PATIENT SAFETY PRIMERS
Device-related Complications (5)
Discontinuities, Gaps, and Hand-Off Problems (16)
Medication Safety (23)
Medical Complications (66)
Nonsurgical Procedural Complications (6)
Surgical Complications (13)
Psychological and Social Complications (2)
Australia and New Zealand (13)
Central and South America (1)
North America (158)
Journal Article (149)
Newspaper/Magazine Article (19)
Special or Theme Issue (2)
Web Resource (2)
Epidemiology of Errors and Adverse Events (32)
Active Errors (9)
Latent Errors (8)
Approach to Improving Safety
Unit Based Safety Teams (20)
Rapid Response Team (121)
Health Care Providers (129)
Health Care Executives and Administrators (172)
Non-Health Care Professionals (45)
Setting of Care
Ambulatory Care (5)
Patient Transport (1)
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Perfect is possible.
Berwick DM, Leape LL. Newsweek. October 16, 2006:70-71.
Assessing and improving safety culture throughout an academic medical centre: a prospective cohort study.
Paine LA, Rosenstein BJ, Sexton JB, Kent P, Holzmueller CG, Pronovost PJ. Qual Saf Health Care. 2010;19:547-554.
How-to Guide: Multidisciplinary Rounds.
Cambridge, MA: Institute for Healthcare Improvement; February 2010.
Anticoagulation patient safety goal compliance at a university health system: methods for achieving the goal.
Franco AC, Maxwell P, Green K, Barthol C. Hosp Pharm. 2009;44:776-780, 784.
To reduce risks, hospitals enlist 'proceduralists.'
Landro L. Wall Street Journal. July 11, 2007:D1.
Effectiveness of a pharmacist–nurse intervention on resolving medication discrepancies for patients transitioning from hospital to home health care.
Setter SM, Corbett CF, Neumiller JJ, Gates BJ, Sclar DA, Sonnett TE. Am J Health Syst Pharm. 2009;66:2027-2031.
Unit-based care teams and the frequency and quality of physician–nurse communications.
Gordon MB, Melvin P, Graham D, et al. Arch Pediatr Adolesc Med. 2011;165:424-428.
Polypharmacy in hospitalized older adult cancer patients: experience from a prospective, observational study of an oncology-acute care for elders unit.
Flood KL, Carroll MB, Le CV, Brown CJ. Am J Geriatr Pharmacother. 2009;7:151-158.
Clinical triggers: an alternative to a rapid response team.
Moldenhauer K, Sabel A, Chu ES, Mehler PS. Jt Comm J Qual Patient Saf. 2009;35:164-174.
A multidisciplinary approach to adverse drug events in pediatric trauma patients in an adult trauma center.
Kalina M, Tinkoff G, Gleason W, Veneri P, Fulda G. Pediatr Emerg Care. 2009;25:444-446.
Tennessee Center for Patient Safety.
Fixing America's hospitals.
Newsweek. October 16, 2006:44-68, 72.
The growth of rapid response systems.
Steel AC, Reynolds SF. Jt Comm J Qual Patient Saf. 2008;34:489-495.
Use of medical emergency team responses to reduce hospital cardiopulmonary arrests.
DeVita MA, Braithwaite RS, Mahidhara R, et al. Qual Saf Health Care. 2004;13:251-254.
Medication reconciliation at an academic medical center: implementation of a comprehensive program from admission to discharge.
Murphy EM, Oxencis CJ, Klauck JA, Meyer DA, Zimmerman JM. Am J Health Syst Pharm. 2009;66:2126-2131.
The creation and impact of a dedicated section on quality and patient safety in a clinical academic department.
Boudreaux AM, Vetter TR. Acad Med. 2013;88:173-178.
Using four-phased unit-based patient safety walkrounds to uncover correctable system flaws.
Taylor AM, Chuo J, Figueroa-Altmann A, DiTaranto S, Shaw KN. Jt Comm J Qual Patient Saf. 2013;39:396-403.
Empowering patient safety outreach through interprofessional partnerships: educating our communities.
Walton L, Childs C, Egeland M, Brooks MK, Zipperer L. J Hosp Libr. 2010;10:224-234.
Experience with family activation of rapid response teams.
Bogert S, Ferrell C, Rutledge DN. Medsurg Nurs. 2010;19:215-222.
Defining the incidence of cardiorespiratory instability in patients in step-down units using an electronic integrated monitoring system.
Hravnak M, Edwards L, Clontz A, Valenta C, DeVita MA, Pinsky MR. Arch Intern Med. 2008;168:1300-1308.
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