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Campbell SM, Bell BG, Marsden K, et al. J Patient Saf. 2018 Feb 15; [Epub ahead of print].
Campbell SM ; Bell BG ; Marsden K; et al. A patient safety toolkit for family practices. J Patient Saf. 2018 Feb 15; [Epub ahead of print]
Improving patient safety in the ambulatory setting is an increasing area of focus. In this study, investigators described the use of a patient safety toolkit across 46 outpatient family practices in England.
8th Annual Oregon Patient Safety Forum.
Oregon Patient Safety Commission. March 15, 2019; Sentinel Hotel, Portland, OR.
Front Line of Defense: The Role of Nurses in Preventing Sentinel Events. Third Edition.
Joint Commission and the American Nurses Association. Oakbrook, IL: Joint Commission Resources, Inc; 2018. ISBN: 9781635850611.
Harveian Oration 2018: improving quality and safety in healthcare.
Dixon-Woods M. Clin Med (Lond). 2019;19:47-56.
Individual Clinician Performance Issues
Long-term Care and Patient Safety
Triggers and Trigger Tools
Patient Safety: Global Action on Patient Safety.
Executive Board EB144/29 144th session. Geneva, Switzerland: World Health Organization; December 12, 2018.
Framework for Effective Board Governance of Health System Quality.
Daley Ullem E, Gandhi TK, Mate K, Whittington J, Renton M, Huebner J. IHI White Paper. Boston, MA: Institute for Healthcare Improvement; 2018.
Preventing central line–associated bloodstream infections in the intensive care unit: application of high-reliability principles.
McCraw B, Crutcher T, Polancich S, Jones P. J Healthc Qual. 2018;40:392-397.
Association of opioid prescribing with opioid consumption after surgery in Michigan.
Howard R, Fry B, Gunaseelan V, et al. JAMA Surg. 2019;154:e184234.
The Kentucky Institute for Patient Safety and Quality.
2501 Nelson Miller Parkway. Louisville, KY, 40223.
Reducing Diagnostic Errors in Primary Care Pediatrics (Project RedDE!) Toolkit.
Itasca, IL: American Academy of Pediatrics; 2018.
IV push medications survey results—part 1 and part 2.
ISMP Medication Safety Alert! Acute Care Edition. November 1, 2018;23:1-5. November 15, 2018;23:1-5.
What we can do about maternal mortality—and how to do it quickly.
Mann S, Hollier LM, McKay K, Brown H. N Engl J Med. 2018;379:1689-1691.
National Healthcare Quality and Disparities Report: Chartbook on Patient Safety.
Gray D, Azam I. Rockville, MD: Agency for Healthcare Research and Quality; October 2018. AHRQ Publication No. 18(19)-0033-4-EF.
Quality, Value, and Patient Safety in Orthopedic Surgery.
Azar FM, ed. Orthop Clin North Am. 2018;49:A1-A8,389-552.
A Patient-Safe Future.
Patient Safety Learning: London, UK; September 2018.
Crossing the Global Quality Chasm: Improving Health Care Worldwide.
Committee on Improving the Quality of Health Care Globally. National Academies of Sciences, Engineering, and Medicine. Washington DC: National Academies Press; August 2018. ISBN: 9780309483087.
Effects of a multifaceted medication reconciliation quality improvement intervention on patient safety: final results of the MARQUIS study.
Schnipper JL, Mixon A, Stein J, et al. BMJ Qual Saf. 2018;27:954-964.
Transforming concepts in patient safety: a progress report.
Gandhi TK, Kaplan GS, Leape L, et al. BMJ Qual Saf. 2018;27:1019-1026.
No Place Like Home: Advancing the Safety of Care in the Home.
Boston, MA: Institute for Healthcare Improvement; 2018.
Patient safety initiatives in obstetrics: a rapid review.
Antony J, Zarin W, Pham B, et al. BMJ Open. 2018;8:e020170.
2017 John M. Eisenberg Patient Safety and Quality Awards.
Jt Comm J Qual Patient Saf. 2018;44:373-400.
Surgical fires: decreasing incidence relies on continued prevention efforts.
Bruley ME, Arnold TV, Finley E, Deutsch ES, Treadwell JR. PA-PSRS Pa Patient Saf Advis. June 2018;15.
Quality Improvement Series.
British Medical Journal.
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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