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PATIENT SAFETY PRIMERS
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Setting of Care
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Pulse Report 2009: Safety Culture: Staff Perspectives on American Health Care.
South Bend, IN: Press Ganey Associates, Inc: 2009.
Are we finally getting serious about medical errors?
Burns J. Managed Care Magazine. May 2011;20:23-28.
Analysis of staff safety concerns.
Davidson J, Lamontagne G, Burnell L, et al. J Nurs Care Qual. 2013;28:147-152.
A safety culture transformation: its effects at a children's hospital.
Peterson TH, Teman SF, Connors RH. J Patient Saf. 2012;8:125-130.
Medication Safety Self Assessment for Automated Dispensing Cabinets.
Horsham, PA: Institute for Safe Medication Practices; 2009.
Professionalism: a necessary ingredient in a culture of safety.
DuPree E, Anderson R, McEvoy MD, Brodman M. Jt Comm J Qual Patient Saf. 2011;37:447-455.
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.
Rounding to influence.
Reinertsen JL, Johnson KM. Healthc Exec. Sept/Oct 2010;25:72-75.
Temporal trends in rates of patient harm resulting from medical care.
Landrigan CP, Parry GJ, Bones CB, Hackbarth AD, Goldmann DA, Sharek PJ. N Engl J Med. 2010;363:2124-2134.
Diagnostic error in acute care.
PA-PSRS Patient Saf Advis. 2010;7:76-86.
Measuring patient safety culture: an assessment of the clustering of responses at unit level and hospital level.
Smits M, Wagner C, Spreeuwenberg P, van der Wal G, Groenewegen PP. Qual Saf Health Care. 2009;18:292-296.
'Global Trigger Tool' shows that adverse events in hospitals may be ten times greater than previously measured.
Classen DC, Resar R, Griffin F, et al. Health Aff (Millwood). 2011;30:581-589.
Consequences of inadequate sign-out for patient care.
Horwitz LI, Moin T, Krumholz HM, Wang L, Bradley EH. Arch Intern Med. 2008;168:1755-1760.
Structured interdisciplinary rounds in a medical teaching unit: improving patient safety.
O’Leary KJ, Buck R, Fligiel HM, et al. Arch Intern Med. 2011;171:678-684.
Large-scale deployment of the Global Trigger Tool across a large hospital system: refinements for the characterisation of adverse events to support patient safety learning opportunities.
Good VS, Saldaña M, Gilder R, Nicewander D, Kennerly DA. BMJ Qual Saf. 2011;20:25-30.
Hospital discharge documentation and risk of rehospitalisation.
Hansen LO, Strater A, Smith L, et al. BMJ Qual Saf. 2011;20:773-778.
The High Costs of Weak Compliance With the New York State Hospital Adverse Event Reporting and Tracking System.
Thompson WC Jr. New York, NY: Office of the New York City Comptroller, Office of Policy Management; 2009.
Leadership WalkRound Films.
London, UK: National Patient Safety Agency, NHS Institute for Innovation and Improvement, The Health Foundation, Patient Safety First; 2009.
Assessing and improving safety culture throughout an academic medical centre: a prospective cohort study.
Paine LA, Rosenstein BJ, Sexton JB, Kent P, Holzmueller CG, Pronovost PJ. Qual Saf Health Care. 2010;19:547-554.
Making Strides in Safety.
Chicago, IL: American Medical Association.
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