PATIENT SAFETY PRIMERS
Device-related Complications (10)
Diagnostic Errors (12)
Identification Errors (17)
Discontinuities, Gaps, and Hand-Off Problems (62)
Fatigue and Sleep Deprivation (7)
Medication Safety (66)
Medical Complications (61)
Nonsurgical Procedural Complications (16)
Surgical Complications (116)
Psychological and Social Complications (42)
Australia and New Zealand (17)
North America (424)
Journal Article (413)
Newspaper/Magazine Article (47)
Special or Theme Issue (30)
Web Resource (10)
Epidemiology of Errors and Adverse Events (47)
Active Errors (47)
Latent Errors (30)
Near Miss (4)
Approach to Improving Safety
Teamwork Training (122)
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Health Care Providers (401)
Health Care Executives and Administrators (469)
Non-Health Care Professionals (293)
Setting of Care
Psychiatric Facilities (2)
Residential Facilities (6)
Ambulatory Care (32)
Outpatient Surgery (5)
Patient Transport (6)
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Practically speaking: rethinking hand hygiene improvement programs in health care settings.
Son C, Chuck T, Childers T, et al. Am J Infect Control. 2011;39:716-724.
Tennessee Center for Patient Safety.
Learning accountability for patient outcomes.
Pronovost PJ. JAMA. 2010;304:204-205.
Improving teamwork on general medical units: when teams do not work face-to-face.
McComb SA, Henneman EA, Hinchey KT, et al. Jt Comm J Qual Patient Saf. 2012;38:471-478.
How a simple checklist can dramatically reduce medical errors.
Pronovost PJ. On Call. IHI Open School for Health Professionals. November 3, 2008.
Development of a checklist for documenting team and collaborative behaviors during multidisciplinary bedside rounds.
Henneman EA, Kleppel R, Hinchey KT. J Nurs Adm. 2013;43:280-285.
Collaboration between pharmacists, physicians and nurse practitioners: a qualitative investigation of working relationships in the inpatient medical setting.
Makowsky MJ, Schindel TJ, Rosenthal M, Campbell K, Tsuyuki RT, Madill HM. J Interprof Care. 2009;23:169-84.
The Team Checkup Tool: evaluating QI team activities and giving feedback to senior leaders.
Lubomski LH, Marsteller JA, Hsu YJ, et al. Jt Comm J Qual Patient Saf. 2008;34:619-623.
SPECIAL OR THEME ISSUE
Infection Control in the Intensive Care Unit.
Crit Care Med. 2010;38:S265-S404.
Safer Hospital Care: Strategies for Continuous Innovation.
Raheja D. New York, NY: Productivity Press; 2011. ISBN: 9781439821022.
How-to Guide: Multidisciplinary Rounds.
Cambridge, MA: Institute for Healthcare Improvement; February 2010.
View the world through a different lens: shadowing another provider.
Thompson DA, Holzmueller CG, Lubomski L, Pronovost PJ. Jt Comm J Qual Patient Saf. 2008;34:614-618.
'You talking to me?' Docs and feedback.
Diamond F. Manag Care. July 2013;22:30-32.
The clinical transformation of Ascension Health: eliminating all preventable injuries and deaths.
Pryor DB, Tolchin SF, Hendrich A, Thomas CS, Tersigni AR. Jt Comm J Qual Patient Saf. 2006;32:299-308.
Handovers from the OR to the ICU.
Bonifacio AS, Segall N, Barbeito A, Taekman J, Schroeder R, Mark JB. Int Anesthesiol Clin. 2013;51:43-61.
Health Care Leader Action Guide to Reduce Avoidable Readmissions.
Osei-Anto A, Joshi M, Audet AJ, Berman A, Jencks SF. New York, NY: The Commonwealth Fund, The John Hartford Foundation, Health Research and Educational Trust; January 25, 2010.
BOOSTing Care Transitions Resource Room.
Project BOOST (Better Outcomes for Older adults through Safe Transitions), Society of Hospital Medicine.
Physicians-in-training attitudes on patient safety: 2003 to 2008.
Sorokin R, Riggio JM, Moleski S, Sullivan J. J Patient Saf. 2011;7:132-137.
A new frontier in patient safety.
McCannon J, Berwick DM. JAMA
Interdisciplinary teamwork in hospitals: a review and practical recommendations for improvement.
O'Leary KJ, Sehgal NL, Terrell G, Williams MV; High Performance Teams and the Hospital of the Future Project Team. J Hosp Med. 2011 Oct 31; [Epub ahead of print].
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