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PATIENT SAFETY PRIMERS
Checklists

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Checklist: Though a seemingly simple intervention, checklists have played a leading role in the most significant successes of the patient safety movement, including the near-elimination of central line–associated bloodstream infections in many intensive care units... Read Full Glossary Entry >

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Safety Target

•Device-related Complications (30)

•Diagnostic Errors (18)

•Identification Errors (17)

•Discontinuities, Gaps, and Hand-Off Problems (34)

•Fatigue and Sleep Deprivation (1)

•Medication Safety (31)

•Medical Complications (38)

•Nonsurgical Procedural Complications (9)

•Surgical Complications (107)

•Transfusion Complications (2)

•Psychological and Social Complications (5)

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•Australia and New Zealand (3)

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•North America (164)

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•Audiovisual (3)

•Book/Report (8)

•Clinical Guideline (1)

•Journal Article (175)

•Legislation/Regulation (4)

•Newspaper/Magazine Article (26)

•Press Release/Announcement (1)

•Special or Theme Issue (2)

•Tools/Toolkit (5)

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Error Types

•Epidemiology of Errors and Adverse Events (41)

•Active Errors (60)

•Latent Errors (18)

•Near Miss (7)

Approach to Improving Safety
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Checklists

Clinical Areas

•Dentistry (4)

•Medicine (202)

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Target Audience

•Health Care Providers (191)

•Health Care Executives and Administrators (183)

•Non-Health Care Professionals (58)

•Patients (11)

Setting of Care

•Hospitals (183)

•Residential Facilities (2)

•Ambulatory Care (11)

•Outpatient Surgery (5)

•Patient Transport (3)

1 - 20 of 229

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COMMENTARY

Flying Object Hits MRI.

Gosbee J, Gosbee LL. AHRQ WebM&M [serial online]. February 2003.

COMMENTARY

Back to Basics

Hellman R. AHRQ WebM&M [serial online]. March 2007.

REVIEW

Systematic review of safety checklists for use by medical care teams in acute hospital settings—limited evidence of effectiveness.

Ko HCH, Turner TJ, Finnigan MA. BMC Health Serv Res. 2011;11:211.

BOOK/REPORT classic

classic

The Silent Treatment: Why Safety Tools and Checklists Aren't Enough to Save Lives.

Maxfield D, Grenny J, Lavandero R, Groah L. Provo, UT: VitalSmarts; 2011.

COMMENTARY

Code Status Confusion.

Lo B, Tulsky JA. AHRQ WebM&M [serial online]. July 2003.

COMMENTARY

Eptifibatide Epilogue

Churchill WW, Fiumara K. AHRQ WebM&M [serial online]. April 2009.

COMMENTARY

Glucose Roller Coaster.

Sharpe BA. AHRQ WebM&M [serial online]. July 2004.

COMMENTARY

Where’s the Feeding Tube?

Metheny MA., Meert KL, AHRQ WebM&M [serial online]. September 2008.

COMMENTARY

Why patients need leaders: introducing a ward safety checklist.

Amin Y, Grewcock D, Andrews S, Halligan A. J R Soc Med. 2012;105:377-383.

NEWSPAPER/MAGAZINE ARTICLE

Program encourages reporting accidents waiting to happen: the Good Catch Awards.

McCook A. Anesthesiology News. Sept 2011;37:9.

STUDY

Improving reliability of clinical care practices for ventilated patients in the context of a patient safety improvement initiative.

Pinto A, Burnett S, Benn J, et al. J Eval Clin Pract. 2011;17:180-187.

STUDY

Standardised proformas improve patient handover: audit of trauma handover practice.

Ferran NA, Metcalfe AJ, O'Doherty D. Patient Saf Surg. 2008;2:24.

COMMENTARY

All in the History

Fee C. AHRQ WebM&M [serial online]. February/March 2009.

STUDY

Striving for a zero-error patient surgical journey through adoption of aviation-style challenge and response flow checklists: a quality improvement project.

Low DK, Reed MA, Geiduschek JM, Martin LD. Pediatr Anesth. 2013 Feb 4; [Epub ahead of print].

COMMENTARY

Learning accountability for patient outcomes.

Pronovost PJ. JAMA. 2010;304:204-205.

STUDY

Wrong-site sinus surgery in otolaryngology.

Shah RK, Nussenbaum B, Kienstra M, et al. Otolaryngol Head Neck Surg. 2010;143:37-41.

BOOK/REPORT

Inspiring Ideas and Celebrating Successes: A Guidebook to Leading Patient Safety Practices in Ontario Hospitals.

OHA Patient Safety Support Service. Toronto, Ontario, Canada: Ontario Hospital Association; 2006.

COMMENTARY

The error of omission: a simple checklist approach for improving operating room safety.

Rosenfield LK, Chang DS. Plast Reconstr Surg. 2009;123:399-402.

COMMENTARY

Check the Bags.

Caldwell M, Dracup KA. AHRQ WebM&M [serial online]. September 2003.

STUDY

Analysis of deaths related to anesthesia in the period 1996-2004 from closed claims registered by the Danish Patient Insurance Association.

Hove LD, Steinmetz J, Christoffersen JK, Moller A, Nielsen J, Schmidt H. Anesthesiology. 2007;106:675-680.

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