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Arora KS, Shields LE, Grobman WA, D'Alton ME, Lappen JR, Mercer BM. Am J Obstet Gynecol. 2016;214:444-451.
Arora KS ; Shields LE ; Grobman WA; et al. Triggers, bundles, protocols, and checklists—what every maternal care provider needs to know. Am J Obstet Gynecol. 2016; 214: 444-451
Obstetric care is recognized as a high-risk activity both for the mother and the infant. This review discusses several key methods to improve safety in maternal care, including checklists and trigger tools, and provides information for clinicians to implement these strategies.
Improving team performance during the preprocedure time-out in pediatric interventional radiology.
Gottumukkala R, Street M, Fitzpatrick M, Tatineny P, Duncan JR. Jt Comm J Qual Patient Saf. 2012;38:387-394.
Prompting rounding teams to address a daily best practice checklist in a pediatric intensive care unit.
Cifra CL, Houston M, Otto A, Kamath SS. Jt Comm J Qual Patient Saf. 2019;45:543-551.
Study of a multisite prospective adverse event surveillance system.
Forster AJ, Huang A, Lee TC, Jennings A, Choudhri O, Backman C. BMJ Qual Saf. 2019 Jul 3; [Epub ahead of print].
Maternal sleepiness and risk of infant drops in the postpartum period.
Bittle MD, Knapp H, Polomano RC, Giordano NA, Brown J, Stringer M. Jt Comm J Qual Patient Saf. 2019;45:337-347.
Inpatient notes: just what the doctor ordered—checklists to improve diagnosis.
Gupta A, Graber ML. Ann Intern Med. 2019;170:HO2-HO3.
Reducing surgical mortality in Scotland by use of the WHO Surgical Safety Checklist.
Ramsay G, Haynes AB, Lipsitz SR, et al. Br J Surg. 2019;106:1005-1011.
Impact of critical event checklists on anaesthetist performance in simulated operating theatre emergencies.
Siddiqui A, Ng E, Burrows C, McLuckie D, Everett T. Cureus. 2019;11:e4376.
Impact of the World Health Organization surgical safety checklist on patient safety.
Haugen AS, Sevdalis N, Søfteland E. Anesthesiology. 2019;131:420-425.
Flawed self-assessment in hand hygiene: a major contributor to infections in clinical practice?
Kelcikova S, Mazuchova L, Bielena L, Filova L. J Clin Nurs. 2019;28:2265-2275.
Comparing the outcomes of reporting and trigger tool methods to capture adverse events in the emergency department.
Lee WH, Zhang E, Chiang CY, et al. J Patient Saf. 2019;15:61-68.
Debriefing in the OR: a quality improvement project.
Finch EP, Langston M, Erickson D, Pereira K. AORN J. 2019;109:336-344.
How not to waste a crisis: a qualitative study of problem definition and its consequences in three hospitals.
Martin G, Ozieranski P, Leslie M, Dixon-Woods M. J Health Serv Res Policy. 2019;24:145-154.
Impact of oncology drug shortages on chemotherapy treatment.
Alpert A, Jacobson M. Clin Pharmacol Ther. 2019 Feb 10; [Epub ahead of print].
Operating room fires.
Jones TS, Black IH, Robinson TN, Jones EL. Anesthesiology. 2019;130:492-501.
Perception of the usability and implementation of a metacognitive mnemonic to check cognitive errors in clinical setting.
Chew KS, van Merrienboer JJG, Durning SJ. BMC Med Educ. 2019;19:18.
The Harvard Medical Practice Study trigger system performance in deceased patients.
Klein DO, Rennenberg RJMW, Koopmans RP, Prins MH. BMC Health Serv Res. 2019;19:16.
Increasing compliance of safe medication administration in pediatric anesthesia by use of a standardized checklist.
Kanjia MK, Adler AC, Buck D, Varughese AM. Paediatr Anaesth. 2019;29:258-264.
Implementing strategies to identify and mitigate adverse safety events: a case study with unplanned extubations.
Hatch LD, Rivard M, Bolton J, et al. Jt Comm J Qual Patient Saf. 2019;45:295–303.
A new approach of assessing patient safety aspects in routine practice using the example of "doctors handwritten prescriptions."
Sendlhofer G, Pregartner G, Gombotz V, et al. J Clin Nurs. 2019;28:1242-1250.
Patient safety after implementation of a coproduced family centered communication programme: multicenter before and after intervention study.
Khan A, Spector ND, Baird JD, et al. BMJ. 2018;363:k4764.
Classifying safety events related to diagnostic imaging from a safety reporting system using a human factors framework.
Lacson R, Cochon L, Ip I, et al. J Am Coll Radiol. 2019;16:282-288.
Quality improvement in ambulatory surgery centers: a major national effort aimed at reducing infections and other surgical complications.
Davis KK, Mahishi V, Singal R, et al. J Clin Med Res. 2019;11:7-14.
Racial, ethnic, and socioeconomic disparities in patient safety events for hospitalized children.
Stockwell DC, Landrigan CP, Toomey SL, et al; GAPPS Study Group. Hosp Pediatr. 2019;9:1-5.
The Joint Commission Big Book of Checklists. 2nd Edition.
Oakbrook Terrance, IL: Joint Commission; 2018. ISBN: 9781635850598.
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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