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Funk M, Clark JT, Bauld TJ, Ott JC, Coss P. Am J Crit Care. 2014;23:e9-e18.
Funk M ; Clark JT ; Bauld TJ; et al. Attitudes and practices related to clinical alarms. Am J Crit Care. 2014; 23: e9-e18
Medical device alarm safety in hospitals is a National Patient Safety Goal. This survey study found marginal progress in clinical alarm safety between 2005 and 2011. According to respondents, frequent false alarms remain a significant problem.
Smart pumps: advanced capabilities and continuous quality improvement.
Vanderveen T. Patient Saf Quality Healthc. January/February 2007.
Alarm system management: evidence-based guidance encouraging direct measurement of informativeness to improve alarm response.
Rayo MF, Moffatt-Bruce SD. BMJ Qual Saf. 2015;24:282-286.
Sound the alarm.
Addis LM, Cadet VN, Graham KC. Patient Saf Qual Healthc. May/June 2014.
Redesigning hospital alarms for patient safety: alarmed and potentially dangerous.
Chopra V, McMahon LF Jr. JAMA. 2014;311:1199-1200.
Silencing many hospital alarms leads to better health care.
Knox R. Morning Edition. National Public Radio. January 27, 2014.
Vital sign abnormalities, rapid response, and adverse outcomes in hospitalized patients.
Fagan K, Sabel A, Mehler PS, MacKenzie TD. Am J Med Qual. 2012;27:480-486.
Implementing peer evaluation of handoffs: associations with experience and workload.
Arora VM, Greenstein EA, Woodruff JN, Staisiunas PG, Farnan JM. J Hosp Med. 2013;8:132-136.
Effects of an intervention to increase bed alarm use to prevent falls in hospitalized patients: a cluster randomized trial.
Shorr RI, Chandler AM, Mion LC, et al. Ann Intern Med. 2012;157:692-699.
Saving lives by studying deaths: using standardized mortality reviews to improve inpatient safety.
Lau H, Litman KC. Jt Comm J Qual Patient Saf. 2011;37:400-408.
Hospital discharge documentation and risk of rehospitalisation.
Hansen LO, Strater A, Smith L, et al. BMJ Qual Saf. 2011;20:773-778.
Reducing alarm hazards: selection and implementation of alarm notification systems.
Gee T, Moorman BA. Patient Saf Qual Healthc. March/April 2011;8:14-17.
Frequency of passive EHR alerts in the ICU: another form of alert fatigue?
Kizzier-Carnahan V, Artis KA, Mohan V, Gold JA. J Patient Saf. 2016 Jun 22; [Epub ahead of print].
Making healthcare safer by understanding, designing and buying better IT.
Thimbleby H, Lewis A, Williams J. Clin Med. 2015;15:258-262.
Alarm management: first things first: using reliable data to eliminate unnecessary alarms.
Vanderveen T. Patient Saf Qual Healthc. November/December 2014;11:38-40,42-45.
To reduce patient falls, hospitals try alarms, more nurses.
Ryan J. All Things Considered. National Public Radio. October 16, 2013.
Patient-as-observer approach: an alternative method for hand hygiene auditing in an ambulatory care setting.
Le-Abuyen S, Ng J, Kim S, et al. Am J Infect Control. 2014;42:439-442.
Confirming delivery: understanding the role of the hospitalized patient in medication administration safety.
Macdonald MT, Heilemann MV, MacKinnon NJ, et al. Qual Health Res. 2014;24:536-550.
Application of a theoretical framework for behavior change to hospital workers' real-time explanations for noncompliance with hand hygiene guidelines.
Fuller C, Besser S, Savage J, McAteer J, Stone S, Michie S. Am J Infect Control. 2014;42:106-110.
Sounding the alarm.
Trossman S. Am Nurse. Sept/Oct 2013;45:1,6-7.
Personalised performance feedback reduces narcotic prescription errors in a NICU.
Sullivan KM, Suh S, Monk H, Chuo J. BMJ Qual Saf. 2013;22:256-262.
Improving resident engagement in quality improvement and patient safety initiatives at the bedside: the Advocate for Clinical Education (ACE).
Schleyer AM, Best JA, McIntyre LK, Ehrmantraut R, Calver P, Goss JR. Am J Med Qual. 2013;28:243-249.
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.
Misadministration of IV insulin associated with dose measurement and hyperkalemia treatment.
ISMP Medication Safety Alert! Acute Care Edition. August 11, 2011;16:1-3.
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.
As industry automates, adverse events continue to haunt caregivers.
Wetzel TG. Health Data Manage. 2011 Feb;19:86, 88, 90 passim.
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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