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REVIEW
What have we learned about interventions to reduce medical errors?
Woodward HI, Mytton OT, Lemer C, et al. Annu Rev Public Health. 2010;31:479-497.
MEETING/CONFERENCE PROCEEDINGS
July 2011 Author in the Room Teleconference.
Schiff GD. Institute for Healthcare Improvement; Journal of the American Medical Association. July 20, 2011.
COMMENTARY
Eptifibatide Epilogue
Churchill WW, Fiumara K. AHRQ WebM&M [serial online]. April 2009.
STUDY
Identifying opportunities for quality improvement in surgical site infection prevention.
Gagliardi AR, Eskicioglu C, McKenzie M, Fenech D, Nathens A, McLeod R. Am J Infect Control. 2009;37:398-402.
COMMENTARY
Double Dosing, by the Rules
Cohen H. AHRQ WebM&M [serial online]. February/March 2009.
COMMENTARY
The role of housestaff in implementing medication reconciliation on admission at an academic medical center.
Evans AS, Lazar EJ, Tiase VL, et al. Am J Med Qual. 2011;26:39-42.
STUDY
Errors with concentrated epinephrine in otolaryngology.
Shah RK, Hoy E, Roberson DW, Nielsen D. Laryngoscope. 2008 Nov; 118: 1928-30.
REVIEW
Requirements for the design and implementation of checklists for surgical processes.
Verdaasdonk EGG, Stassen LPS, Widhiasmara PP, Dankelman J. Surg Endosc. 2009;23:715-726.
COMMENTARY
Checklists to reduce diagnostic errors.
Ely JW, Graber ML, Croskerry P. Acad Med. 2011;86:307-313.
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
On O.R. Off?
Leonard M. AHRQ WebM&M [serial online]. March 2005.
STUDY
Reduction of central line infections in Veterans Administration intensive care units: an observational cohort using a central infrastructure to support learning and improvement.
Render ML, Hasselbeck R, Freyberg RW, Hofer TP, Sales AE, Almenoff PL; VA ICU Clinical Advisory Group. BMJ Qual Saf. 2011;20:725-732.
COMMENTARY
Transfusion "Slip".
Kaplan HS. AHRQ WebM&M [serial online]. February 2004.
STUDY
Process changes to increase compliance with the Universal Protocol for bedside procedures.
Barsuk JH, Brake H, Caprio T, Barnard C, Anderson DY, Williams MV. Arch Intern Med. 2011;171:947-949.
BOOK/REPORTclassic
The Design of Everyday Things.
Norman DA. New York, NY: Basic Books; 2002.
STUDY
Use of a computerized forcing function improves performance in ordering restraints.
Griffey RT, Wittels K, Gilboy N, McAfee AT. Ann Emerg Med. 2009;53:469-476.
STUDY
Can an electronic prescribing system detect doctors who are more likely to make a serious prescribing error?
Coleman JJ, Hemming K, Nightingale PG, et al. J R Soc Med. 2011;104:208-218.
REVIEW
Enteral feeding misconnections: an update.
Guenter P, Hicks RW, Simmons D. Nutr Clin Pract. 2009;24:325-334.
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