Review Patterns of unexpected in-hospital deaths: a root cause analysis. Citation Text: Lynn LA, Curry P. Patterns of unexpected in-hospital deaths: a root cause analysis. Patient Saf Surg. 2011;5(1):3. doi:10.1186/1754-9493-5-3. Copy Citation Format: DOIGoogle ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL March 16, 2011 Lynn LA, Curry P. Patient Saf Surg. 2011;5(1):3. View more articles from the same authors. This literature review concluded that the history and scientific basis for threshold alarms are quite arbitrary, and new methods and technologies are needed to identify actual patterns of evolving death. PubMed citation Available at Free full text Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Lynn LA, Curry P. Patterns of unexpected in-hospital deaths: a root cause analysis. Patient Saf Surg. 2011;5(1):3. doi:10.1186/1754-9493-5-3. Copy Citation Format: DOIGoogle ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Related Resources From the Same Author(s) Artificial intelligence systems for complex decision-making in acute care medicine: a review. March 13, 2019 Regulatory and policy barriers to effective clinical data exchange: lessons learned from MedsInfo-ED. October 5, 2005 Obstetrician-gynecologists' opinions about patient safety: costs and liability remain problems; are mandated reports a solution? February 4, 2009 The weekend effect in hospitalized patients: a meta-analysis. October 11, 2017 Relation between malpractice claims and adverse events due to negligence. Results of the Harvard Medical Practice Study III. March 27, 2005 Track, trigger and teamwork: communication of deterioration in acute medical and surgical wards. January 20, 2010 Transforming the health care environment collaborative. 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Artificial intelligence systems for complex decision-making in acute care medicine: a review. March 13, 2019
Regulatory and policy barriers to effective clinical data exchange: lessons learned from MedsInfo-ED. October 5, 2005
Obstetrician-gynecologists' opinions about patient safety: costs and liability remain problems; are mandated reports a solution? February 4, 2009
Relation between malpractice claims and adverse events due to negligence. Results of the Harvard Medical Practice Study III. March 27, 2005
Track, trigger and teamwork: communication of deterioration in acute medical and surgical wards. January 20, 2010
Establishing a multi-institutional quality and patient safety consortium: collaboration across affiliates in a community-based medical school. January 20, 2021
The efficacy of medical team training: improved team performance and decreased operating room delays: a detailed analysis of 4863 cases. September 15, 2010
The limits of knowledge management for UK public services modernization: the case of patient safety and service quality. July 2, 2008
"Out of sight, out of mind": housestaff perceptions of quality-limiting factors in discharge care at teaching hospitals. July 18, 2012
"Learning by Doing"—resident perspectives on developing competency in high-quality discharge care. June 20, 2012
Team debriefing in the COVID-19 pandemic: a qualitative study of a hospital-wide clinical event debriefing program and a novel qualitative model to analyze debriefing content. November 16, 2022
Changing hospital organisational culture for improved patient outcomes: developing and implementing the Leadership Saves Lives intervention. August 12, 2020
Organizational ambidexterity and the hybrid middle manager: the case of patient safety in UK hospitals. March 2, 2016
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Inappropriate medication use in the elderly: results from a quality improvement project in 99 primary care practices. April 23, 2008
Design and trial of a new ambulance-to-emergency department handover protocol: 'IMIST-AMBO.' August 1, 2012
When does quality improvement count as research? Human subject protection and theories of knowledge. March 6, 2005
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A review of educational philosophies as applied to radiation safety training at medical institutions. May 24, 2006
Striving for a zero-error patient surgical journey through adoption of aviation-style challenge and response flow checklists: a quality improvement project. February 27, 2013
Interprofessional model on speaking up behaviour in healthcare professionals: a qualitative study. May 25, 2022
Redesigning a morbidity and mortality program in a university-affiliated pediatric anesthesia department. February 24, 2010
Instituting a culture of professionalism: the establishment of a Center for Professionalism and Peer Support. April 16, 2014
Self-Reported Learning (SRL), a voluntary incident reporting system experience within a large health care organization. May 12, 2021
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Better medical office safety culture is not associated with better scores on quality measures. January 11, 2012
"Sorry" is never enough: how state apology laws fail to reduce medical malpractice liability risk. April 24, 2019
Barcode medication administration work-arounds: a systematic review and implications for nurse executives. November 27, 2013
The TRANSFORM patient safety project: a microsystem approach to improving outcomes on inpatient units. May 20, 2015
Amid the COVID-19 pandemic, meaningful communication between family caregivers and residents of long-term care facilities is imperative. June 24, 2020
Contemporary evidence about hospital strategies for reducing 30-day readmissions: a national study. November 7, 2012
Alterations in Spanish language interpretation during pediatric critical care family meetings. December 6, 2017
Analysis of consistency in emergency department physician variation in propensity for admission across patient sociodemographic groups. October 13, 2021
Development of a self-report instrument to measure patient safety attitudes, skills, and knowledge. February 11, 2009
Multidisciplinary centres for safety and quality improvement: learning from climate change science. April 27, 2011
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ACOG SCOPE: Safety Certification in Outpatient Practice Excellence for Women's Health. September 5, 2012
Improving oversight of the graduate medical education enterprise: one institution's strategies and tools. May 10, 2006
Need for standardized sign-out in the emergency department: a survey of emergency medicine residency and pediatric emergency medicine fellowship program directors. January 17, 2007
Racial disparities in the frequency of patient safety events: results from the National Medicare Patient Safety Monitoring System. June 1, 2011
Building safer systems through critical occurrence reviews: nine years of learning. November 10, 2010
Understanding the healthcare workplace learning culture through safety and dignity narratives: a UK qualitative study of multiple stakeholders' perspectives. June 12, 2019
Executive summary of the American College of Obstetricians and Gynecologists Presidential Task Force on Patient Safety in the Office Setting: reinvigorating safety in office-based gynecologic surgery. January 13, 2010
Can first-year medical students acquire quality improvement knowledge prior to substantial clinical exposure? A mixed-methods evaluation of a pre-clerkship curriculum that uses education as the context for learning. May 2, 2018
An initiative to reduce insulin-related adverse drug events in a children's hospital. February 16, 2022
John M. Eisenberg Patient Safety Awards. The LVHHN patient safety video: patients as partners in safe care delivery. March 6, 2005
TRIAD XII: are patients aware of and agree with DNR or POLST orders in their medical records. September 11, 2019
Leveraging computerized sign-out to increase error reporting and addressing patient safety in graduate medical education. April 30, 2008
Are physicians' perceptions of healthcare quality and practice satisfaction affected by errors associated with electronic health record use? January 11, 2012
The outcomes of recent patient safety education interventions for trainee physicians and medical students: a systematic review. July 15, 2015
Improving safety culture results in Rhode Island ICUs: lessons learned from the development of action-oriented plans. November 2, 2011
'Even now it makes me angry': health care students' professionalism dilemma narratives. August 6, 2014
Patient Safety Innovations Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis May 31, 2023
Value of improving patient safety: health economic considerations for rapid response systems-a rapid review of the literature and expert round table. May 3, 2023
Interview In Conversation with... Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring April 26, 2023
Perspective Surveillance Monitoring to Improve Patient Safety in Acute Hospital Care Units April 26, 2023
Why do healthcare professionals fail to escalate as per the early warning system (EWS) protocol? A qualitative evidence synthesis of the barriers and facilitators of escalation. February 17, 2021
The effect of blue-enriched lighting on medical error rate in a university hospital ICU. January 27, 2021
Data-driven implementation of alarm reduction interventions in a cardiovascular surgical ICU. February 8, 2017
Patient safety implications of electronic alerts and alarms of maternal–fetal status during labor. August 31, 2016
Changes in default alarm settings and standard in-service are insufficient to improve alarm fatigue in an intensive care unit: a pilot project. February 17, 2016
Stop the noise: a quality improvement project to decrease electrocardiographic nuisance alarms. August 19, 2015
Association between exposure to nonactionable physiologic monitor alarms and response time in a children's hospital. April 29, 2015
Alarm system management: evidence-based guidance encouraging direct measurement of informativeness to improve alarm response. April 1, 2015
Insights into the problem of alarm fatigue with physiologic monitor devices: a comprehensive observational study of consecutive intensive care unit patients. November 12, 2014
Evaluating implementation of a rapid response team: considering alternative outcome measures. May 7, 2014
Use of paediatric early warning systems in Great Britain: has there been a change of practice in the last 7 years? February 26, 2014
Impact of rapid response system implementation on critical deterioration events in children. November 13, 2013
Using crew resource management and a 'read-and-do checklist' to reduce failure-to-rescue events on a step-down unit. November 6, 2013