Study Physician implicit review to identify preventable errors during in-hospital cardiac arrest. Citation Text: Jain R, Kuhn L, Repaskey W, et al. Physician implicit review to identify preventable errors during in-hospital cardiac arrest. Arch Intern Med. 2011;171(1):89-90. doi:10.1001/archinternmed.2010.475. Copy Citation Format: DOIGoogle ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL January 26, 2011 Jain R, Kuhn L, Repaskey W, et al. Arch Intern Med. 2011;171(1):89-90. View more articles from the same authors. This research letter discusses a review of cardiac arrest cases that found 25% of these cases had preventable errors, but noted poor reviewer agreement in identifying errors. PubMed citation Free full text Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Jain R, Kuhn L, Repaskey W, et al. Physician implicit review to identify preventable errors during in-hospital cardiac arrest. Arch Intern Med. 2011;171(1):89-90. doi:10.1001/archinternmed.2010.475. Copy Citation Format: DOIGoogle ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Related Resources From the Same Author(s) Rapid response teams: a systematic review and meta-analysis. January 20, 2010 Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study. December 2, 2009 Delayed time to defibrillation after in-hospital cardiac arrest. January 16, 2008 Surgeons and systems working together to drive safety and quality. March 29, 2023 Legal and policy interventions to improve patient safety. March 2, 2016 New persistent opioid use after minor and major surgical procedures in US adults. April 26, 2017 Physician health and wellbeing provide challenges to patient safety and outcome quality across the careerspan. 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May 4, 2011 View More See More About The Topic Hospitals Health Care Providers Quality and Safety Professionals Cardiology General Internal Medicine View More
Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study. December 2, 2009
Physician health and wellbeing provide challenges to patient safety and outcome quality across the careerspan. April 13, 2016
Contraindicated medication use in dialysis patients undergoing percutaneous coronary intervention. December 16, 2009
Public reporting of antibiotic timing in patients with pneumonia: lessons from a flawed performance measure. July 16, 2008
Veterans Affairs initiative to prevent methicillin-resistant Staphylococcus aureus infections. April 27, 2011
Improving peripherally inserted central catheter appropriateness and reducing device-related complications: a quasiexperimental study in 52 Michigan hospitals. April 14, 2021
Do clinicians know which of their patients have central venous catheters?: A multicenter observational study. November 5, 2014
Hospitalists as Emerging Leaders in Patient Safety: lessons learned and future directions. February 25, 2009
Educational quality improvement report: outcomes from a revised morbidity and mortality format that emphasised patient safety. December 19, 2007
Moving toward improved teamwork in cancer care: the role of psychological safety in team communication. December 14, 2016
Clostridium Difficile infection in the United States: a national study assessing preventive practices used and perceptions of practice evidence. May 20, 2015
Hospital-wide code rates and mortality before and after implementation of a rapid response team. December 10, 2008
Performance of International Classification of Diseases, 9th Revision, Clinical Modification codes as an adverse drug event surveillance system. August 9, 2006
Using the rapid response system to provide better oversight of patient care processes. November 14, 2007
Realizing e-prescribing's potential to reduce outpatient psychiatric medication errors. January 31, 2018
The natural history of recovery for the healthcare provider "second victim" after adverse patient events. October 21, 2009
Improving safety for hospitalized patients: much progress but many challenges remain. August 17, 2016
Predictors of treatment error for children with uncomplicated malaria seen as outpatients in Blantyre district, Malawi. September 13, 2006
Effectiveness of patient safety training in equipping medical students to recognise safety hazards and propose robust interventions. March 10, 2010
Economic value of pharmacist-led medication reconciliation for reducing medication errors after hospital discharge. November 2, 2016
Psychological responses, coping and supporting needs of healthcare professionals as second victims. November 2, 2016
Preventability and causes of readmissions in a national cohort of general medicine patients. May 4, 2016
Adverse events from cough and cold medications after a market withdrawal of products labeled for infants. December 15, 2010
Impact of health information technology on detection of potential adverse drug events at the ordering stage. November 17, 2010
Reduce the likelihood of patient harm associated with the use of anticoagulant therapy: commentary from the Anticoagulation Forum on the Updated Joint Commission NPSG.03.05.01 Elements of Performance March 4, 2020
CDC central-line bloodstream infection prevention efforts produced net benefits of at least $640 million during 1990–2008. June 18, 2014
Threats to safety during sedation outside of the operating room and the death of Michael Jackson. April 20, 2016
Preventing mistransfusions: an evaluation of institutional knowledge and a response. February 21, 2018
How surgeons disclose medical errors to patients: a study using standardized patients. December 7, 2005
Recommended guidelines for monitoring, reporting, and conducting research on medical emergency team, outreach, and rapid response systems: an Utstein-style scientific statement. February 13, 2008
A national assessment on patient safety curricula in undergraduate medical education: results from the 2012 clerkship directors in internal medicine survey. April 8, 2020
The impact of power on health care team performance and patient safety: a review of the literature. April 21, 2021
Transferring aviation practices into clinical medicine for the promotion of high reliability. July 26, 2017
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Morbidity and mortality conference, grand rounds, and the ACGME's core competencies. October 25, 2006
Inappropriate medication use in the elderly: results from a quality improvement project in 99 primary care practices. April 23, 2008
Characteristics of medication errors and adverse drug events in hospitals participating in the California Pediatric Patient Safety Initiative. November 12, 2008
Identification errors involving clinical laboratories: a College of American Pathologists Q-Probes study of patient and specimen identification errors at 120 institutions. August 16, 2006
An intervention to decrease patient identification band errors in a children's hospital. May 12, 2010
Resident participation does not affect surgical outcomes, despite introduction of new techniques. September 22, 2010
Medication errors: how reliable are the severity ratings reported to the National Reporting and Learning System? September 23, 2009
Dying for the weekend: a retrospective cohort study on the association between day of hospital presentation and the quality and safety of stroke care. July 25, 2012
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Variability in diagnostic error rates of 10 MRI centers performing lumbar spine MRI examinations on the same patient within a 3-week period. November 17, 2016
Evaluating horizontal violence and bullying in the nursing workforce of an oncology academic medical center. September 25, 2019
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Improving transfusion safety: implementation of a comprehensive computerized bar code-based tracking system for detecting and preventing errors. April 9, 2008
Adverse events experienced while transferring the critically ill patient from the emergency department to the intensive care unit. November 8, 2006
Bringing patients' own medications into an emergency department by ambulance: effect on prescribing accuracy when these patients are admitted to hospital. October 14, 2009
The development and implementation of cognitive aids for critical events in pediatric anesthesia: the Society for Pediatric Anesthesia Critical Events Checklists. March 15, 2017
National pediatric anesthesia safety quality improvement program in the United States. October 1, 2014
Partnering with VA stakeholders to develop a comprehensive patient safety data display: lessons learned from the field. February 11, 2015
Rate of undesirable events at beginning of academic year: retrospective cohort study. October 28, 2009
Assessing content validity and user perspectives on the Team Check-up Tool: expert survey and user focus groups. April 5, 2017
Medication safety in primary care practice: results from a PPRNet quality improvement intervention. July 11, 2012
Assessing diagnostic reasoning: a consensus statement summarizing theory, practice, and future needs. February 6, 2013
Complications of daytime elective laparoscopic cholecystectomies performed by surgeons who operated the night before. November 20, 2013
Ventilator-related adverse events: a taxonomy and findings from 3 incident reporting systems. February 17, 2016
Improving safety and eliminating redundant tests: cutting costs in U.S. hospitals. September 30, 2009
Automated identification of postoperative complications within an electronic medical record using natural language processing. August 31, 2011
Examining the attitudes of hospital pharmacists to reporting medication safety incidents using the theory of planned behaviour. September 9, 2015
Understanding the attitudes of hospital pharmacists to reporting medication incidents: a qualitative study. January 16, 2013
Accuracy of send-out test ordering: a College of American Pathologists Q-Probes study of ordering accuracy in 97 clinical laboratories. March 12, 2008
Statewide identification of adverse events using retrospective nurse review: methods and outcomes. May 7, 2008
Interventions to improve follow-up of laboratory test results pending at discharge: a systematic review. March 14, 2018
How hospitals select their patient safety priorities: an exploratory study of four Veterans Health Administration hospitals. September 25, 2019
Hospital-acquired functional decline and clinical outcomes in older cardiac surgical patients: a multicenter prospective cohort study. March 2, 2022
How does audit and feedback influence intentions of health professionals to improve practice? A laboratory experiment and field study in cardiac rehabilitation. April 12, 2017
Confirming delivery: understanding the role of the hospitalized patient in medication administration safety. May 28, 2014
The "physician-led chart audit": engaging providers in fortifying a culture of safety. March 19, 2014
Successful implementation of standardized multidisciplinary bedside rounds, including daily goals, in a pediatric ICU. February 5, 2014
Governing patient safety: lessons learned from a mixed methods evaluation of implementing a ward-level medication safety scorecard in two English NHS hospitals. January 29, 2014
Application of a theoretical framework for behavior change to hospital workers' real-time explanations for noncompliance with hand hygiene guidelines. January 22, 2014
Implementing peer evaluation of handoffs: associations with experience and workload. February 27, 2013
Impact of an intensivist-led multidisciplinary extended rapid response team on hospital-wide cardiopulmonary arrests and mortality. January 23, 2013
Improving situation awareness to reduce unrecognized clinical deterioration and serious safety events. January 9, 2013
Contemporary evidence about hospital strategies for reducing 30-day readmissions: a national study. November 7, 2012
Improving resident engagement in quality improvement and patient safety initiatives at the bedside: the Advocate for Clinical Education (ACE). October 17, 2012
Using the patient safety indicators to detect potential safety events among US veterans with psychotic disorders: clinical and research implications. August 1, 2012
Triangulating case-finding tools for patient safety surveillance: a cross-sectional case study of puncture/laceration. February 29, 2012
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Patient Safety Dialogue: evaluation of an intervention aimed at achieving an improved patient safety culture. October 19, 2011
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Comprehensive stroke centers overcome the weekend versus weekday gap in stroke treatment and mortality. September 7, 2011
Saving lives by studying deaths: using standardized mortality reviews to improve inpatient safety. August 31, 2011
Diagnostic blood loss from phlebotomy and hospital-acquired anemia during acute myocardial infarction. August 24, 2011
Effectiveness and cost of a transitional care program for heart failure: a prospective study with concurrent controls. August 3, 2011