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Journal Article > Review
Woodall N, Frerk C, Cook TM. Anaesthesia. 2011;66(suppl 2):27-33.
This commentary summarizes a report on airway management safety in the United Kingdom and suggests tactics to generate improvements.
Journal Article > Study
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.
An advocate for clinical education (a nurse who rounded with medicine and surgery teams) provided team-specific feedback on patient safety measures to residents and attending physicians based on direct observation of clinical care. The feedback was well received by physicians and was associated with some improvement in hand hygiene practices.
Cases & Commentaries
- Spotlight Case
- Web M&M
Jeremy P. Feldman, MD; Michael K. Gould, MD, MS ; March 2004
A central line placed incorrectly causes a patient to suffer permanent neurologic damage.