Institutional Patient Safety Plan
PATIENT SAFETY PRIMERS
Device-related Complications (3)
Discontinuities, Gaps, and Hand-Off Problems (1)
Medication Safety (7)
Medical Complications (10)
Surgical Complications (3)
North America (25)
Journal Article (16)
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Epidemiology of Errors and Adverse Events (4)
Active Errors (2)
Approach to Improving Safety
Institutional Patient Safety Plan
Health Care Providers (14)
Health Care Executives and Administrators (25)
Non-Health Care Professionals (5)
Setting of Care
Ambulatory Care (1)
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Health-care industry agrees on patient safety rules.
Landro L. Wall Street Journal (Eastern Edition). November 1, 2006:D1. [reprinted on Post-gazette.com].
The power of collaboration with patient safety programs: building safe passage for patients, nurses, and clinical staff.
Kerfoot KM, Rapala K, Ebright P, Rogers SM. J Nurs Adm. 2006;36:582-588.
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.
A resident-led institutional patient safety and quality improvement process.
Stueven J, Sklar DP, Kaloostian P, et al. Am J Med Qual. 2012;27:369-376.
Keeping Kidney Patients Safe.
Renal Physicians Association.
Eradicating central line–associated bloodstream infections statewide: the Hawaii experience.
Lin DM, Weeks K, Bauer L, et al. Am J Med Qual. 2012;27:124-129.
Maintaining and sustaining the
On the CUSP: Stop BSI
model in Hawaii.
Lin DM, Weeks K, Holzmueller CG, Pronovost PJ, Pham JC. Jt Comm J Qual Patient Saf. 2013;39:51-60.
The International Essentials for Quality and Patient Safety.
Oakbrook, IL: Joint Commission International; 2008.
Improving America's Hospitals: The Joint Commission's Report on Quality and Safety 2008.
Oakbrook Terrace, IL: The Joint Commission; November 2008.
Hospital responses to the Leapfrog Group in local markets.
Scanlon DP, Christianson JB, Ford EW. Med Care Res Rev. 2008;32:548-556.
On the CUSP: Stop HAI.
Health Research & Educational Trust, MHA Keystone Center.
American College of Surgeons' Committee on Trauma performance improvement and patient safety program: maximal impact in a mature trauma center.
Sarkar B, Brunsvold ME, Cherry-Bukoweic JR, et al. J Trauma. 2011;71:1447-1454.
Risk reduction for adverse drug events through sequential implementation of patient safety initiatives in a children's hospital.
Leonard MS, Cimino M, Shaha S, McDougal S, Pilliod J, Brodsky L. Pediatrics. 2006;118:e1124-e1129.
Paying the piper: investing in infrastructure for patient safety.
Pronovost PJ, Rosenstein BJ, Paine L, et al. Jt Comm J Qual Patient Saf. 2008;34:342-348.
Patient Safety Rounding Toolkit.
Dana-Farber Cancer Institute.
Rockville, MD: Agency for Healthcare Research and Quality; September 10, 2012.
Respectful Management of Serious Clinical Adverse Events. Second edition.
Conway J, Federico F, Stewart K, Campbell MJ. Cambridge, MA: Institute for Healthcare Improvement; 2011.
Reducing harm to patients. Using patient safety dashboards at the board level.
Pugh M, Reinertsen J. Healthc Exec. November/December 2007;22:62, 64-65.
Case study: getting boards on board at Allen Memorial Hospital, Iowa Health System.
Slessor SR, Crandall JB, Nielsen GA. Jt Comm J Qual Patient Saf. 2008:34;221-227.
Medication orders are written clearly and transcribed accurately – implementing Medication Management Standard 3.20 and National Patient Safety Goal 2b.
Laselle TJ,May SK. Hosp Pharm. 2006;41:82-87.
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