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Practice Guidelines
PATIENT SAFETY PRIMERS
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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
The long road to patient safety: a status report on patient safety systems.
Longo DR, Hewett JE, Ge B, Schubert S. JAMA. 2005;294:2858-2865.
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.
NEWSPAPER/MAGAZINE ARTICLE
USP initiatives for the safe use of medical gases.
Zaidi K, Curry PD Jr, Becker SC. Pharmaceutical Technology. November 2, 2005;29:102-103.
COMMENTARY
ISMP medication error report analysis.
Cohen MR. Hosp Pharm. 2005;40:940-945.
COMMENTARY
Organizational Change in the Face of Highly Public Errors—I. The Dana-Farber Cancer Institute Experience
Conway JB, Weingart SN. AHRQ WebM&M [serial online]. May 2005.
COMMENTARY
Preventing catheter-related bloodstream infections: thinking outside the checklist.
Perencevich EN, Pittet D. JAMA. 2009;301:1285-1287.
STUDY
A multidisciplinary approach to reduce central line–associated bloodstream infections.
McMullan C, Propper G, Schuhmacher C, et al. Jt Comm J Qual Patient Saf. 2013;39:61-69.
ORGANIZATIONAL POLICY/GUIDELINES
ACOG Committee opinion #531: improving medication safety.
ACOG Committee on Patient Safety and Quality Improvement of American College of Obstetricians-Gynecologists. Obstet Gynecol. 2012;120:406-410.
COMMENTARY
ISMP medication error report analysis.
Cohen MC. Hosp Pharm. 2009;44:374-378.
PRESS RELEASE/ANNOUNCEMENT
Governor signs Executive Order creating new Division of Patient Safety.
Evanston, IL: Office of the Governor; July 13, 2006.
REVIEW
The National Quality Forum safe practice standard for computerized physician order entry: updating a critical patient safety practice.
Kilbridge PM, Classen D, Bates DW, Denham CR. J Patient Saf. 2006;2:183-190.
NEWSPAPER/MAGAZINE ARTICLE
Fatal drug mix-up exposes hospital flaws.
Davies T. Washington Post. September 22, 2006.
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.
ORGANIZATIONAL POLICY/GUIDELINES
A Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals.
Yokoe DS, Mermel LA, Anderson DJ, et al. Infect Control Hosp Epidemiol. 2008;29:901-994.
MULTI-USE WEBSITE
PreventInfection.org.
Association for Professionals in Infection Control and Epidemiology.
COMMENTARY
Balancing "no blame" with accountability in patient safety.
Wachter RM, Pronovost PJ. N Engl J Med. 2009;361:1401-1406.
COMMENTARY
Creating high reliability in health care organizations.
Pronovost PJ, Berenholtz SM, Goeschel CA, et al. Health Serv Res. 2006;41:1599-1617.
NEWSLETTER/JOURNAL
Global Patient Safety Challenge NewsAlert.
World Health Organization.
NEWSPAPER/MAGAZINE ARTICLE
Preventing infections: how Portland hospitals compare.
Rojas-Burke J. The Oregonian. May 8, 2010.
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