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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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STUDYclassic
Association between implementation of a medical team training program and surgical mortality.
Neily J, Mills PD, Young-Xu Y, et al. JAMA. 2010;304:1693-1700.
NEWSPAPER/MAGAZINE ARTICLE
Case study: sustaining a culture of safety in the U.S. Department of Veterans Affairs Health Care System.
Chase D, McCarthy D. Quality Matters. April/May 2010.
COMMENTARY
Cutting out human error.
Feinmann J. BMJ. 2008;337:a2370.
COMMENTARY
Learning accountability for patient outcomes.
Pronovost PJ. JAMA. 2010;304:204-205.
COMMENTARY
What went right: lessons for the intensivist from the crew of US Airways Flight 1549.
Eisen LA, Savel RH. Chest. 2009;136:910-917.
COMMENTARY
Transfer of accountability: transforming shift handover to enhance patient safety.
Alvarado K, Lee R, Christoffersen E, et al. Healthc Q. 2006;9(special issue):75-79.
NEWSPAPER/MAGAZINE ARTICLE
Doctor uses 'pre-flight' checklist.
Bernhard B. The Orange County Register. April 19, 2006.
COMMENTARY
Back to Basics
Hellman R. AHRQ WebM&M [serial online]. March 2007.
COMMENTARY
Patient safety: lessons learned.
Bagian JP. Pediatr Radiol. 2006;36:287-290.
BOOK/REPORTclassic
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.
AUDIOVISUAL
How a simple checklist can dramatically reduce medical errors.
Pronovost PJ. On Call. IHI Open School for Health Professionals. November 3, 2008.
STUDY
Communication failure in the operating room.
Halverson AL, Casey JT, Andersson J, et al. Surgery. 2011;49:305-310.
BOOK/REPORT
Meeting the Joint Commission's 2013 National Patient Safety Goals.
Oakbrook Terrace, IL: The Joint Commission; September 2012. ISBN: 9781599407555.
NEWSPAPER/MAGAZINE ARTICLE
Hospitals combat errors at the 'hand-off.'
Landro L. Wall Street Journal (Eastern edition). June 28, 2006:D1. [reprinted on Post-gazette.com].
SPECIAL OR THEME ISSUE
Innovation in Perioperative Patient Safety.
Miller DR, Merry AF, eds. Can J Anesth. 2013;60:7-220.
COMMENTARY
Mark My Limb.
O'Leary DS, Jacott WE. AHRQ WebM&M [serial online]. December 2004.
COMMENTARY
All in the History
Fee C. AHRQ WebM&M [serial online]. February/March 2009.
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