Commentary Misgivings. Citation Text: Farlow B. Misgivings. Hastings Cent Rep. 2009;39(5):19-21. Copy Citation Format: Google ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL October 21, 2009 Farlow B. Hastings Cent Rep. 2009;39(5):19-21. View more articles from the same authors. This piece shares one family's experience of learning about errors, delays, and miscommunication in the care of their infant and discovering that her death may have been preventable. PubMed citation Available at Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Farlow B. Misgivings. Hastings Cent Rep. 2009;39(5):19-21. Copy Citation Format: Google ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Related Resources From the Same Author(s) We asked the experts: the WHO Surgical Safety Checklist and the COVID-19 pandemic: recommendations for content and implementation adaptations. March 17, 2021 Prospective validation of classification of intraoperative adverse events (ClassIntra): international, multicentre cohort study. October 7, 2020 A program to prevent catheter-associated urinary tract infection in acute care. June 8, 2016 Comparing catheter-associated urinary tract infection prevention programs between Veterans Affairs nursing homes and non–Veterans Affairs nursing homes. April 5, 2017 A national implementation project to prevent catheter-associated urinary tract infection in nursing home residents. 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We asked the experts: the WHO Surgical Safety Checklist and the COVID-19 pandemic: recommendations for content and implementation adaptations. March 17, 2021
Prospective validation of classification of intraoperative adverse events (ClassIntra): international, multicentre cohort study. October 7, 2020
Comparing catheter-associated urinary tract infection prevention programs between Veterans Affairs nursing homes and non–Veterans Affairs nursing homes. April 5, 2017
A national implementation project to prevent catheter-associated urinary tract infection in nursing home residents. May 31, 2017
Comparison of health care worker satisfaction before vs after implementation of a communication and optimal resolution program in acute care hospitals. April 5, 2023
Impact of pharmacist interventions provided in the emergency department on quality use of medicines: a systematic review and meta-analysis. March 8, 2023
Journal Article Study Reducing hospital harm: establishing a command centre to foster situational awareness. March 29, 2023
Referrals of infection control breaches to public health authorities: ambulatory care settings experience, 2017. September 23, 2020
The development and piloting of the Ambulatory Electronic Health Record Evaluation Tool: lessons learned. March 17, 2021
Culture of safety: impact on improvement in infection prevention process and outcomes. February 3, 2021
Speaking up about patient-perceived serious visit note errors: patient and family experiences and recommendations. January 13, 2021
Patient safety monitoring in acute care in a decentralized national health care system: conceptual framework and initial set of actionable indicators. July 28, 2021
Disparate perspectives: exploring healthcare professionals' misaligned mental models of older adults' transitions of care between the emergency department and skilled nursing facility. July 21, 2021
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Survey of nurses' experiences applying The Joint Commission's medication management titration standards. November 3, 2021
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Patient Safety Innovations Battle Buddies: rapid deployment of a psychological resilience intervention for health care workers during the COVID-19 pandemic October 27, 2021
Impact of SARS-CoV-2 on hospital acquired infection rates in the United States: predictions and early results. November 25, 2020
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Identifying safe care processes when GPs work in or alongside emergency departments: a realist evaluation. December 15, 2021
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From implementation to sustainment: a large-scale adverse event disclosure support program generated through embedded research in the Veterans Health Administration. August 18, 2021
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Improving healthcare systems' disclosures of large-scale adverse events: a Department of Veterans Affairs leadership, policymaker, research and stakeholder partnership. November 19, 2014
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An internal quality improvement collaborative significantly reduces hospital-wide medication error related adverse drug events. November 5, 2014
Enhancing patient safety in pediatric primary care: implementing a patient safety curriculum. November 4, 2015
The effect of staff nurses' shift length and fatigue on patient safety and nurses' health: from the National Association of Neonatal Nurses. October 21, 2015
Implementation of a custom alert to prevent medication-timing errors associated with computerized prescriber order entry. September 16, 2015
Intended and unintended effects of large-scale adverse event disclosure: a controlled before-after analysis of five large-scale notifications. April 29, 2015
Application of a trigger tool in near real time to inform quality improvement activities: a prospective study in a general medicine ward. March 18, 2015
Creating a culture of safety around bar-code medication administration: an evidence-based evaluation framework. January 20, 2016
The morbidity and mortality conference in pediatric intensive care as a means for improving patient safety. November 11, 2015
Implementing a distraction-free practice with the Red Zone Medication Safety initiative. June 8, 2016
Exclusion of residents from surgery-intensive care team communication: a qualitative study. April 27, 2016
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Using Lean "automation with a human touch" to improve medication safety: a step closer to the "perfect dose." July 30, 2014
Minimizing Opioid Prescribing in Surgery (MOPiS) initiative: an analysis of implementation barriers. April 17, 2019
The relationship between culture of safety and rate of adverse events in long-term care facilities. May 15, 2019
A systematic review of clinical decision support systems for clinical oncology practice. May 15, 2019
Perceptions of pediatric hospital safety culture in the United States: an analysis of the 2016 Hospital Survey on Patient Safety Culture. April 24, 2019
Prevalence of adverse events in pediatric intensive care units in the United States. October 13, 2010
Use of temporary nurses and nurse and patient safety outcomes in acute care hospital units. October 6, 2010
Mobile in situ obstetric emergency simulation and teamwork training to improve maternal–fetal safety in hospitals. September 29, 2010
Keeping an eye on patient safety using human factors engineering (HFE): a family affair for the hospitalized child. February 3, 2010
No interruptions please: impact of a no interruption zone on medication safety in intensive care units. January 27, 2010
An examination of technical efficiency, quality, and patient safety in acute care nursing units. January 20, 2010
Medication errors in acute cardiovascular and stroke patients. A scientific statement from the American Heart Association. April 7, 2010
Ensuring patient safety through effective leadership behaviour: a literature review. November 11, 2009
Patient safety, quality care, and service utilization with PLATO (Physician Leadership for Accurate and Timely Orders): a pilot study. August 26, 2009
Description of the development and validation of the Canadian Paediatric Trigger Tool. January 30, 2005
Using ORA to explore the relationship of nursing unit communication to patient safety and quality outcomes. June 22, 2011
Potential safety gaps in order entry and automated drug alerts: a nationwide survey of VA physician self-reported practices with computerized order entry. June 22, 2011
Code debriefing from the Department of Veterans Affairs (VA) Medical Team Training Program improves the cardiopulmonary resuscitation code process. September 1, 2010
Interview In Conversation with...Barbara Pelletreau and John Riggi about Cybersecurity March 27, 2024
Hiding in plain sight: inconvenient facts for patient safety in non-24/7 theatre on-site staffed obstetric units. September 6, 2023
Recognizing our biases, understanding the evidence, and responding equitably: application of the socioecological model to reduce racial disparities in the NICU. March 8, 2023
How to do no harm: empowering local leaders to make care safer in low-resource settings. March 3, 2021
Society for Maternal-Fetal Medicine Special Statement: a maternal transport briefing form and checklist. December 23, 2020
Commissioning simulations to test new healthcare facilities: a proactive and innovative approach to healthcare system safety. September 11, 2019
Hidden health IT hazards: a qualitative analysis of clinically meaningful documentation discrepancies at transfer out of the pediatric intensive care unit. August 28, 2019
The MedSafer Study: a controlled trial of an electronic decision support tool for deprescribing in acute care. July 31, 2019
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Designing and evaluating an automated system for real-time medication administration error detection in a neonatal intensive care unit. February 21, 2018
Case not closed: prescription errors 12 years after computerized physician order entry implementation. January 31, 2018
Association between handover of anesthesia care and adverse postoperative outcomes among patients undergoing major surgery. January 17, 2018
Alterations in Spanish language interpretation during pediatric critical care family meetings. December 6, 2017
Increasing patient safety with neonates via handoff communication during delivery: a call for interprofessional health care team training across GME and CME. August 30, 2017
Medication errors by caregivers at home in neonates discharged from the neonatal intensive care unit. May 24, 2017