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Buljac-Samardžić M, van Woerkom M, Paauwe J. Health Care Manag Rev. 2012;37:280-291.
Buljac-Samardžic M ; van Woerkom M ; Paauwe J.Team safety and innovation by learning from errors in long-term care settings. Health Care Manag Rev. 2012; 37: 280-291
This study explores factors contributing to safety culture in long-term care settings, an issue discussed in greater depth in this AHRQ WebM&M perspective.
Medication errors during patient transitions into nursing homes: characteristics and association with patient harm.
Desai R, Williams CE, Greene SB, Pierson S, Hansen RA. Am J Geriatr Pharmacother. 2011;9:413-422.
Perceived patient safety culture in nursing homes associated with "Nursing Home Compare" performance indicators.
Li Y, Cen X, Cai X, Temkin-Greener H. Med Care. 2019;57:641-647.
An exploration of safety climate in nursing homes.
Singer S, Kitch BT, Rao SR, et al. J Patient Saf. 2012;8:104-124.
Achieving quality improvement in the nursing home: influence of nursing leadership on communication and teamwork.
Vogelsmeier A, Scott-Cawiezell J. J Nurs Care Qual. 2011;26:236-242.
Care homes' use of medicines study: prevalence, causes and potential harm of medication errors in care homes for older people.
Barber ND, Alldred DP, Raynor DK, et al. Qual Saf Health Care. 2009;18:341-346.
Durham, NC: Duke Center for Healthcare Safety and Quality; June 2019.
Patient Safety in Obstetrics and Gynecology.
Gluck PA, ed. Obstet Gynecol Clin North Am. 2019;46:H1-H8, 199-398.
Still Failing the Frail.
Simmons-Ritchie D. Penn Live. November 15, 2018.
A transactional "second-victim" model—experiences of affected healthcare professionals in acute-somatic inpatient settings: a qualitative metasynthesis.
Schiess C, Schwappach D, Schwendimann R, Vanhaecht K, Burgstaller M, Senn B. J Patient Saf. 2018 Jan 30; [Epub ahead of print].
High-reliability and the I-PASS communication tool.
Clements K. Nurs Manage. 2017;48:12-13.
Patient safety in the emergency department.
Farmer BM. Emerg Med. 2016;48:396-404.
Selected medication safety risks to manage in 2016 that might otherwise fall off the radar screen—part 1 and part 2.
ISMP Medication Safety Alert! Acute Care Edition. January 28, 2016;21:1-4. February 11, 2016;21:1-5.
Maintaining and sustaining the On the CUSP: Stop BSI model in Hawaii.
Lin DM, Weeks K, Holzmueller CG, Pronovost PJ, Pham JC. Jt Comm J Qual Patient Saf. 2013;39:51-60.
Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2012.
Oakbrook Terrace, IL: The Joint Commission; September 2012.
Variations in surgical outcomes associated with hospital compliance with safety practices.
Brooke BS, Dominici F, Pronovost PJ, Makary MA, Schneider E, Pawlik TM. Surgery. 2012;151:651-659.
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.
An inpatient fall prevention initiative in a tertiary care hospital.
Weinberg J, Proske D, Szerszen A, et al. Jt Comm J Qual Patient Saf. 2011;37:317-325.
Utilising improvement science methods to optimise medication reconciliation.
White CM, Schoettker PJ, Conway PH, et al. BMJ Qual Saf. 2011;20:372-380.
Impact of a statewide intensive care unit quality improvement initiative on hospital mortality and length of stay: retrospective comparative analysis.
Lipitz-Snyderman A, Steinwachs D, Needham DM, Colantuoni E, Morlock LL, Pronovost PJ. BMJ. 2011;342:d219.
Patient safety: moving the bar in prison health care standards.
Stern MF, Greifinger RB, Mellow J. Am J Public Health. 2010;100:2103-2110.
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.
Nurse–physician communication in the long-term care setting: perceived barriers and impact on patient safety.
Tjia J, Mazor KM, Field T, Meterko V, Spenard A, Gurwitz JH. J Patient Saf. 2009;5:145-152.
Stopping the error cascade: a report on ameliorators from the ASIPS collaborative.
Parnes B, Fernald D, Quintela J, et al. Qual Saf Health Care. 2007;16:12-16.
Raising and responding to frontline concerns in healthcare.
Mannion R, Davies H. BMJ. 2019;366:l4944.
Managing risk in hazardous conditions: improvisation is not enough.
Amalberti R, Vincent C. BMJ Qual Saf. 2019 Jul 9; [Epub ahead of print].
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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