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Dwyer J. New York Times. October 25, 2012.
Reporting on the death of a boy due to a missed diagnosis of infection, this newspaper article discusses solutions being adopted to prevent similar errors.
Implementation of an emergency department sign-out checklist improves transfer of information at shift change.
Dubosh NM, Carney D, Fisher J, Tibbles CD. J Emerg Med. 2014;47:580-585.
Diagnostic error: untapped potential for improving patient safety?
Groszkruger D. J Healthc Risk Manag. 2014;34:38-43.
National patterns of codeine prescriptions for children in the emergency department.
Kaiser SV, Asteria-Penaloza R, Vittinghoff E, Rosenbluth G, Cabana MD, Bardach NS. Pediatrics. 2014;133:e1139-e1147.
Accuracies of diagnostic methods for acute appendicitis.
Park JS, Jeong JH, Lee JI, Lee JH, Park JK, Moon HJ. Am Surg. 2013;79:101-106.
Airway carts: a systems-based approach to airway safety.
Kane BG, Bond WF, Worrilow CC, Richardson DM, on behalf of the Lehigh Valley Hospital Airway Task Force. J Patient Saf. 2006;2:154-161.
A patient safety approach to setting pass/fail standards for basic procedural skills checklists.
Yudkowsky R, Tumuluru S, Casey P, Herlich N, Ledonne C. Simul Healthc. 2014;9:277-282.
Physician: 'I almost killed a patient' because of an advance directive.
Betbeze P. HealthLeaders Media. May 2, 2014.
Sepsis: recognizing the next event.
Kilburn FL, Bailey P, Price D. Nursing. 2013;43:14-16.
In Conversation with…Pat Croskerry, MD, PhD
Geisinger Health System's plan to fix America's health care.
Carbonara P. Fast Company. October 2008.
Third wrong-sided brain surgery at R.I. hospital.
Associated Press. MSNBC. November 27, 2007.
Prevention of wrong-site tooth extraction: clinical guidelines.
Lee JS, Curley AW, Smith RA. J Oral Maxillofac Surg. 2007;65:1793-1799.
What's the trouble? How doctors think.
Groopman J. The New Yorker. January 29, 2007;47:36-41.
Missed opportunities in the primary care management of early acute ischemic heart disease.
Sequist TD, Marshall R, Lampert S, Buechler EJ, Lee TH. Arch Intern Med. 2006;166:2237-2243.
Surgical site verification: A through Z.
Dunn D. J Perianesth Nurs. 2006;21:317-328.
New practices reduce childbirth risks.
Landro L. Wall Street Journal. July 12, 2006:D1. [Reprinted on Post-gazette.com].
Inflammation and the Host Response to Injury, a Large-Scale Collaborative Project: patient-oriented research core—standard operating procedures for clinical care. II. Guidelines for prevention, diagnosis and treatment of ventilator-associated pneumonia (VAP) in the trauma patient.
Minei JP, Nathens AB, West M, et al. J Trauma. 2006;60:1106-1113.
White blood cell left shift in a neonate: a case of mistaken identity.
Mohamed IS, Wynn RJ, Cominsky K, et al. J Perinatol. 2006;26:378-380.
Accuracy at every step: the challenge of medication reconciliation.
Institute for Healthcare Improvement Web site. March 20, 2006.
Profiles in patient safety: confirmation bias in emergency medicine.
Pines JM. Acad Emerg Med. 2006;13:90-94.
Ding-a-ling-a-ling: ambulances can be dangerous places.
Meisel Z. Slate. November 8, 2005.
M.R.I.'s strong magnets cited in accidents.
McNeil DG Jr. New York Times. August 19, 2005;National Desk section:1.
Preventing vincristine administration errors.
The Joint Commission. Sentinel Event Alert. July 14, 2005;(34):1-3.
The neurologist and patient safety.
Glick TH. Neurologist. 2005;11:140-149.
Hospital errors jeopardize Angola virus battle.
Grady D. New York Times. April 30, 2005.
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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