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Logistical Approaches
PATIENT SAFETY PRIMERS
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NEWSPAPER/MAGAZINE ARTICLE
Fatal PCA adverse events continue to happen...better patient monitoring is essential to prevent harm.
ISMP Medication Safety Alert! Acute Care Edition. May 30, 2013;18:1-3.
STUDY
Diet order entry by registered dietitians results in a reduction in error rates and time delays compared with other health professionals.
Imfeld K, Keith M, Stoyanoff L, Fletcher H, Miles S, McLaughlin J. J Acad Nutr Diet. 2012;112:1656-1661.
STUDY
Comprehensive stroke centers overcome the weekend versus weekday gap in stroke treatment and mortality.
McKinney JS, Deng Y, Kasner SE, Kostis JB; Myocardial Infarction Data Acquisition System (MIDAS 15) Study Group. Stroke. 2011;42:2403-2409.
STUDY
Trends in central line–associated bloodstream infections in a trauma-surgical intensive care unit.
Ong A, Dysert K, Herbert C, et al. Arch Surg. 2011;146:302-307.
REVIEW
Systematic review: association of shift length, protected sleep time, and night float with patient care, residents' health, and education.
Reed DA, Fletcher KE, Arora VM. Ann Intern Med. 2010;153:829-842.
STUDY
Putting the 'patient' in patient safety: a qualitative study of consumer experiences.
Rathert C, Brandt J, Williams ES. Health Expect. 2012;15:327-336.
NEWSPAPER/MAGAZINE ARTICLE
Scariest hospital risks.
Herper M, Lindner M. Forbes. August 25, 2008.
STUDY
Mortality rate after nonelective hospital admission.
Ricciardi R, Roberts PL, Read TE, Baxter NN, Marcello PW, Schoetz DJ. Arch Surg. 2011;146:545-551.
STUDY
Patient whiteboards as a communication tool in the hospital setting: A survey of practices and recommendations.
Sehgal NL, Green A, Vidyarthi AR, Blegen MA, Wachter RM. J Hosp Med. 2010;5:234-239.
BOOK/REPORT
Meeting the Joint Commission's 2013 National Patient Safety Goals.
Oakbrook Terrace, IL: The Joint Commission; September 2012. ISBN: 9781599407555.
STUDY
Improving the discharge process by embedding a discharge facilitator in a resident team.
Finn KM, Heffner R, Chang Y, et al. J Hosp Med. 2011;6:494-500.
STUDY
Rethinking resident supervision to improve safety: from hierarchical to interprofessional models.
Tamuz M, Giardina TD, Thomas EJ, Menon S, Singh H. J Hosp Med. 2011;6:448-456.
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.
STUDY
Effect of hospital follow-up appointment on clinical event outcomes and mortality.
Grafft CA, McDonald FS, Ruud KL, Liesinger JT, Johnson MG, Naessens JM. Arch Intern Med. 2010;170:955-960.
STUDY
The association between night or weekend admission and hospitalization-relevant patient outcomes.
Khanna R, Wachsberg K, Marouni A, Feinglass J, Williams MV, Wayne DB. J Hosp Med. 2011;6:10-14.
NEWSPAPER/MAGAZINE ARTICLE
Failure to cap IV tubing and disinfect IV ports place patients at risk for infections.
ISMP Medication Safety Alert! Acute Care Edition. July 26, 2007;12:1-2.
BOOK/REPORT
Safe Practices for Better Healthcare–2009 Update.
National Quality Forum. Washington, DC: National Quality Forum; 2009.
REVIEW
Inpatient suicide: preventing a common sentinel event.
Tishler CL, Reiss NS. Gen Hosp Psychiatry. 2009;31:103-109.
STUDY
Safety of using a computerized rounding and sign-out system to reduce resident duty hours.
Van Eaton EG, McDonough K, Lober WB, Johnson EA, Pellegrini CA, Horvath KD. Acad Med. 2010;85:1189-1195.
STUDY
Do nurse and patient injuries share common antecedents? An analysis of associations with safety climate and working conditions.
Taylor JA, Dominici F, Agnew J, Gerwin D, Morlock L, Miller MR. BMJ Qual Saf. 2012;21:101-111.
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