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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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Approach to Improving Safety
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STUDY
Wrong-site sinus surgery in otolaryngology.
Shah RK, Nussenbaum B, Kienstra M, et al. Otolaryngol Head Neck Surg. 2010;143:37-41.
STUDY
Exploring situational awareness in diagnostic errors in primary care.
Singh H, Davis Giardina T, Petersen LA, et al. BMJ Qual Saf. 2012;21:30-38.
REVIEW
Avoiding wrong site surgery: a systematic review.
DeVine J, Chutkan N, Norvell DC, Dettori JR. Spine. 2010;35(suppl 9):S28-S36.
STUDY
Evaluation of a preoperative team briefing: a new communication routine results in improved clinical practice.
Lingard L, Regehr G, Cartmill C, et al. BMJ Qual Saf. 2011;20:475-482.
STUDY
Surgical safety checklist: implementation in an ambulatory surgical facility.
Morgan PJ, Cunningham L, Mitra S, et al. Can J Anaesth. 2013 Mar 16; [Epub ahead of print].
STUDY
Postoperative sepsis in the United States.
Vogel TR, Dombrovskiy VY, Carson JL, Graham AM, Lowry SF. Ann Surg. 2010;252:1065-1071.
STUDY
Communication failure in the operating room.
Halverson AL, Casey JT, Andersson J, et al. Surgery. 2011;49:305-310.
STUDY
Statewide NICU central-line–associated bloodstream infection rates decline after bundles and checklists.
Schulman J, Stricof R, Stevens TP, et al; New York State Regional Perinatal Care Centers. Pediatrics. 2011;127:436-444.
STUDY
Silence, power and communication in the operating room.
Gardezi F, Lingard L, Espin S, Whyte S, Orser B, Baker GR. J Adv Nurs. 2009;65:1390-1399. 
STUDY
Interruptions and blood transfusion checks: lessons from the simulated operating room.
Liu D, Grundgeiger T, Sanderson PM, Jenkins SA, Leane TA. Anesth Analg. 2009;108:219-222.
STUDY
The frequency and significance of discrepancies in the surgical count.
Greenberg CC, Regenbogen SE, Lipsitz SR, Diaz-Flores R, Gawande AA. Ann Surg. 2008;248:337-341.
COMMENTARY
Resuscitation Errors: A Shocking Problem
Abella BS, Edelson DP. AHRQ WebM&M [serial online]. July 2007.
STUDYclassic
Effect of a 19-item surgical safety checklist during urgent operations in a global patient population.
Weiser TG, Haynes AB, Dziekan G, et al; Safe Surgery Saves Lives Investigators and Study Group. Ann Surg. 2010;251:976-980.
STUDY
Eight-year experience with a neurosurgical checklist.
Lyons MK. Am J Med Qual. 2010;25:285-288.
STUDY
Student-observed surgical safety practices across an urban regional health authority.
Spence J, Goodwin B, Enns C, Dean H. BMJ Qual Saf. 2011;20:580-586.
COMMENTARY
Eptifibatide Epilogue
Churchill WW, Fiumara K. AHRQ WebM&M [serial online]. April 2009.
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