Process changes to increase compliance with the Universal Protocol for bedside procedures.

Wrong site surgery near misses and actual occurrences.

Blanco M, Clarke JR, Martindell D. AORN J. 2009;90:215-222.

Efficacy and unintended consequences of hard-stop alerts in electronic health record systems: a systematic review.

Powers EM, Shiffman RN, Melnick ER, Hickner A, Sharifi M. J Am Med Inform Assoc. 2018 Sep 18; [Epub ahead of print].

Postoperative opioid prescribing: Getting it RIGHTT.

Yorkgitis BK, Brat GA. Am J Surg. 2018;215:707-711.

Despite technology, verbal orders persist, read back is not widespread, and errors continue.

ISMP Medication Safety Alert! Acute Care Edition. May 18, 2017;22:1-4.

Relationship between psychological safety and reporting nonadherence to a safety checklist.

Gilmartin HM, Langner P, Gokhale M, et al. J Nurs Care Qual. 2018;33:53-60.

"Teach-back" from a patient's perspective.

Miller S, Lattanzio M, Cohen S. Nursing. 2016;46:63-64.

A review of verbal order policies in acute care hospitals.

Wakefield DS, Wakefield BJ, Despins L, et al. Jt Comm J Qual Patient Saf. 2012;38:24-33.

Commanding safety.

Huff C. Trustee Magazine. October 2011.

Preoperative surgical briefings do not delay operating room start times and are popular with surgical team members.

Ali M, Osborne A, Bethune R, Pullyblank A. J Patient Saf. 2011;7:138-142.

Making electronic prescribing alerts more effective: scenario-based experimental study in junior doctors.

Scott GPT, Shah P, Wyatt JC, Makubate B, Cross FW. J Am Med Inform Assoc. 2011;18:789-798.

Pre-surgery briefings and safety climate in the operating theatre.

Allard J, Bleakley A, Hobbs A, Coombes L. BMJ Qual Saf. 2011;20:711-717.

Applying the Universal Protocol to improve patient safety in radiology services.

PA-PSRS Patient Saf Advis. June 2011;8:63-69.

A survey of the use of time-out protocols in emergency medicine.

Kelly JJ, Farley H, O'Cain C, et al. Jt Comm J Qual Patient Saf. 2011;37:285-288.

Oops, sorry, wrong patient! A patient verification process is needed everywhere, not just at the bedside.

ISMP Medication Safety Alert! Acute Care Edition. March 10, 2011;16:1-4.

Preventing medication errors during codes.

ISMP Medication Safety Alert! Acute Care Edition. February 9, 2011;16:1-3.

Checklists to reduce diagnostic errors.

Ely JW, Graber ML, Croskerry P. Acad Med. 2011;86:307-313.

Patient safety during anaesthesia: incorporation of the WHO safe surgery guidelines into clinical practice.

Schlack WS, Boermeester MA. Curr Opin Anaesthesiol. 2010;23:754-758.

Diffusing aviation innovations in a hospital in the Netherlands.

de Korne DF, van Wijngaarden JDH, Hiddema UF, Bleeker FG, Pronovost PJ, Klazinga NS. Jt Comm J Qual Patient Saf. 2010;36:339-347.

Information transfer and communication in surgery: a systematic review.

Nagpal K, Vats A, Lamb B, et al. Ann Surg. 2010;252:225-239.

DTaP–Tdap mix-ups now affecting hundreds of patients.

ISMP Medication Safety Alert! Acute Care Edition. July 1, 2010;15:1-2.