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Education and Training
PATIENT SAFETY PRIMERS
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Safety Target
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Device-related Complications (29)
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Diagnostic Errors (40)
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Identification Errors (13)
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Discontinuities, Gaps, and Hand-Off Problems (94)
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Fatigue and Sleep Deprivation (39)
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Medication Safety (159)
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Approach to Improving Safety
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STUDY
'August is always a nightmare': results of the Royal College of Physicians of Edinburgh and Society of Acute Medicine August transition survey.
Vaughan L, McAlister G, Bell D. Clin Med. 2011;11:322-326.
BOOK/REPORT
Advances in Patient Safety: New Directions and Alternative Approaches.
Rockville, MD: Agency for Healthcare Research and Quality; July 2008. AHRQ Publication Nos. 080034 (1-4).
MULTI-USE WEBSITE
Patient Safety Reporting Initiative.
New Jersey Department of Health and Senior Services.
STUDY
Medical error disclosure among pediatricians: choosing carefully what we might say to parents.
Loren DJ, Klein EJ, Garbutt J, et al. Arch Pediatr Adolesc Med. 2008;162:922-927.
TOOLKIT
Partnering to Heal: Teaming-Up Against Healthcare-Associated Infections.
Washington, DC: US Department of Health and Human Services; May 2011.
STUDY
Medication errors and response bias: the tip of the iceberg.
Bar-Oz B, Goldman M, Lahat E, et al. Isr Med Assoc J. 2008;10:771-774.
NEWSPAPER/MAGAZINE ARTICLE
Safe intrahospital transport of the non-ICU patient using standardized handoff communication.
PA-PSRS Patient Saf Advis. March 2009;6:16-19.
MULTI-USE WEBSITE
Strategic Alliance For Error Reduction in California Healthcare (SAFER).
University of California Medical Centers.
REVIEW
Inpatient suicide: preventing a common sentinel event.
Tishler CL, Reiss NS. Gen Hosp Psychiatry. 2009;31:103-109.
COMMENTARY
Rapid response systems: from implementation to evidence base.
Sarani B, Scott S. Jt Comm J Qual Patient Saf. 2010;36:514-517.
COMMENTARY
Code Blue—Where To?
Adams BD. AHRQ WebM&M [serial online]. October 2007.
MULTI-USE WEBSITE
Quality & Safety Research Group.
Johns Hopkins University, Department of Anesthesiology & Critical Care Medicine.
BOOK/REPORT
Advances in Patient Safety: From Research to Implementation.
Rockville, MD: Agency for Healthcare Research and Quality; February 2005. AHRQ Publication Nos. 050021 (1-4).
BOOK/REPORT
Patient Safety Authority Annual Reports.
Harrisburg, PA: Patient Safety Authority; April 2012.
COMMENTARY
Establishing a culture for patient safety - the role of education.
Milligan FJ. Nurse Educ Today. 2007;27:95-102.
ORGANIZATIONAL POLICY/GUIDELINES
Council recommendation on patient safety, including the prevention and control of healthcare associated infections.
Council of the European Union (2009).
STUDY
Hospitalized patients' understanding of their plan of care.
O'Leary KJ, Kulkarni N, Landler MP, et al. Mayo Clin Proc. 2010;85:47-52.
STUDY
Reducing potentially fatal errors associated with high doses of insulin: a successful multifaceted multidisciplinary prevention strategy.
Dooley MJ, Wiseman M, McRae A, et al. BMJ Qual Saf. 2011;20:637-644.
STUDY
Nurses' clinical reasoning: processes and practices of medication safety.
Dickson GL, Flynn L. Qual Health Res. 2012;22:3-16.
MULTI-USE WEBSITE
African Partnerships for Patient Safety.
Geneva, Switzerland: WHO Patient Safety, World Health Organization.
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