-
2
-
-
32944460884
-
Medical errors: five years after the IOM report
-
July
-
Bleich S. Medical errors: five years after the IOM report. Issue Brief Commonw Fund. 2005;July(830):1-15.
-
(2005)
Issue Brief Commonw Fund
, Issue.830
, pp. 1-15
-
-
Bleich, S.1
-
3
-
-
33746909153
-
Tracking progress in patient safety: an elusive target
-
Pronovost PJ, Miller MR, Wachter RM. Tracking progress in patient safety: an elusive target. JAMA. 2006;296(6):696-699.
-
(2006)
JAMA
, vol.296
, Issue.6
, pp. 696-699
-
-
Pronovost, P.J.1
Miller, M.R.2
Wachter, R.M.3
-
4
-
-
80052006643
-
-
Consumers Union Web site, Published May 19, 2009. Revised May 22, Accessed November 9 2011
-
McGiffert L, McCauley M, Levin A. US health care system fails to protect patients from deadly medical errors: Consumers Union assesses lack of progress ten years after Institute of Medicine found up to 98 000 die from preventable errors. Consumers Union Web site. http://www.consumersunion.org /pub/core_health_care/011324.html. Published May 19, 2009. Revised May 22, 2009. Accessed November 9, 2011.
-
(2009)
US health care system fails to protect patients from deadly medical errors: Consumers Union assesses lack of progress ten years after Institute of Medicine found up to 98 000 die from preventable errors
-
-
McGiffert, L.1
McCauley, M.2
Levin, A.3
-
5
-
-
57349175943
-
Is health care getting safer? We have little idea
-
Vincent C, Aylin P, Francklin B, Iskander S, Jacklin A, Moorthy K. Is health care getting safer? We have little idea. BMJ. 2008;337: a2426.
-
(2008)
BMJ
, vol.337
-
-
Vincent, C.1
Aylin, P.2
Francklin, B.3
Iskander, S.4
Jacklin, A.5
Moorthy, K.6
-
6
-
-
23844432611
-
The Critical Care Safety Study: the incidence and nature of adverse events and serious medical errors in intensive care
-
Rothschild JM, Landrigan CP, Cronin JW, et al. The Critical Care Safety Study: the incidence and nature of adverse events and serious medical errors in intensive care. Crit Care Med. 2005;33(8):1694-1700.
-
(2005)
Crit Care Med
, vol.33
, Issue.8
, pp. 1694-1700
-
-
Rothschild, J.M.1
Landrigan, C.P.2
Cronin, J.W.3
-
8
-
-
35848966751
-
How safe is my intensive care unit? An overview of error causation and prevention
-
Valentin A, Bion J. How safe is my intensive care unit? An overview of error causation and prevention. Curr Opin Crit Care. 2007; 13(6):697-702.
-
(2007)
Curr Opin Crit Care
, vol.13
, Issue.6
, pp. 697-702
-
-
Valentin, A.1
Bion, J.2
-
9
-
-
10344239384
-
Beyond the organisational accident: the need for " error wisdom" on the frontline
-
Reason J. Beyond the organisational accident: the need for " error wisdom" on the frontline. Qual Saf Health Care. 2004;13(suppl2): ii28-ii33.
-
(2004)
Qual Saf Health Care
, vol.1
, Issue.SUPPL. 2
-
-
Reason, J.1
-
10
-
-
84861160450
-
-
Human Error. Cambridge, UK: Cambridge University Press;
-
Reason J. Human Error. Cambridge, UK: Cambridge University Press; 1990.
-
(1990)
-
-
Reason, J.1
-
11
-
-
0011145362
-
Promoting patient safety though reducing medical error: a paradigm of cooperation between patient, physician and attorney
-
Liang BA. Promoting patient safety though reducing medical error: a paradigm of cooperation between patient, physician and attorney. Southern Ill Univ Law J. 2000;24:544-568.
-
(2000)
Southern Ill Univ Law J
, vol.24
, pp. 544-568
-
-
Liang, B.A.1
-
14
-
-
84861160453
-
-
Agency for Healthcare Research and Quality Web M&M Web site, Published September Accessed November 9 2011
-
Caution, interrupted. Agency for Healthcare Research and Quality Web M&M Web site. http://www.webmm.ahrq.gov/case.aspx? caseID=73. Published September 2004. Accessed November 9, 2011.
-
(2004)
Caution, interrupted
-
-
-
15
-
-
0029319485
-
Understanding adverse events: human factors
-
Reason J. Understanding adverse events: human factors. Qual Health Care. 1995;4: 80-89.
-
(1995)
Qual Health Care
, vol.4
, pp. 80-89
-
-
Reason, J.1
-
17
-
-
84861145856
-
The five rights cannot stand alone
-
Smetzer J, Tuohy N, Cohen MR, Jenkins R. The five rights cannot stand alone. Nurse Advise-ERR. 2004;2(11):1.
-
(2004)
Nurse Advise-ERR
, vol.2
, Issue.11
, pp. 1
-
-
Smetzer, J.1
Tuohy, N.2
Cohen, M.R.3
Jenkins, R.4
-
18
-
-
0036489344
-
Combating omission errors through task analysis and good reminders
-
Reason J. Combating omission errors through task analysis and good reminders. Qual Saf Health Care. 2002;11:40-44.
-
(2002)
Qual Saf Health Care
, vol.11
, pp. 40-44
-
-
Reason, J.1
-
19
-
-
4043145965
-
Thrombolytic therapy: no room for error
-
Paparella S. Thrombolytic therapy: no room for error. J Emerg Nurs. 2004;30(4):348-350.
-
(2004)
J Emerg Nurs
, vol.30
, Issue.4
, pp. 348-350
-
-
Paparella, S.1
-
22
-
-
0034681819
-
Human error: models and management
-
Reason J. Human error: models and management. BMJ. 2000;320:768-770.
-
(2000)
BMJ
, vol.320
, pp. 768-770
-
-
Reason, J.1
-
23
-
-
32044458833
-
Empowering patients to improve safety
-
Alvarez K. Empowering patients to improve safety. Qual Saf Health Care. 2006;21(1):5-6.
-
(2006)
Qual Saf Health Care
, vol.21
, Issue.1
, pp. 5-6
-
-
Alvarez, K.1
-
24
-
-
84861163721
-
-
Joint Commission Web site, Published July 30, Accessed November 22 2011
-
Speak up: help prevent errors in your care [poster]. Joint Commission Web site. http://www.jointcommission.org/Speak_ Up_Help_Prevent_Errors_in_Your_Care_ Poster. Published July 30, 2009. Accessed November 22, 2011.
-
(2009)
Speak up: help prevent errors in your care [poster]
-
-
-
25
-
-
84861160455
-
-
TeamSTEPPS®. Agency for Healthcare Research and Quality Web site, Accessed November 9
-
TeamSTEPPS®. Agency for Healthcare Research and Quality Web site. http:// teamstepps.ahrq.gov/. Accessed November 9, 2011.
-
(2011)
-
-
-
26
-
-
33748742156
-
Crew resource management: applications in healthcare organizations
-
Oriol MD. Crew resource management: applications in healthcare organizations. J Nurs Admin. 2006;36(9):402-406.
-
(2006)
J Nurs Admin
, vol.36
, Issue.9
, pp. 402-406
-
-
Oriol, M.D.1
-
27
-
-
34249802888
-
Medical team training: applying crew resource management in the Veterans Health Administration
-
Dunn EJ, Mills PD, Neily J, Crittenden MD, Carmack AL, Bagian JP. Medical team training: applying crew resource management in the Veterans Health Administration. Jt Comm J Qual Patient Saf. 2007;33(6):317-325.
-
(2007)
Jt Comm J Qual Patient Saf
, vol.33
, Issue.6
, pp. 317-325
-
-
Dunn, E.J.1
Mills, P.D.2
Neily, J.3
Crittenden, M.D.4
Carmack, A.L.5
Bagian, J.P.6
-
28
-
-
84861160449
-
-
ed. Strategies for Building a Hospitalwide Culture of Safety. 1st ed. Oak Brook IL: Joint Commission Resources
-
Frankel AS, ed. Strategies for Building a Hospitalwide Culture of Safety. 1st ed. Oak Brook, IL: Joint Commission Resources; 2006.
-
(2006)
-
-
Frankel, A.S.1
-
29
-
-
10244262648
-
Promoting a culture of safety
-
Shojania KG, Duncan BW, McDonald KM, Wachter RM, eds
-
Pizzi LT, Goldfarb NI, Nash DB. Promoting a culture of safety. In: Shojania KG, Duncan BW, McDonald KM, Wachter RM, eds. Making Health Care Safer: A Critical Analysis of Patient Safety Practices. Rockville, MD: Agency for Healthcare Quality and Research; 2001.
-
(2001)
Making Health Care Safer: A Critical Analysis of Patient Safety Practices. Rockville, MD: Agency for Healthcare Quality and Research
-
-
Pizzi, L.T.1
Goldfarb, N.I.2
Nash, D.B.3
-
30
-
-
58249087385
-
Hand-off communication: a requisite for perioperative patient safety
-
Amato-Vealey E, Barba MP, Vealey RJ. Hand-off communication: a requisite for perioperative patient safety. AORN. 2008; 88(5):763-770.
-
(2008)
AORN
, vol.88
, Issue.5
, pp. 763-770
-
-
Amato-Vealey, E.1
Barba, M.P.2
Vealey, R.J.3
-
31
-
-
38149081351
-
Development of medical checklists for improved quality of patient care
-
Hales B, Terblanche M, Fowler R, Sibbald W. Development of medical checklists for improved quality of patient care. Int J Qual Health Care. 2008;20(1):22-30.
-
(2008)
Int J Qual Health Care
, vol.20
, Issue.1
, pp. 22-30
-
-
Hales, B.1
Terblanche, M.2
Fowler, R.3
Sibbald, W.4
-
32
-
-
33748747494
-
The checklist-a tool for error management and performance improvement
-
Hales BM, Pronovost PJ. The checklist-a tool for error management and performance improvement. J Crit Care. 2006;21:231-235.
-
(2006)
J Crit Care
, vol.21
, pp. 231-235
-
-
Hales, B.M.1
Pronovost, P.J.2
-
33
-
-
0037227043
-
Cognitive forcing strategies in clinical decisionmaking
-
Croskerry P. Cognitive forcing strategies in clinical decisionmaking. Ann Emerg Med. 2003;41(1):110-120.
-
(2003)
Ann Emerg Med
, vol.41
, Issue.1
, pp. 110-120
-
-
Croskerry, P.1
-
34
-
-
0037118687
-
Unexpected hypoglycemia in a critically ill patient
-
Bates DW. Unexpected hypoglycemia in a critically ill patient. Ann Intern Med. 2002; 137(2):110-116.
-
(2002)
Ann Intern Med
, vol.137
, Issue.2
, pp. 110-116
-
-
Bates, D.W.1
|