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Eisen LA, Savel RH. Chest. 2009;136:910-917.
Eisen LA ; Savel RH.What went right: lessons for the intensivist from the crew of US Airways Flight 1549. Chest. 2009; 136: 910-917
This commentary highlights how a culture of safety and teamwork can avert failure in health care settings by employing crew resource management, simulation, and checklists.
Patient safety: the synergy of technology and behavior.
Yarbrough C, Rypkema S. Patient Safety & Quality Healthcare. January-February 2008;5:32-35.
Didactic and simulation nontechnical skills team training to improve perinatal patient outcomes in a community hospital.
Riley W, Davis S, Miller K, Hansen H, Sainfort F, Sweet R. Jt Comm J Qual Patient Saf. 2011;37:357-364.
Have we gone too far in translating ideas from aviation to patient safety?
Rogers J, Gaba DM. BMJ. 2011;342:c7309-7310.
Surgical team training: promoting high reliability with nontechnical skills.
Paige JT. Surg Clin North Am. 2010;90:569-581.
An intervention to decrease catheter-related bloodstream infections in the ICU.
Pronovost P, Needham D, Berenholtz S, et al. N Engl J Med. 2006;355:2725-2732.
Real time patient safety audits: improving safety every day.
Ursprung R, Gray JE, Edwards WH, et al. Qual Saf Health Care. 2005;14:284-289.
Often overlooked problems with handoffs: from the intensive care unit to the operating room.
Evans AS, Yee MS, Hogue CW. Anesth Analg. 2014;118:687-689.
Improving code team performance and survival outcomes: implementation of pediatric resuscitation team training.
Knight LJ, Gabhart JM, Earnest KS, Leong KM, Anglemyer A, Franzon D. Crit Care Med. 2014;42:243-251.
Building collaborative teams in neonatal intensive care.
Brodsky D, Gupta M, Quinn M, et al. BMJ Qual Saf. 2013;374-382.
Simulator-based crew resource management training for interhospital transfer of critically ill patients by a mobile ICU.
Droogh JM, Kruger HL, Ligtenberg JJM, Zijlstra JG. Jt Comm J Qual Patient Saf. 2012;38:554-559.
Patient safety strategies: are we on the same team?
Moffatt-Bruce SD, Funai EF, Nash M, Gabbe SG. Obstet Gynecol. 2012;120:743-745.
Speaking up and sharing information improves trainee neonatal resuscitations.
Katakam LI, Trickey AW, Thomas EJ. J Patient Saf. 2012;8:202-209.
Rethinking resident supervision to improve safety: from hierarchical to interprofessional models.
Tamuz M, Giardina TD, Thomas EJ, Menon S, Singh H. J Hosp Med. 2011;6:448-456.
Design and evaluation of simulation scenarios for a program introducing patient safety, teamwork, safety leadership, and simulation to healthcare leaders and managers.
Cooper JB, Singer SJ, Hayes J, et al. Simul Healthc. 2011;6:231-238.
Increasing medication error reporting rates while reducing harm through simultaneous cultural and system-level interventions in an intensive care unit.
Abstoss KM, Shaw BE, Owens TA, Juno JL, Commiskey EL, Niedner MF. BMJ Qual Saf. 2011;914-922.
Trends in central line–associated bloodstream infections in a trauma-surgical intensive care unit.
Ong A, Dysert K, Herbert C, et al. Arch Surg. 2011;146:302-307.
Collaborative cohort study of an intervention to reduce ventilator-associated pneumonia in the intensive care unit.
Berenholtz SM, Pham JC, Thompson DA, et al. Infect Control Hosp Epidemiol. 2011;32:305-314.
Effect of a comprehensive obstetric patient safety program on compensation payments and sentinel events.
Grunebaum A, Chervenak F, Skupski D. Am J Obstet Gynecol. 2011;204:97-105.
Medical errors and safety systems.
Pearlman MD, ed. Clin Obstet Gynecol. 2010;53:471-585.
Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated bloodstream infections.
Sawyer M, Weeks K, Goeschel CA, et al. Crit Care Med. 2010;38(suppl 8):S292-S298.
Value of human factors to medication and patient safety in the intensive care unit.
Scanlon MC, Karsh BT. Crit Care Med. 2010;38(suppl 6):S90-S96.
Using in situ simulation to identify and resolve latent environmental threats to patient safety: case study involving a labor and delivery ward.
Hamman WR, Beaudin-Seiler BM, Beaubien JM, et al. J Patient Saf. 2009;5:184-187.
Preventing catheter-related bloodstream infections: thinking outside the checklist.
Perencevich EN, Pittet D. JAMA. 2009;301:1285-1287.
Improving patient safety in intensive care units in Michigan.
Pronovost PJ, Berenholtz SM, Goeschel C, et al. J Crit Care. 2008;23:207-221.
Improving patient safety in hospitals: contributions of high-reliability theory and normal accident theory.
Tamuz M, Harrison MI. Health Serv Res. 2006;41:1654-1676.
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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