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Sydney, Australia: Australian Commission on Safety and Quality in Health Care; 2008. ISBN: 9780980346275.
This report compiles public and private data to provide insight into the quality and safety of patient care in Australian hospitals.
Journal Article > Review
Systematic review of safety checklists for use by medical care teams in acute hospital settings—limited evidence of effectiveness.
Ko HCH, Turner TJ, Finnigan MA. BMC Health Serv Res. 2011;11:211.
Checklists have resulted in some of the most prominent successes of the patient safety movement, and the resulting publicity has led to wider implementation of checklists in a variety of care settings. This rapid dissemination of checklists has been accompanied by cautionary notes from those who have examined successful checklist-based interventions, who stress the importance of safety culture and other factors in ensuring intervention success. This systematic review of nine published studies of checklists also strikes a cautionary note, finding only moderate evidence that checklists are associated with safety improvements and noting significant methodological weaknesses in the existing literature base. Checklists are a powerful improvement tool, but as this study highlights, their success is often dependent on other interventions.
Journal Article > Study
Multicentre study to develop a medication safety package for decreasing inpatient harm from omission of time-critical medications.
Graudins LV, Ingram C, Smith BT, Ewing WJ, Vandevreede M. Int J Qual Health Care. 2015;27:67-74.
Omitted or delayed dosing of medications is an aspect of missed nursing care in inpatient settings. This quality improvement study describes an audit and feedback tool to ensure timely medication administration in hospitals. This type of standardized work and feedback, influenced by human factors engineering, has been applied to many patient safety programs.