-
1
-
-
33751204055
-
-
Accessed October 14, 2007
-
Joint Commission on Accreditation of Healthcare Organizations. Sentinel event statistics. http://www.jointcommission.org/SentinelEvents/Statistics. Accessed October 14, 2007.
-
Sentinel event statistics
-
-
-
2
-
-
1542318881
-
Communication failures: An insidious contributor to medical mishaps
-
Sutcliffe KM, Lewton E, Rosenthal MM. Communication failures: an insidious contributor to medical mishaps. Acad Med. 2004;79(2):186-194.
-
(2004)
Acad Med
, vol.79
, Issue.2
, pp. 186-194
-
-
Sutcliffe, K.M.1
Lewton, E.2
Rosenthal, M.M.3
-
3
-
-
0037600690
-
Analysis of errors reported by surgeons at three teaching hospitals
-
Gawande AA, Zinner MJ, Studdert DM, Brennan TA. Analysis of errors reported by surgeons at three teaching hospitals. Surgery. 2003;133(6):614-621.
-
(2003)
Surgery
, vol.133
, Issue.6
, pp. 614-621
-
-
Gawande, A.A.1
Zinner, M.J.2
Studdert, D.M.3
Brennan, T.A.4
-
4
-
-
14344251135
-
Fumbled handoffs: One dropped ball after another
-
Gandhi TK. Fumbled handoffs: one dropped ball after another. Ann Intern Med. 2005;142(5):352-358.
-
(2005)
Ann Intern Med
, vol.142
, Issue.5
, pp. 352-358
-
-
Gandhi, T.K.1
-
5
-
-
38549129841
-
-
2006 Joint Commission national patient safety goals, Updated May 2005; accessed December 1, 2005
-
2006 Joint Commission national patient safety goals. http://www. jcipatientsafety.org/. Updated May 2005; accessed December 1, 2005.
-
-
-
-
6
-
-
18644383685
-
Five years after To Err Is Human: What have we learned?
-
Leape LL, Berwick DM. Five years after To Err Is Human: what have we learned? JAMA. 2005;293(19):2384-2390.
-
(2005)
JAMA
, vol.293
, Issue.19
, pp. 2384-2390
-
-
Leape, L.L.1
Berwick, D.M.2
-
7
-
-
25444448210
-
Accidental deaths, saved lives, and improved quality
-
Brennan TA, Gawande A, Thomas E, Studdert D. Accidental deaths, saved lives, and improved quality. N Engl J Med. 2005;353(13):1405-1409.
-
(2005)
N Engl J Med
, vol.353
, Issue.13
, pp. 1405-1409
-
-
Brennan, T.A.1
Gawande, A.2
Thomas, E.3
Studdert, D.4
-
8
-
-
17844392604
-
Five system barriers to achieving ultrasafe health care
-
Amalberti R, Auroy Y, Berwick D, Barach P. Five system barriers to achieving ultrasafe health care. Ann Intern Med. 2005;142(9):756-764.
-
(2005)
Ann Intern Med
, vol.142
, Issue.9
, pp. 756-764
-
-
Amalberti, R.1
Auroy, Y.2
Berwick, D.3
Barach, P.4
-
9
-
-
0032871749
-
Association between nurse-physician collaboration and patient outcomes in three intensive care units
-
Baggs JG, Schmitt MH, Mushlin AI, et al. Association between nurse-physician collaboration and patient outcomes in three intensive care units. Crit Care Med. 1999;27(9):1991-1998.
-
(1999)
Crit Care Med
, vol.27
, Issue.9
, pp. 1991-1998
-
-
Baggs, J.G.1
Schmitt, M.H.2
Mushlin, A.I.3
-
10
-
-
0038311041
-
Improving communication in the ICU using daily goals
-
Pronovost P, Berenholtz S, Dorman T, Lipsett PA, Simmonds T, Haraden C. Improving communication in the ICU using daily goals. J Crit Care. 2003;18(2):71-75.
-
(2003)
J Crit Care
, vol.18
, Issue.2
, pp. 71-75
-
-
Pronovost, P.1
Berenholtz, S.2
Dorman, T.3
Lipsett, P.A.4
Simmonds, T.5
Haraden, C.6
-
11
-
-
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(6):1553-1581.
-
(2002)
Health Serv Res
, vol.37
, Issue.6
, pp. 1553-1581
-
-
Morey, J.C.1
Simon, R.2
Jay, G.D.3
-
12
-
-
27144495832
-
Getting teams to talk: Development and pilot implementation of a checklist to promote interprofessional communication in the OR
-
Lingard L, Espin S, Rubin B, et al. Getting teams to talk: development and pilot implementation of a checklist to promote interprofessional communication in the OR. Qual Saf Health Care. 2005;14(5):340-346.
-
(2005)
Qual Saf Health Care
, vol.14
, Issue.5
, pp. 340-346
-
-
Lingard, L.1
Espin, S.2
Rubin, B.3
-
13
-
-
26844535039
-
Bridging the communication gap in the operating room with medical team training
-
Awad SS, Fagan SP, Bellows C, et al. Bridging the communication gap in the operating room with medical team training. Am J Surg. 2005;190(5):770-774.
-
(2005)
Am J Surg
, vol.190
, Issue.5
, pp. 770-774
-
-
Awad, S.S.1
Fagan, S.P.2
Bellows, C.3
-
14
-
-
28944441946
-
Creating a safer healthcare system: Finding the constraint
-
Pauker SG, Zane EM, Salem DN. Creating a safer healthcare system: finding the constraint. JAMA. 2005;294(22):2906-2908.
-
(2005)
JAMA
, vol.294
, Issue.22
, pp. 2906-2908
-
-
Pauker, S.G.1
Zane, E.M.2
Salem, D.N.3
-
15
-
-
33845864149
-
A theory-based instrument to evaluate team communication in the operating room: Balancing measurement authenticity and reliability
-
Lingard L, Regehr G, Espin S, Whyte S. A theory-based instrument to evaluate team communication in the operating room: balancing measurement authenticity and reliability. Qual Saf Health Care. 2006;15(6):422-426.
-
(2006)
Qual Saf Health Care
, vol.15
, Issue.6
, pp. 422-426
-
-
Lingard, L.1
Regehr, G.2
Espin, S.3
Whyte, S.4
-
19
-
-
0034130037
-
Human factors and cardiac surgery: A multicenter study
-
de Leval MR, Carthey J, Wright DF, et al. Human factors and cardiac surgery: a multicenter study. J Thorac Cardiovasc Surg. 2000;119(4 pt 1):661-672.
-
(2000)
J Thorac Cardiovasc Surg
, vol.119
, Issue.4 PART 1
, pp. 661-672
-
-
de Leval, M.R.1
Carthey, J.2
Wright, D.F.3
-
20
-
-
4243112808
-
A string of mistakes: The importance of cascade analysis in describing, counting, and preventing medical errors
-
Woolf S, Kuzel AJ, Dovey SM, Phillips RL Jr. A string of mistakes: the importance of cascade analysis in describing, counting, and preventing medical errors. Ann Fam Med. 2004;2(4):317-326.
-
(2004)
Ann Fam Med
, vol.2
, Issue.4
, pp. 317-326
-
-
Woolf, S.1
Kuzel, A.J.2
Dovey, S.M.3
Phillips Jr, R.L.4
-
21
-
-
0034681762
-
On error management: Lessons from aviation
-
Helmreich RL. On error management: lessons from aviation. BMJ. 2000;320(7237):781-785.
-
(2000)
BMJ
, vol.320
, Issue.7237
, pp. 781-785
-
-
Helmreich, R.L.1
-
22
-
-
33749184668
-
Towards safer interprofessional communication: Constructing a model of "utility" from preoperative team briefings
-
Lingard L, Whyte S, Espin S, Baker GR, Orser B, Doran D. Towards safer interprofessional communication: constructing a model of "utility" from preoperative team briefings. J Interprof Care. 2006;20(5):471-483.
-
(2006)
J Interprof Care
, vol.20
, Issue.5
, pp. 471-483
-
-
Lingard, L.1
Whyte, S.2
Espin, S.3
Baker, G.R.4
Orser, B.5
Doran, D.6
-
23
-
-
0004223940
-
-
New York, NY: Cambridge University Press;
-
Reason JT. Human Error. New York, NY: Cambridge University Press; 1990.
-
(1990)
Human Error
-
-
Reason, J.T.1
|