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PATIENT SAFETY PRIMERS
Root Cause Analysis
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1 - 20 of 148
NEWSPAPER/MAGAZINE ARTICLE
Sarasota Memorial Hospital reviewed after restrained patient dies.
Gulliver D. Sarasota Herald Tribune. November 7, 2006:BS1.
BOOK/REPORT
Adverse Health Events in Minnesota: Ninth Annual Public Report.
St. Paul, MN: Minnesota Department of Health; January 2013.
STUDY
Utility of an online medication-error-reporting system.
Savage SW, Schneider PJ, Pedersen CA. Am J Health Syst Pharm. 2005;62:2265-2270.
AWARD RECIPIENT
Building and sustaining a systemwide culture of safety.
Yates GR, Bernd DL, Sayles SM, Stockmeier CA, Burke G, Merti GE. Jt Comm J Qual Patient Saf. 2005;31:684-689.
COMMENTARY
Drill down with root cause analysis.
McDonald A, Leyhane T. Nurs Manage. 2005;36:26-32.
COMMENTARY
Developing a medication patient safety program — infrastructure and strategy.
Mark SM, Weber RJ. Hosp Pharm. 2007;42:149-156.
COMMENTARY
Patient safety: what is really at issue?
Bagian JP. Front Health Serv Manage. Fall 2005;22:3-16.
COMMENTARY
Hard to Swallow.
Driver J. AHRQ WebM&M [serial online]. October 2004.
STUDY
Anatomic pathology databases and patient safety.
Raab SS, Grzybicki DM, Zarbo RJ, Meier FA, Geyer SJ, Jensen C. Arch Pathol Lab Med. 2005;129:1246-1251.
NEWSPAPER/MAGAZINE ARTICLE
MRI safety 10 years later.
Gilk T, Latino RJ. Patient Saf Qual Healthc. November/December 2011;8:22-23,26-29.
BOOK/REPORT
What Every Health Care Organization Should Know about Sentinel Events.
McKee J, ed. Oakbrook Terrace, IL: Joint Commission Resources; 2005. ISBN: 0866889116.
COMMENTARY
Medical librarians supporting information systems project lifecycles toward improved patient safety.
Saimbert MK, Zhang Y, Pierce J, Moncrief ES, O'Hagan KB, Cole P. J Healthc Inf Manag. 2010;24:52-56.
ORGANIZATIONAL POLICY/GUIDELINES
VHA National Patient Safety Improvement Handbook.
Washington, DC: Veterans Health Administration; March 4, 2011.
COMMENTARY
Lean Six Sigma reduces medication errors.
Esimai G. Qual Prog. April 2005;38:51-57.
STUDYclassic
Unexpected hypoglycemia in a critically ill patient.
Bates DW. Ann Intern Med. 2002;137:110-116.
PRESS RELEASE/ANNOUNCEMENT
Patient controlled analgesia by proxy.
The Joint Commission. Sentinel Event Alert. December 20, 2004;(33):1-2.
NEWSLETTER/JOURNAL
Sentinel Event Alert.
Oakbrook Terrace, IL: The Joint Commission.
MULTI-USE WEBSITEclassic
Sentinel Event.
The Joint Commission.
COMMENTARY
Root cause analysis.
Stecker MS. J Vasc Interv Radiol. 2007;18:5-8.
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