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United States of America
PATIENT SAFETY PRIMERS
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Safety Target
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Device-related Complications (175)
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United States of America
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STUDY
The effects of a 'discharge time-out' on the quality of hospital discharge summaries.
Mohta N, Vaishnava P, Liang C, et al. BMJ Qual Saf. 2012;21:885-890.
STUDY
Hospital discharge documentation and risk of rehospitalisation.
Hansen LO, Strater A, Smith L, et al. BMJ Qual Saf. 2011;20:773-778.
STUDY
The computerized rounding report: implementation of a model system to support transitions of care.
Wohlauer MV, Rove KO, Pshak TJ, et al. J Surg Res. 2012;172:11-17.
STUDY
The impact of resident duty hour reform on hospital readmission rates among Medicare beneficiaries.
Press MJ, Silber JH, Rosen AK, et al. J Gen Intern Med. 2011;26:405-411.
COMMENTARY
ISMP medication error report analysis.
Cohen MR. Hosp Pharm. 2008;43:696–698.
REVIEW
Hospitalist handoffs: a systematic review and task force recommendations.
Arora VM, Manjarrez E, Dressler DD, Basaviah P, Halasyamani L, Kripalani S. J Hosp Med. 2009;4:433-440.
BOOK/REPORT
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.
STUDY
Improving situation awareness to reduce unrecognized clinical deterioration and serious safety events.
Brady PW, Muething S, Kotagal U, et al. Pediatrics. 2013;131:e298-e308.
STUDY
Beyond communication: the role of standardized protocols in a changing health care environment.
Vardaman JM, Cornell P, Gondo MB, Amis JM, Townsend-Gervis M, Thetford C. Health Care Manage Rev. 2012;37:88-97.
STUDY
Medication safety initiative in reducing medication errors.
Nguyen EE, Connolly PM, Wong V. J Nurs Care Qual. 2010;25:224-230.
COMMENTARY
Academic year-end transfers of outpatients from outgoing to incoming residents: an unaddressed patient safety issue.
Young JQ, Wachter RM. JAMA. 2009;302:1327-1329.
STUDY
A reengineered hospital discharge program to decrease rehospitalization: a randomized trial.
Jack BW, Chetty VK, Anthony D, et al. Ann Intern Med. 2009;150:178-187.
STUDY
Language barriers and understanding of hospital discharge instructions.
Karliner LS, Auerbach A, Nápoles A, Schillinger D, Nickleach D, Pérez-Stable EJ. Med Care. 2012;50:283-289.
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.
TOOLS/TOOLKIT
Improving Transitions of Care: Hand-off Communications.
Oakbrook Terrace, IL: Joint Commission Center for Transforming Healthcare; June 2012.
STUDY
The care transitions intervention: translating from efficacy to effectiveness.
Voss R, Gardner R, Baier R, Butterfield K, Lehrman S, Gravenstein S. Arch Intern Med. 2011;171:1232-1237.
NEWSPAPER/MAGAZINE ARTICLE
Minnesota hospitals are testing ways to reduce return trips.
Lerner M. Star Tribune. October 11, 2012.
STUDY
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.
STUDY
Measuring handoff quality in labor and delivery: development, validation, and application of the Coordination of Handoff Effectiveness Questionnaire (CHEQ).
Block M, Ehrenworth JF, Cuce VM, et al. Jt Comm J Qual Patient Saf. 2013;39:213-220.
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.
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