-
1
-
-
33745276411
-
Costs of medical injuries in Colorado and Utah in 1992
-
Thomas EJ, Studdert D, Newhouse JP, et al. Costs of medical injuries in Colorado and Utah in 1992. Inquiry 1990;36:255-64.
-
(1990)
Inquiry
, vol.36
, pp. 255-264
-
-
Thomas, E.J.1
Studdert, D.2
Newhouse, J.P.3
-
2
-
-
0034146799
-
Incidence and types of adverse events and negligent care in Utah and Colorado in 1992
-
Thomas EJ, Studdert DM, Burstin HR, et al. Incidence and types of adverse events and negligent care in Utah and Colorado in 1992. Med Care 2000;38:261-71.
-
(2000)
Med Care
, vol.38
, pp. 261-271
-
-
Thomas, E.J.1
Studdert, D.M.2
Burstin, H.R.3
-
3
-
-
20144381547
-
Diagnostic errors in medicine: A case of neglect
-
Graber M. Diagnostic errors in medicine: a case of neglect. Jt Comm J Qual Patient Saf 2005;31:106-13.
-
(2005)
Jt Comm J Qual Patient Saf
, vol.31
, pp. 106-113
-
-
Graber, M.1
-
4
-
-
33745233719
-
-
AHRQ Publication Nos 050021 (1-4), Rockville MD
-
Schiff GD, Kim S, Abrams R, et al. Diagnosing diagnosis errors: lessons from a multi-institutional collaborative project. Advances in patient safety: from research to implementation, Volumes 1-4, AHRQ Publication Nos 050021 (1-4), 2005. Agency for Healthcare Research and Quality, Rockville, MD. Available at http://www.ahrq.gov/qual/advances/ (accessed 15 August 2005).
-
(2005)
Diagnosing Diagnosis Errors: Lessons from a Multi-institutional Collaborative Project. Advances in Patient Safety: From Research to Implementation
, vol.1-4
-
-
Schiff, G.D.1
Kim, S.2
Abrams, R.3
-
5
-
-
0036301483
-
Diagnostic errors
-
Kuhn GJ. Diagnostic errors. Acad Emerg Med 2002;9:740-50.
-
(2002)
Acad Emerg Med
, vol.9
, pp. 740-750
-
-
Kuhn, G.J.1
-
6
-
-
14344251135
-
Fumbled handoffs: One dropped ball after another
-
Gandhi TK. Fumbled handoffs: one dropped ball after another. Ann Intern Med 2005;142:352-8.
-
(2005)
Ann Intern Med
, vol.142
, pp. 352-358
-
-
Gandhi, T.K.1
-
7
-
-
13744259812
-
Improving patient care. The cognitive psychology of missed diagnoses
-
Redelmeier DA. Improving patient care. The cognitive psychology of missed diagnoses. Ann Intern Med 2005;142:115-20.
-
(2005)
Ann Intern Med
, vol.142
, pp. 115-120
-
-
Redelmeier, D.A.1
-
8
-
-
0029901989
-
Sources of situation awareness errors in aviation
-
Jones DG, Endsley MR. Sources of situation awareness errors in aviation. Aviat Space Environ Med 1996;67:507-12.
-
(1996)
Aviat Space Environ Med
, vol.67
, pp. 507-512
-
-
Jones, D.G.1
Endsley, M.R.2
-
9
-
-
0002646001
-
Design and evaluation for situation awareness enhancement
-
24-28 October 1988, Santa Monica, CA
-
Endsley MR. Design and evaluation for situation awareness enhancement. Proceedings of the Human Factors Society 32nd Annual Meeting; 24-28 October 1988, Santa Monica, CA 1988:97-101.
-
Proceedings of the Human Factors Society 32nd Annual Meeting
, vol.1988
, pp. 97-101
-
-
Endsley, M.R.1
-
11
-
-
0001759650
-
A taxonomy of situation awareness errors
-
Fuller R, Johnston N, McDonald N, eds. Aldershot, UK: Ashgate
-
Endsley MR. A taxonomy of situation awareness errors. In: Fuller R, Johnston N, McDonald N, eds. Human factors in aviation operations. Aldershot, UK: Ashgate, 1995:287-92.
-
(1995)
Human Factors in Aviation Operations
, pp. 287-292
-
-
Endsley, M.R.1
-
12
-
-
0041853567
-
The importance of cognitive errors in diagnosis and strategies to minimize them
-
Croskerry P. The importance of cognitive errors in diagnosis and strategies to minimize them. Acad Med 2003;78:775-80.
-
(2003)
Acad Med
, vol.78
, pp. 775-780
-
-
Croskerry, P.1
-
14
-
-
0028097184
-
Error in medicine
-
Leape LL. Error in medicine. JAMA 1994;272:1851-7.
-
(1994)
JAMA
, vol.272
, pp. 1851-1857
-
-
Leape, L.L.1
-
16
-
-
0028584173
-
Does housestaff discontinuity of care increase the risk for preventable adverse events?
-
Petersen LA, Brennan TA, O'Neil AC, et al. Does housestaff discontinuity of care increase the risk for preventable adverse events? Ann Intern Med 1994;121:866-72.
-
(1994)
Ann Intern Med
, vol.121
, pp. 866-872
-
-
Petersen, L.A.1
Brennan, T.A.2
O'Neil, A.C.3
-
17
-
-
22244479675
-
Patient safety concerns arising from test results that return after hospital discharge
-
Roy CL, Poon EG, Karson AS, et al. Patient safety concerns arising from test results that return after hospital discharge. Ann Intern Med 2005;143:121-8.
-
(2005)
Ann Intern Med
, vol.143
, pp. 121-128
-
-
Roy, C.L.1
Poon, E.G.2
Karson, A.S.3
-
18
-
-
0036844583
-
Achieving quality in clinical decision making: Cognitive strategies and detection of bias
-
Croskerry P. Achieving quality in clinical decision making: cognitive strategies and detection of bias. Acad Emerg Med 2002;9:1184-204.
-
(2002)
Acad Emerg Med
, vol.9
, pp. 1184-1204
-
-
Croskerry, P.1
-
19
-
-
0024524717
-
Cognitive errors in diagnosis: Instantiation, classification, and consequences
-
Kassirer JP, Kopelman RI. Cognitive errors in diagnosis: instantiation, classification, and consequences. Am J Med 1989;86:433-41.
-
(1989)
Am J Med
, vol.86
, pp. 433-441
-
-
Kassirer, J.P.1
Kopelman, R.I.2
-
20
-
-
0029004440
-
Toward a theory of situation awareness in dynamic systems
-
Endsley MR. Toward a theory of situation awareness in dynamic systems. Hum Factors 1995;37:32-64.
-
(1995)
Hum Factors
, vol.37
, pp. 32-64
-
-
Endsley, M.R.1
-
21
-
-
6344293994
-
Objective measures of situation awareness in a simulated medical environment
-
Wright MC, Taekman JM, Endsley MR. Objective measures of situation awareness in a simulated medical environment. Qual Saf Health Care 2004;13(Suppl I):i65-71.
-
(2004)
Qual Saf Health Care
, vol.13
-
-
Wright, M.C.1
Taekman, J.M.2
Endsley, M.R.3
-
22
-
-
6344283744
-
A subjective measure of SA: The crew awareness rating scale (CARS)
-
Savannah, Georgia, October
-
McGuinness B, Fay L. A subjective measure of SA: the crew awareness rating scale (CARS). Proceedings of the First Human Performance, Situation Awareness, and Automation Conference, Savannah, Georgia, October, 2000.
-
(2000)
Proceedings of the First Human Performance, Situation Awareness, and Automation Conference
-
-
McGuinness, B.1
Fay, L.2
-
23
-
-
0030030004
-
Medical heuristics: The silent adjudicators of clinical practice
-
McDonald CJ. Medical heuristics: the silent adjudicators of clinical practice. Ann Intern Med 1996;124:56-62.
-
(1996)
Ann Intern Med
, vol.124
, pp. 56-62
-
-
McDonald, C.J.1
-
25
-
-
2342585431
-
Hindsight ≠ foresight: The effect of outcome knowledge on judgment under uncertainly
-
Fischhoff B. Hindsight ≠ foresight: the effect of outcome knowledge on judgment under uncertainly. Qual Saf Health Care 2003;12:304-11.
-
(2003)
Qual Saf Health Care
, vol.12
, pp. 304-311
-
-
Fischhoff, B.1
-
26
-
-
0029030537
-
Measurement of situation awareness in dynamic systems
-
Endsley MR. Measurement of situation awareness in dynamic systems. Hum Factors 1995;37:65-84.
-
(1995)
Hum Factors
, vol.37
, pp. 65-84
-
-
Endsley, M.R.1
-
27
-
-
0001907993
-
Theoretical underpinnings of situation awareness
-
Endsley MR, Garland DJ, eds. Mahwah, NJ: Lawrence Erlbaum Associates
-
Endsley MR. Theoretical underpinnings of situation awareness. In: Endsley MR, Garland DJ, eds. Situation awareness analysis and measurement. Mahwah, NJ: Lawrence Erlbaum Associates, 2000.
-
(2000)
Situation Awareness Analysis and Measurement
-
-
Endsley, M.R.1
-
28
-
-
33751204055
-
-
31 March
-
Joint Commission on Accreditation of Healthcare Organizations. Sentinel event statistics, 31 March 2005. Available at www.icaho.org/ accrediled+organizations/ambulatory+care/sentinel+events/ sentinel_event+statistics.htm (accessed 15 August 2005).
-
(2005)
Sentinel Event Statistics
-
-
-
29
-
-
0034164463
-
The influence of shared mental models on team process and performance
-
Mathieu JE, Heffner TS, Goodwin GF, et al. The influence of shared mental models on team process and performance. J Appl Psychol 2000;85:273-83.
-
(2000)
J Appl Psychol
, vol.85
, pp. 273-283
-
-
Mathieu, J.E.1
Heffner, T.S.2
Goodwin, G.F.3
-
30
-
-
0041161157
-
Running shared mental models as a distributed cognitive process
-
Banks AP, Millward LJ. Running shared mental models as a distributed cognitive process. Br J Psychol 2000;91:513-31.
-
(2000)
Br J Psychol
, vol.91
, pp. 513-531
-
-
Banks, A.P.1
Millward, L.J.2
-
31
-
-
0001907993
-
Training for situation awareness
-
Endsley MR, Garland DJ, eds. Mahwah, NJ: Lawrence Erlbaum Associates
-
Endsley MR, Robertson MM. Training for situation awareness. In: Endsley MR, Garland DJ, eds. Situation awareness analysis and measurement. Mahwah, NJ: Lawrence Erlbaum Associates, 2000.
-
(2000)
Situation Awareness Analysis and Measurement
-
-
Endsley, M.R.1
Robertson, M.M.2
-
32
-
-
33745264173
-
Medical team management: Using teamwork to prevent medical errors
-
Stone FP. Medical team management: using teamwork to prevent medical errors. Legal Medicine, 2001. Available at http://www.afip.org/Departments/ legalmed/legmed2001/medical.htm (accessed 16 August 2005).
-
(2001)
Legal Medicine
-
-
Stone, F.P.1
-
34
-
-
0036200962
-
The role of non-technical skills in anaesthesia: A review of current literature
-
Fletcher GC, McGeorge P, Flin RH, et al. The role of non-technical skills in anaesthesia: a review of current literature. Br J Anaesth 2002;88:418-29.
-
(2002)
Br J Anaesth
, vol.88
, pp. 418-429
-
-
Fletcher, G.C.1
McGeorge, P.2
Flin, R.H.3
-
36
-
-
33745251310
-
-
Simulation Center for Crisis Management Training in Health Care. VAPAHCS Patient Safety Center of Inquiry. Available at http://anesthesia.stanford.edu/ VASimulator/simulator.htm (accessed 16 August 2005).
-
VAPAHCS Patient Safety Center of Inquiry
-
-
-
37
-
-
0012940337
-
Situation awareness in aviation systems
-
Garland DJ, Wise JA HV, eds. Mahwah, NJ: Lawrence Erlbaum Associates
-
Endsley MR. Situation awareness in aviation systems. In: Garland DJ, Wise JA HV, eds. Handbook of aviation human factors. Mahwah, NJ: Lawrence Erlbaum Associates, 1999.
-
(1999)
Handbook of Aviation Human Factors
-
-
Endsley, M.R.1
-
38
-
-
0036933274
-
Error reduction and performance improvement in the emergency department through formal teamwork training: Evaluation results of the MedTeams project
-
Morey JC, Simon R, Jay GD, et al. Error reduction and performance improvement in the emergency department through formal teamwork training: evaluation results of the MedTeams project. Health Serv Res 2002;37:1553-81.
-
(2002)
Health Serv Res
, vol.37
, pp. 1553-1581
-
-
Morey, J.C.1
Simon, R.2
Jay, G.D.3
-
39
-
-
0032915964
-
A methodology for enhancing crew resource management training
-
Salas E, Prince C, Bowers CA. A methodology for enhancing crew resource management training. Hum Factors 1999;41:161-72.
-
(1999)
Hum Factors
, vol.41
, pp. 161-172
-
-
Salas, E.1
Prince, C.2
Bowers, C.A.3
-
40
-
-
6344229692
-
The human factor: The critical importance of effective teamwork and communication in providing safe care
-
Leonard M, Graham S, Bonacum D. The human factor: the critical importance of effective teamwork and communication in providing safe care. Qual Saf Health Care 2004;13(Suppl I):i85-90.
-
(2004)
Qual Saf Health Care
, vol.13
, Issue.SUPPL. I
-
-
Leonard, M.1
Graham, S.2
Bonacum, D.3
-
41
-
-
14844340164
-
Perinatal patient safety project: A multicenter approach to improve performance reliability at Kaiser Permanente
-
McFerran S, Nunes J, Pucci D, et al. Perinatal patient safety project: a multicenter approach to improve performance reliability at Kaiser Permanente. J Perinat Neonatal Nurs 2005;19:37-45.
-
(2005)
J Perinat Neonatal Nurs
, vol.19
, pp. 37-45
-
-
McFerran, S.1
Nunes, J.2
Pucci, D.3
-
42
-
-
0034153651
-
MedTeams: Teamwork advances emergency department effectiveness and reduces medical errors
-
Simon R, Salisbury M, Wagner G. MedTeams: teamwork advances emergency department effectiveness and reduces medical errors. Ambul Outreach 2000:21-4.
-
(2000)
Ambul Outreach
, pp. 21-24
-
-
Simon, R.1
Salisbury, M.2
Wagner, G.3
-
43
-
-
1542327773
-
Some unintended consequences of information technology in health care: The nature of patient care information system-related errors
-
Ash JS, Berg M, Coiera E. Some unintended consequences of information technology in health care: the nature of patient care information system-related errors. J Am Med Inform Assoc 2004;11:104-12.
-
(2004)
J Am Med Inform Assoc
, vol.11
, pp. 104-112
-
-
Ash, J.S.1
Berg, M.2
Coiera, E.3
-
44
-
-
21544465890
-
Comprehensive analysis of a medication dosing error related to CPOE
-
Horsky J, Kuperman GJ, Patel VL. Comprehensive analysis of a medication dosing error related to CPOE. J Am Med Inform Assoc 2005;12:377-82.
-
(2005)
J Am Med Inform Assoc
, vol.12
, pp. 377-382
-
-
Horsky, J.1
Kuperman, G.J.2
Patel, V.L.3
|