Narrow Results Clear All
- Communication Improvement 3
- Education and Training 1
- Error Reporting and Analysis 1
- Human Factors Engineering
- Logistical Approaches 1
- Quality Improvement Strategies 2
- Specialization of Care 1
- Teamwork 1
- Device-related Complications 1
- Discontinuities, Gaps, and Hand-Off Problems 1
- Identification Errors 1
- Medical Complications
- Medication Safety 1
- Surgical Complications
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ASQ Quarterly Quality Report. Milwaukee, WI: American Society of Quality; October 2008.
This report describes strategies for health care institutions to prevent never events, based on results of a 2008 survey of quality professionals.
Pronovost PJ. On Call. IHI Open School for Health Professionals. November 3, 2008.
Journal Article > Commentary
Saufl NM. J Perianesth Nurs. 2009;24:114-118.
This commentary provides background on the development of the Joint Commission's 2009 National Patient Safety Goals and summarizes the goals set for the hospital environment.
Journal Article > Study
Anthony T, Murray BW, Sum-Ping JT, et al. Arch Surg. 2011;146:263-269.
Checklists of evidence-based interventions have resulted in notable successes in patient safety, particularly in preventing central line–associated bloodstream infections. This randomized controlled trial attempted to extend the checklist approach to prevention of surgical site infection. However, despite implementing five evidence-based practices in a bundled approach, the incidence of postoperative infections was actually higher in the intervention group compared with patients receiving standard infection prophylaxis. A commentary by the developers of the Keystone ICU checklist discusses the utility and limitations of checklists in improving safety.