2009;9:58.

MULTI-USE WEBSITE

Harm Free Care.

National Health Service.

BOOK/REPORT

National Priorities and Goals: Aligning Our Efforts to Transform America's Healthcare.

National Priorities Partnership. Washington, DC: National Quality Forum; 2008. ISBN: 1933875194.

STUDY

From research to practice: factors affecting implementation of prospective targeted injury-detection systems.

Sorensen AV, Harrison MI, Kane HL, Roussel AE, Halpern MT, Bernard SL. BMJ Qual Saf. 2011;20:527-533.

STUDY

Impact of date stamping on patient safety measurement in patients undergoing CABG: experience with the AHRQ Patient Safety Indicators.

Glance LG, Li Y, Osler TM, Mukamel DB, Dick AW. BMC Health Serv Res. 2008;8:176.

STUDY

Implementation of a mandatory checklist of protocols and objectives improves compliance with a wide range of evidence-based intensive care unit practices.

Byrnes MC, Schuerer DJ, Schallom ME, et al. Crit Care Med. 2009; 37:2775-2781.

STUDY

Patient characteristics and the occurrence of never events.

Fry DE, Pine M, Jones BL, Meimban RJ. Arch Surg. 2010;145:148-151.

REVIEW

Adverse events experienced by homecare patients: a scoping review of the literature.

Masotti P, McColl MA, Green M. Int J Qual Health Care. 2010;22:115-125.

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