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| Book/Report |
HealthGrades Sixth Annual Patient Safety in American Hospitals Study.
Golden, CO: HealthGrades, Inc.; April 2009. |
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Serious Reportable Events in Massachusetts Acute Care Hospitals: January 1, 2008–December 31, 2008.
Executive Office of Health and Human Services, Department of Public Health, Bureau of Health Care Safety and Quality. Boston, MA: Commonwealth of Massachusetts; 2009. |
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Taking the Lead in Patient Safety: How Healthcare Leaders Influence Behavior and Create Culture.
Krause TR, Hidley J. Hoboken, NJ: Wiley; 2008. ISBN: 9780470225394. |
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| Commentary |
Leading your organization to high reliability.
Kemper C, Boyle DK. Nurs Manage. April 2009;40:14-18. |
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Patient safety and collaboration of the intensive care unit team.
Despins LA. Crit Care Nurse. April 2009;29:85-91. |
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Physician staffing models and patient safety in the ICU.
Gajic O, Afessa B. Chest. 2009;135:1038-1044. |
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Practising safely in the foundation years.
Long S, Neale G, Vincent C. BMJ. 2009;338:1046. |
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| Review |
Causes, consequences, detection, and prevention of identification errors in laboratory diagnostics.
Lippi G, Blanckaert N, Bonini P, et al. Clin Chem Lab Med. 2009;47:143-153. |
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| Study |
A case of mistaken identity: staff input on patient ID errors.
Ortiz J, Amatucci C. Nurs Manage. April 2009;4:37-41. |
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Antecedents of severe and nonsevere medication errors.
Chang YK, Mark BA. J Nurs Scholarsh. 2009;41:70-78. |
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Burns surgery handover study: trainees' assessment of current practice in the British Isles.
Al-Benna S, Al-Ajam Y, Alzoubaidi D. Burns. 2009;35:509-512. |
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Development and validation of the SURgical PAtient Safety System (SURPASS) checklist.
de Vries EN, Hollmann MW, Smorenburg SM, Gouma DJ, Boermeester MA. Qual Saf Health Care. 2009;18:121-126. |
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Development of an online morbidity, mortality, and near-miss reporting system to identify patterns of adverse events in surgical patients.
Bilimoria KY, Kmiecik TE, DaRosa DA, et al. Arch Surg. 2009;144:305-311. |
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Factors influencing incident reporting in surgical care.
Kreckler S, Catchpole K, McCulloch P, Handa A. Qual Saf Health Care. 2009;18:116-120. |
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Family-identified barriers to medication reconciliation.
Riley-Lawless K. J Spec Pediatr Nurs. 2009;14:94-101. |
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Regional surveillance of emergency-department visits for outpatient adverse drug events.
Capuano A, Irpino A, Gallo M, et al. Eur J Clin Pharmacol. 2009 Mar 18; [Epub ahead of print]. |
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The Oxford NOTECHS System: reliability and validity of a tool for measuring teamwork behaviour in the operating theatre.
Mishra A, Catchpole K, McCulloch P. Qual Saf Health Care. 2009;18:104-108. |
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Therapeutic errors among children in the community setting: nature, causes and outcomes.
McD Taylor D, Robinson J, Macleod D, Macbean CE, Braitberg G. J Paediatr Child Health. 2009 Mar 23; [Epub ahead of print]. |
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| Organizational Policy/Guidelines |
Transitions of Care Consensus Policy Statement American College of Physicians-Society of General Internal Medicine-Society of Hospital Medicine-American Geriatrics Society-American College of Emergency Physicians-Society of Academic Emergency Medicine.
Snow V, Beck D, Budnitz T, et al. J Gen Intern Med. 2009 Apr 3; [Epub ahead of print]. |
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| Washington Meeting/Conference |
2009 Northwest Patient Safety Conference.
Washington Patient Safety Coalition. June 4, 2009; Hilton Seattle Airport & Conference Center, Seattle, WA. |
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| Newspaper/Magazine Article |
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| Newspaper/Magazine Article |
Shared MDIs: can cross-contamination be avoided?
ISMP Medication Safety Alert! Acute Care Edition. April 9, 2009;14:1-3. |
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