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Journal Article > Commentary
Gandhi TK, Lee TH. N Engl J Med. 2010;363:1001-1003.
This commentary discusses challenges for patient safety improvement work in the ambulatory setting along with recommendations for addressing them.
Journal Article > Study
Patient safety and image transfer between referring hospitals and neuroscience centres: could we do better?
Crocker M, Cato-Addison WB, Pushpananthan S, Jones TL, Anderson J, Bell BA. Br J Neurosurg. 2010;24:391-395.
This British study contends that the inability to reliably transmit CT and MRI images between hospitals for patients with possible neurosurgical emergencies is a potential source of diagnostic error and patient harm.
Rockville, MD: Agency for Healthcare Research and Quality. Special Emphasis Notice. October 25, 2007. Publication No. NOT-HS-08-002.
St. Paul, MN: Minnesota Department of Health; January 2009.
This report provides background on the Minnesota Never Events reporting initiative, tips for patients on how to receive the safest care possible, and a table of events reported by all hospitals in the state.