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Chafe R, Levinson W, Sullivan T. CMAJ. 2009;180:1125-1127.
Chafe R ; Levinson W ; Sullivan T.Disclosing errors that affect multiple patients. CMAJ. 2009; 180: 1125-1127
This commentary describes strategies for disclosing medical errors at an institutional level.
An interprofessional qualitative study of barriers and potential solutions for the safe use of insulin in the hospital setting.
Rousseau MP, Beauchesne MF, Naud AS, et al. Can J Diabetes. 2014;38:85-89.
2012 ISMP International Medication Safety Self Assessment for Oncology.
Institute for Safe Medication Practices and Institute for Safe Medication Practices Canada.
Managing the adverse event occurring during elective, ambulatory pediatric surgery.
Skarsgard ED. Semin Pediatr Surg. 2009;18:122-124.
Consensus-based recommendations for standardizing terminology and reporting adverse events for emergency department procedural sedation and analgesia in children.
Bhatt M, Kennedy RM, Osmond MH, et al; Consensus Panel on Sedation Research of Pediatric Emergency Research Canada (PERC) and the Pediatric Emergency Care Applied Research Network (PECARN). Ann Emerg Med. 2009;53:426-435.e4.
Transfer of accountability: transforming shift handover to enhance patient safety.
Alvarado K, Lee R, Christoffersen E, et al. Healthc Q. 2006;9(special issue):75-79.
Is consent required for publication of medical errors?
Weisbaum K, Hyland S, Bernstein M. Healthcare Q. 2005;8:66-69.
Standards, audits, and saying I'm sorry: an engineer's family proposes solutions.
Wojcieszak D. Patient Safety Qual Healthc. May/June 2005;2:6, 8-9.
Adverse events in long-term care residents transitioning from hospital back to nursing home.
Kapoor A, Field T, Handler S, et al. JAMA Intern Med. 2019 Jul 22; [Epub ahead of print].
Gaps in ambulatory patient safety for immunosuppressive specialty medications.
Patterson S, Schmajuk G, Evans M, et al. Jt Comm J Qual Patient Saf. 2019;45:348-367.
Evaluation of an electronic health record structured discharge summary to provide real time adverse event reporting in thoracic surgery.
Graham AJ, Ocampo W, Southern DA, et al. BMJ Qual Saf. 2019;28:310-316
Wrong-patient blood transfusion error: leveraging technology to overcome human error in intraoperative blood component administration.
Hensley NB, Koch CG, Pronovost PJ, et al. Jt Comm J Qual Patient Saf. 2019;45:190-198.
In-hospital sequelae of injurious falls in 24 medical/surgical units in four hospitals in the United States.
Hill AM, Jacques A, Chandler AM, Richey PA, Mion LC, Shorr RI. Jt Comm J Qual Patient Saf. 2019;45:91-97.
Indiana Patient Safety Center.
Indiana Hospital Association.
Safety of the Manchester Triage System to detect critically ill children at the emergency department.
Zachariasse JM, Kuiper JW, de Hoog M, Moll HA, van Veen M. J Pediatr. 2016;177:232-237.
A National Trauma Care System: Integrating Military and Civilian Trauma Systems to Achieve Zero Preventable Deaths After Injury.
National Academies of Sciences, Engineering, and Medicine. Washington, DC: National Academies Press; 2016.
Innovations to improve patient safety.
Agency for Healthcare Research and Quality. Health Care Innovations Exchange. May 18, 2016.
Implementation of the surgical safety checklist in South Carolina hospitals is associated with improvement in perceived perioperative safety.
Molina G, Jiang W, Edmondson L, et al. J Am Coll Surg. 2016;222:725-736.e5.
Double checking: a second look.
Hewitt T, Chreim S, Forster A. J Eval Clin Pract. 2016;22:267-274.
Guidelines for Adult IV Push Medications.
Horsham, PA: The Institute for Safe Medication Practices; July 2015.
Evaluating iatrogenic prescribing: development of an oncology-focused trigger tool.
Hébert G, Netzer F, Ferrua M, Ducreux M, Lemare F, Minvielle E. Eur J Cancer. 2015;51:427-435.
Strategies to prevent healthcare-associated infections through hand hygiene.
Ellingson K, Haas JP, Aiello AE, et al. Infect Control Hosp Epidemiol. 2014;35:937-960.
Standardization in patient safety: the WHO High 5s project.
Leotsakos A, Zheng H, Croteau R, et al. Int J Qual Health Care. 2014;26:109-116.
Communicating doses of pediatric liquid medicines to parents/caregivers: a comparison of written dosing directions on prescriptions with labels applied by dispensed pharmacy.
Shah R, Blustein L, Kuffner E, Davis L. J Pediatr. 2014;164:596-601.
Mandatory influenza vaccination for health care workers as the new standard of care: a matter of patient safety and nonmaleficent practice.
Cortes-Penfield N. Am J Public Health. 2014;104:2060-2065.
Healthcare–Associated Infections (HAI).
Atlanta, GA: Centers for Disease Control and Prevention.
PSNET: Patient Safety Network
PSNet is produced for the Agency for Healthcare Research and Quality by a team of editors at the University of California, San Francisco with guidance from a prominent Technical Expert/Advisory Panel. The AHRQ PSNet site was designed and implemented by Silverchair.
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