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BOOK/REPORT
Risk Management Pearls on Disclosure of Adverse Events.
Amori G. Chicago, IL: American Society for Healthcare Risk Management; 2006.
NEWSPAPER/MAGAZINE ARTICLE
Multiple latent failures align to allow a serious drug interaction to harm a patient.
ISMP Medication Safety Alert! Acute Care Edition. May 5, 2011;16:1-3.
STUDY
Effects of an enhanced discharge planning intervention for hospitalized older adults: a randomized trial.
Altfeld SJ, Shier GE, Rooney M, et al. Gerontologist. 2012 Sep 7; [Epub ahead of print].
STUDY
Improving medication reconciliation in the outpatient setting.
Varkey P, Cunningham J, Bisping S. Jt Comm J Qual Patient Saf. 2007;33:286-292.
NEWSPAPER/MAGAZINE ARTICLE
Safety in ASCs: putting patients first.
Dix K. Today's Surgicenter. December 1, 2006.
STUDY
Failure to engage hospitalized elderly patients and their families in advance care planning.
Heyland DK, Barwich D, Pichora D, et al; ACCEPT (Advance Care Planning Evaluation in Elderly Patients) Study Team; Canadian Researchers at the End of Life Network (CARENET). JAMA Intern Med. 2013 Apr 1; [Epub ahead of print].
NEWSPAPER/MAGAZINE ARTICLE
Your attention please... designing effective warnings.
ISMP Medication Safety Alert! Acute Care Edition. August 24, 2006;11:1-3.
STUDY
To ask or not to ask?: the results of a formative assessment of a video empowering patients to ask their health care providers to perform hand hygiene.
Garcia-Williams A, Brinsley-Rainisch K, Schillie S, Sinkowitz-Cochran R. J Patient Saf. 2010;79:71-80.
COMMENTARY
Words: the "drug" with the highest frequency of dispensing errors.
Lamba S. Acad Emerg Med. 2011;18:93-95.
TOOLKIT
Partnering with Patients and Families to Enhance Safety and Quality: A Mini Toolkit.
Bethesda, MD: Institute for Patient- and Family-Centered Care; 2011.
REVIEW
Disclosing harmful medical errors to patients.
Gallagher TH, Studdert D, Levinson W. N Engl J Med. 2007;356:2713-2719.
COMMENTARY
Managing the adverse event occurring during elective, ambulatory pediatric surgery.
Skarsgard ED. Semin Pediatr Surg. 2009;18:122-124.
STUDY
More than words: patients' views on apology and disclosure when things go wrong in cancer care.
Mazor KM, Greene SM, Roblin D, et al. Patient Educ Couns. 2013;90:341-346.
BOOK/REPORT
Disclosure of unanticipated events: the next step in better communication with patients (part 1 of 3).
Chicago, IL: American Society of Healthcare Risk Management; 2003.
STUDY
Patient safety: a consumer's perspective.
Hovey RB, Dvorak ML, Burton T, et al. Qual Health Res. 2011;21:662-672.
COMMENTARYclassic
A 62-year-old woman with skin cancer who experienced wrong-site surgery.
Gallagher TH. JAMA. 2009;302:669-677.
COMMENTARY
A mediation skills model to manage disclosure of errors and adverse events to patients.
Liebman CB, Hyman CS. Health Aff (Millwood). July/Aug 2004;23:22-32.
BOOK/REPORTclassic
When Things Go Wrong: Responding to Adverse Events.
A Consensus Statement of the Harvard Hospitals. Burlington: Massachusetts Coalition for the Prevention of Medical Errors; 2006.
NEWSPAPER/MAGAZINE ARTICLE
Communication breakdown.
Thomas KM. The Boston Globe. September 5, 2005;Health/Science section:C1.
STUDY
The You CAN campaign: teamwork training for patients and families in ambulatory oncology.
Weingart SN, Simchowitz B, Kahlert Eng T, et al. Jt Comm J Qual Patient Saf. 2009;35:63-71.
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