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Journal Article > Commentary
Sachs BP. JAMA. 2005;294:833-840.
Part of a series in JAMA entitled Clinical Crossroads, this case study discusses the unfortunate events surrounding a 38-year-old woman's presentation to a labor and delivery unit. The case details a seemingly routine full-term pregnancy that rapidly evolved into a course of complications, ultimately leading to a fetal death, a hysterectomy, and a prolonged hospital course. The discussion shares the experience through the eyes of the patient, her husband, and the primary obstetrician. Further exploration of the case identified several specific factors and broader systems issues that contributed to the events. The author shares how this particular institution responded with overarching changes, including a greater emphasis on teamwork, communication, and appropriate staffing of labor and delivery units to promote safety.
Journal Article > Review
Tourangeau AE, Cranley LA, Jeffs L. Qual Saf Health Care. 2006;15:4-8.
The authors reviewed the literature and found seven categories of patient mortality determinants. They provide strategies for improving quality of care based on their findings.
Journal Article > Study
The impact of nursing work environments on patient safety outcomes: the mediating role of burnout engagement.
Spence Laschinger HK, Leiter MP. J Nurs Adm. 2006;36:259-267.
The investigators surveyed Canadian nurses to explore the relationship between ineffective working conditions and patient safety. Their findings suggest a correlation between a supportive working environment and high-quality, safe care.
Alexander M. Reader's Digest. June 2007.
This article reports on the potential for medical errors to occur during the night shift and the factors that contribute to these mistakes.