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Continuous Quality Improvement
PATIENT SAFETY PRIMERS
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Safety Target
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Device-related Complications (4)
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Diagnostic Errors (3)
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Identification Errors (3)
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Discontinuities, Gaps, and Hand-Off Problems (3)
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Medication Safety (14)
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Epidemiology of Errors and Adverse Events (11)
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Approach to Improving Safety
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Continuous Quality Improvement
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Medicine (27)
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STUDY
Patient Safety Leadership WalkRounds™ at Partners HealthCare: learning from implementation.
Frankel A, Grillo SP, Baker EG, et al. Jt Comm J Qual Patient Saf. 2005;31:423-437.
COMMENTARY
Patients count on it: an initiative to reduce incorrect counts and prevent retained surgical items.
Norton EK, Martin C, Micheli AJ. AORN J. 2012;1:109-121.
COMMENTARY
Patient safety in women's health care: a framework for progress.
Gluck PA. Best Pract Res Clin Obstet Gynaecol. 2007;21:525-36.
STUDY
An inpatient fall prevention initiative in a tertiary care hospital.
Weinberg J, Proske D, Szerszen A, et al. Jt Comm J Qual Patient Saf. 2011;37:317-325.
STUDY
ProvenCare: quality improvement model for designing highly reliable care in cardiac surgery.
Berry SA, Doll MC, McKinley KE, Casale AS, Bothe A Jr. Qual Saf Health Care. 2009;18:360-368.
COMMENTARY
Capturing more emergency department errors via an anonymous web-based reporting system.
Khare RK, Uren B, Wears RL. Qual Manag Health Care. 2005;14:91-94.
NEWSPAPER/MAGAZINE ARTICLE
The health factory.
Spear SJ. New York Times. August 29, 2005;Editorials/Op-Ed section:15.
BOOK/REPORT
Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2009.
Oakbrook Terrace, IL: The Joint Commission; January 2010.
NEWSPAPER/MAGAZINE ARTICLE
The dawn of the robo-docs.
Weber DO. Hosp Health Netw. March 14, 2006.
BOOK/REPORT
Improving America's Hospitals: A Report on Quality and Safety.
Oakbrook Terrace, IL: The Joint Commission; March 2007.
STUDY
Rapid response teams and continuous quality improvement.
Dailey MS, Durkin S, Gulczynski B, Kearney M, Loeb B, Pouliot J. Patient Saf Qual Healthc. Nov/Dec 2009;6:28-31.
BOOK/REPORT
Best Care at Lower Cost: The Path to Continuously Learning Health Care in America.
Smith M, Saunders R, Stuckhardt L, McGinnis JM, eds. Committee on the Learning Health Care System in America, Institute of Medicine. Washington, DC: National Academies Press; 2012. ISBN: 9780309260732.
STUDY
An intervention to decrease patient identification band errors in a children's hospital.
Hain PD, Joers B, Rush M, et al. Qual Saf Health Care. 2010;19:244-247.
STUDY
Hospital ethical climate and teamwork in acute care: the moderating role of leaders.
Rathert C, Fleming DA. Health Care Manage Rev. 2008;33:323-331.
BOOK/REPORT
Patient Safety Framework for Albertans.
Calgary, Alberta, Canada: Health Quality Council of Alberta; 2010.
STUDY
Spreading a medication administration intervention organizationwide in six hospitals.
Kliger J, Singer S, Hoffman F, O'Neil E. Jt Comm J Qual Patient Saf. 2012;38:51-60.
STUDY
Organizational culture, critical success factors, and the reduction of hospital errors.
Stock GN, McFadden KL, Gowen III, CR. Int J Prod Econ. 2007;106:368–392.
STUDY
Medical record review of deaths, unexpected intensive care unit admissions and clinician referrals: detection of adverse events and insight into the system.
Dunn KL, Reddy P, Moulden A, Bowes G. Arch Dis Child. 2006;91:169-172.
NEWSPAPER/MAGAZINE ARTICLE
Plan aims to cut hospital deaths.
Appleby J. USA Today. June 6, 2005.
COMMENTARY
Increasing the use of 'smart' pump drug libraries by nurses: a continuous quality improvement project.
Harding AD. Am J Nurs. 2012;112:26-35.
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