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Volumn 63, Issue , 2012, Pages 447-463

Reducing medical errors and adverse events

Author keywords

Adverse events; Diagnostic errors; Falls; Handoff errors; Hospital acquired infection; Medication errors; Surgical errors

Indexed keywords

VITAMIN D;

EID: 84862958699     PISSN: 00664219     EISSN: 1545326X     Source Type: Book Series    
DOI: 10.1146/annurev-med-061410-121352     Document Type: Review
Times cited : (142)

References (125)
  • 2
    • 84855947243 scopus 로고    scopus 로고
    • Crisis in hospital-acquired, healthcare-associated infections
    • In press
    • Calfee DP. 2012. Crisis in hospital-acquired, healthcare-associated infections. Annu. Rev. Med. 63:In press
    • (2012) Annu. Rev. Med. , pp. 63
    • Calfee, D.P.1
  • 4
    • 0029066463 scopus 로고
    • Incidence of adverse drug events and potential adverse drug events. Implications for prevention. ADE prevention study group
    • Bates DW, Cullen DJ, Laird N, et al. 1995. Incidence of adverse drug events and potential adverse drug events. Implications for prevention. ADE prevention study group. JAMA 274(1):29-34
    • (1995) JAMA , vol.274 , Issue.1 , pp. 29-34
    • Bates, D.W.1    Cullen, D.J.2    Laird, N.3
  • 5
    • 77950484835 scopus 로고    scopus 로고
    • The impact of computerized provider order entry on medication errors in a multispecialty group practice
    • Devine EB, Hansen RN, Wilson-Norton JL, et al. 2010. The impact of computerized provider order entry on medication errors in a multispecialty group practice. J. Am. Med. Inform. Assoc. 17(1):78-84
    • (2010) J. Am. Med. Inform. Assoc. , vol.17 , Issue.1 , pp. 78-84
    • Devine, E.B.1    Hansen, R.N.2    Wilson-Norton, J.L.3
  • 6
    • 79955007166 scopus 로고    scopus 로고
    • Addition of electronic prescription transmission to computerized prescriber order entry: Effect on dispensing errors in community pharmacies
    • Moniz TT, Seger AC, Keohane CA, et al. 2011. Addition of electronic prescription transmission to computerized prescriber order entry: effect on dispensing errors in community pharmacies. Am. J. Health Syst. Pharm. 68(2):158-63
    • (2011) Am. J. Health Syst. Pharm. , vol.68 , Issue.2 , pp. 158-163
    • Moniz, T.T.1    Seger, A.C.2    Keohane, C.A.3
  • 7
    • 77954373218 scopus 로고    scopus 로고
    • Decrease in hospital-wide mortality rate after implementation of a commercially sold computerized physician order entry system
    • Longhurst CA, Parast L, Sandborg CI, et al. 2010. Decrease in hospital-wide mortality rate after implementation of a commercially sold computerized physician order entry system. Pediatrics 126(1):14-21
    • (2010) Pediatrics , vol.126 , Issue.1 , pp. 14-21
    • Longhurst, C.A.1    Parast, L.2    Sandborg, C.I.3
  • 8
    • 78650895054 scopus 로고    scopus 로고
    • Hospital computerized provider order entry adoption and quality: An examination of the United States
    • Swanson Kazley A, DianaM L. 2011. Hospital computerized provider order entry adoption and quality: an examination of the United States. Health Care Manage. Rev. 36(1):86-94
    • (2011) Health Care Manage. Rev. , vol.36 , Issue.1 , pp. 86-94
    • Swanson Kazley, A.1    Diana, M.L.2
  • 10
    • 77950904191 scopus 로고    scopus 로고
    • Effect of point-of-care computer reminders on physician behaviour: A systematic review
    • Shojania KG, Jennings A, Mayhew A, et al. 2010. Effect of point-of-care computer reminders on physician behaviour: a systematic review. Can. Med. Assoc. J. (CMAJ) 182(5):E216-25
    • (2010) Can. Med. Assoc. J. (CMAJ) , vol.182 , Issue.5
    • Shojania, K.G.1    Jennings, A.2    Mayhew, A.3
  • 11
    • 79956066357 scopus 로고    scopus 로고
    • Computerized physician order entry in the critical care environment: A review of current literature
    • Maslove DM, Rizk N, Lowe HJ. 2011. Computerized physician order entry in the critical care environment: a review of current literature. J. Intensive Care Med. 26:165-71
    • (2011) J. Intensive Care Med. , vol.26 , pp. 165-171
    • Maslove, D.M.1    Rizk, N.2    Lowe, H.J.3
  • 12
    • 77951787048 scopus 로고    scopus 로고
    • Effect of bar-code technology on the safety of medication administration
    • Poon EG, Keohane CA, Yoon CS, et al. 2010. Effect of bar-code technology on the safety of medication administration. N. Engl. J. Med. 362(18):1698-707
    • (2010) N. Engl. J. Med. , vol.362 , Issue.18 , pp. 1698-707
    • Poon, E.G.1    Keohane, C.A.2    Yoon, C.S.3
  • 13
    • 79953006766 scopus 로고    scopus 로고
    • Risk of adverse drug events in neonates treated with opioids and the effect of a bar-code-assisted medication administration system
    • Morriss FH Jr, Abramowitz PW, Nelson SP, et al. 2011. Risk of adverse drug events in neonates treated with opioids and the effect of a bar-code-assisted medication administration system. Am. J. Health Syst. Pharm. 68(1):57-62
    • (2011) Am. J. Health Syst. Pharm. , vol.68 , Issue.1 , pp. 57-62
    • Morriss Jr., F.H.1    Abramowitz, P.W.2    Nelson, S.P.3
  • 15
    • 65649099099 scopus 로고    scopus 로고
    • Effect of an electronic medication reconciliation application and process redesign on potential adverse drug events: A cluster-randomized trial
    • Schnipper JL, Hamann C, Ndumele CD, et al. 2009. Effect of an electronic medication reconciliation application and process redesign on potential adverse drug events: a cluster-randomized trial. Arch. Intern. Med. 169(8):771-80
    • (2009) Arch. Intern. Med. , vol.169 , Issue.8 , pp. 771-780
    • Schnipper, J.L.1    Hamann, C.2    Ndumele, C.D.3
  • 16
    • 67249159648 scopus 로고    scopus 로고
    • Effect of medication reconciliation with and without patient counseling on the number of pharmaceutical interventions among patients discharged from the hospital
    • Karapinar-Carkit F, Borgsteede SD, Zoer J, et al. 2009. Effect of medication reconciliation with and without patient counseling on the number of pharmaceutical interventions among patients discharged from the hospital. Ann. Pharmacother. 43(6):1001-10
    • (2009) Ann. Pharmacother. , vol.43 , Issue.6 , pp. 1001-1010
    • Karapinar-Carkit, F.1    Borgsteede, S.D.2    Zoer, J.3
  • 17
    • 66949131417 scopus 로고    scopus 로고
    • Using consumer-based kiosk technology to improve and standardize medication reconciliation in a specialty care setting. Joint Comm
    • Lesselroth B, Adams S, Felder R, et al. 2009. Using consumer-based kiosk technology to improve and standardize medication reconciliation in a specialty care setting. Joint Comm. J. Qual. Patient Saf. 35(5):264-70
    • (2009) J. Qual. Patient Saf. , vol.35 , Issue.5 , pp. 264-270
    • Lesselroth, B.1    Adams, S.2    Felder, R.3
  • 18
    • 0037933312 scopus 로고    scopus 로고
    • Medication errors in hospitals: Computerized unit dose drug dispensing system versus ward stock distribution system
    • DOI 10.1023/A:1024053514359
    • Fontan JE, Maneglier V, Nguyen VX, et al. 2003. Medication errors in hospitals: computerized unit dose drug dispensing system versus ward stock distribution system. Pharm. World Sci. 25(3):112-17 (Pubitemid 36749802)
    • (2003) Pharmacy World and Science , vol.25 , Issue.3 , pp. 112-117
    • Fontan, J.-E.1    Maneglier, V.2    Nguyen, V.X.3    Loirat, C.4    Brion, F.5
  • 19
    • 77954726572 scopus 로고    scopus 로고
    • The influence of tall man lettering on drug name confusion: A laboratory-based investigation in the UK using younger and older adults and healthcare practitioners
    • Filik R, Price J, Darker I, et al. 2010. The influence of tall man lettering on drug name confusion: a laboratory-based investigation in the UK using younger and older adults and healthcare practitioners. Drug Saf. 33(8):677-87
    • (2010) Drug Saf. , vol.33 , Issue.8 , pp. 677-687
    • Filik, R.1    Price, J.2    Darker, I.3
  • 20
    • 73249132699 scopus 로고    scopus 로고
    • Impact of a pharmacist-facilitated hospital discharge program: A quasi-experimental study
    • Walker PC, Bernstein SJ, Jones JN, et al. 2009. Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study. Arch. Intern. Med. 169(21):2003-10
    • (2009) Arch. Intern. Med. , vol.169 , Issue.21 , pp. 2003-2010
    • Walker, P.C.1    Bernstein, S.J.2    Jones, J.N.3
  • 21
    • 34047261095 scopus 로고    scopus 로고
    • Estimating health care-associated infections and deaths in US hospitals, 2002
    • Klevens RM, Edwards JR, Richards CL Jr, et al. 2007. Estimating health care-associated infections and deaths in US hospitals, 2002. Public Health Rep. 122(2):160-66
    • (2007) Public Health Rep. , vol.122 , Issue.2 , pp. 160-166
    • Klevens, R.M.1    Edwards, J.R.2    Richards Jr., C.L.3
  • 22
    • 44449164571 scopus 로고    scopus 로고
    • CDC/NHSN surveillance definition of health care-associated infection and criteria for specific types of infections in the acute care setting
    • DOI 10.1016/j.ajic.2008.03.002, PII S0196655308001673
    • Horan TC, Andrus M, Dudeck MA. 2008. CDC/NHSN surveillance definition of health care-associated infection and criteria for specific types of infections in the acute care setting. Am. J. Infect. Control 36(5):309-32 (Pubitemid 351763841)
    • (2008) American Journal of Infection Control , vol.36 , Issue.5 , pp. 309-332
    • Horan, T.C.1    Andrus, M.2    Dudeck, M.A.3
  • 24
    • 0034667818 scopus 로고    scopus 로고
    • Are physicians aware of which of their patients have indwelling urinary catheters?
    • Saint S, Wiese J, Amory JK, et al. 2000. Are physicians aware of which of their patients have indwelling urinary catheters? Am. J. Med. 109(6):476-80
    • (2000) Am J. Med. , vol.109 , Issue.6 , pp. 476-480
    • Saint, S.1    Wiese, J.2    Amory, J.K.3
  • 25
    • 0041836271 scopus 로고    scopus 로고
    • Relation of postvoid residual to urinary tract infection during stroke rehabilitation
    • DOI 10.1016/S0003-9993(03)00201-6
    • Dromerick AW, Edwards DF. 2003. Relation of postvoid residual to urinary tract infection during stroke rehabilitation. Arch. Phys. Med. Rehabil. 84(9):1369-72 (Pubitemid 37082327)
    • (2003) Archives of Physical Medicine and Rehabilitation , vol.84 , Issue.9 , pp. 1369-1372
    • Dromerick, A.W.1    Edwards, D.F.2
  • 26
    • 0141940674 scopus 로고    scopus 로고
    • A chart audit of factors related to urine flow and urinary tract infection
    • DOI 10.1046/j.1365-2648.2003.02708.x
    • Wilde MH, CarriganM J. 2003. A chart audit of factors related to urine flow and urinary tract infection. J. Adv. Nurs. 43(3):254-62 (Pubitemid 37255869)
    • (2003) Journal of Advanced Nursing , vol.43 , Issue.3 , pp. 254-262
    • Wilde, M.H.1    Jo Carrigan, M.2
  • 27
    • 0942287837 scopus 로고    scopus 로고
    • Effect of Education and Performance Feedback on Rates of Catheter-Associated Urinary Tract Infection in Intensive Care Units in Argentina
    • DOI 10.1086/502291
    • Rosenthal VD, Guzman S, Safdar N. 2004. Effect of education and performance feedback on rates of catheter-associated urinary tract infection in intensive care units in Argentina. Infect. Control Hosp. Epidemiol. 25(1):47-50 (Pubitemid 38139845)
    • (2004) Infection Control and Hospital Epidemiology , vol.25 , Issue.1 , pp. 47-50
    • Rosenthal, V.D.1    Guzman, S.2    Safdar, N.3
  • 28
    • 21544482602 scopus 로고    scopus 로고
    • Guideline for prevention of surgical site infection. hospital infection control practices advisory committee
    • Mangram AJ, Horan TC, Pearson ML, et al. 1999. Guideline for prevention of surgical site infection. Hospital Infection Control Practices Advisory Committee. Infect. Control Hosp. Epidemiol. 20(4):250-78
    • (1999) Infect. Control Hosp. Epidemiol. , vol.20 , Issue.4 , pp. 250-278
    • Mangram, A.J.1    Horan, T.C.2    Pearson, M.L.3
  • 29
    • 0037434515 scopus 로고    scopus 로고
    • Infection control - A problem for patient safety
    • DOI 10.1056/NEJMhpr020557
    • Burke JP. 2003. Infection control-a problem for patient safety. N. Engl. J. Med. 348(7):651-56 (Pubitemid 36204961)
    • (2003) New England Journal of Medicine , vol.348 , Issue.7 , pp. 651-656
    • Burke, J.P.1
  • 30
    • 0033227053 scopus 로고    scopus 로고
    • The impact of surgical-site infections in the 1990s: Attributable mortality, excess length of hospitalization, and extra costs
    • Kirkland KB, Briggs JP, Trivette SL, et al. 1999. The impact of surgical-site infections in the 1990s: attributable mortality, excess length of hospitalization, and extra costs. Infect. Control Hosp. Epidemiol. 20(11):725-30
    • (1999) Infect. Control Hosp. Epidemiol. , vol.20 , Issue.11 , pp. 725-730
    • Kirkland, K.B.1    Briggs, J.P.2    Trivette, S.L.3
  • 31
    • 0034831601 scopus 로고    scopus 로고
    • The occurrence of ventilator-associated pneumonia in a community hospital: Risk factors and clinical outcomes
    • DOI 10.1378/chest.120.2.555
    • Ibrahim EH, Tracy L, Hill C, et al. 2001. The occurrence of ventilator-associated pneumonia in a community hospital: risk factors and clinical outcomes. Chest 120(2):555-61 (Pubitemid 32881275)
    • (2001) Chest , vol.120 , Issue.2 , pp. 555-561
    • Ibrahim, E.H.1    Tracy, L.2    Hill, C.3    Fraser, V.J.4    Kollef, M.H.5
  • 32
    • 58749115934 scopus 로고    scopus 로고
    • Strategies to prevent ventilator-associated pneumonia in acute care hospitals
    • Coffin SE, Klompas M, Classen D, et al. 2008. Strategies to prevent ventilator-associated pneumonia in acute care hospitals. Infect. Control Hosp. Epidemiol. 29(Suppl. 1):S31-40
    • (2008) Infect. Control Hosp. Epidemiol. , vol.29 , Issue.SUPPL. 1
    • Coffin, S.E.1    Klompas, M.2    Classen, D.3
  • 33
    • 77957705829 scopus 로고    scopus 로고
    • Diagnosis, management and prevention of ventilatorassociated pneumonia: An update
    • Vincent JL, de Souza Barros D, Cianferoni S. 2010. Diagnosis, management and prevention of ventilatorassociated pneumonia: an update. Drugs 70(15):1927-44
    • (2010) Drugs , vol.70 , Issue.15 , pp. 1927-1944
    • Vincent, J.L.1    De Souza Barros, D.2    Cianferoni, S.3
  • 34
    • 79952594691 scopus 로고    scopus 로고
    • Collaborative cohort study of an intervention to reduce ventilator-associated pneumonia in the intensive care unit
    • Berenholtz SM, Pham JC, Thompson DA, et al. 2011. Collaborative cohort study of an intervention to reduce ventilator-associated pneumonia in the intensive care unit. Infect. Control Hosp. Epidemiol. 32(4):305-14
    • (2011) Infect. Control Hosp. Epidemiol. , vol.32 , Issue.4 , pp. 305-314
    • Berenholtz, S.M.1    Pham, J.C.2    Thompson, D.A.3
  • 36
    • 77649206944 scopus 로고    scopus 로고
    • Sustaining reductions in catheter related bloodstream infections in Michigan intensive care units: Observational study
    • Pronovost PJ, Goeschel CA, Colantuoni E, et al. 2010. Sustaining reductions in catheter related bloodstream infections in Michigan intensive care units: observational study. BMJ 340:c309
    • (2010) BMJ , vol.340
    • Pronovost, P.J.1    Goeschel, C.A.2    Colantuoni, E.3
  • 37
    • 38049139173 scopus 로고    scopus 로고
    • Reduction of catheter-associated bloodstream infections in pediatric patients: Experimentation and reality
    • McKee C, Berkowitz I, Cosgrove SE, et al. Reduction of catheter-associated bloodstream infections in pediatric patients: experimentation and reality. Pediatr. Crit. Care Med. 9:40-46
    • Pediatr. Crit. Care Med. , vol.9 , pp. 40-46
    • McKee, C.1    Berkowitz, I.2    Cosgrove, S.E.3
  • 38
    • 78650393921 scopus 로고    scopus 로고
    • Exploring relationships between hospital patient safety culture and adverse events
    • Mardon RE, Khanna K, Sorra J, et al. 2010. Exploring relationships between hospital patient safety culture and adverse events. J. Patient Saf. 6(4):226-32
    • (2010) J. Patient Saf. , vol.6 , Issue.4 , pp. 226-232
    • Mardon, R.E.1    Khanna, K.2    Sorra, J.3
  • 39
    • 58549100120 scopus 로고    scopus 로고
    • Teamwork and patient safety in dynamic domains of healthcare: A review of the literature
    • Manser T. 2009. Teamwork and patient safety in dynamic domains of healthcare: a review of the literature. Acta Anaesthesiol. Scand. 53(2):143-51
    • (2009) Acta Anaesthesiol. Scand. , vol.53 , Issue.2 , pp. 143-151
    • Manser, T.1
  • 40
    • 65249101774 scopus 로고    scopus 로고
    • Surgical team behaviors and patient outcomes
    • Mazzocco K, Petitti DB, Fong KT, et al. 2009. Surgical team behaviors and patient outcomes. Am. J. Surg. 197(5):678-85
    • (2009) Am. J. Surg. , vol.197 , Issue.5 , pp. 678-685
    • Mazzocco, K.1    Petitti, D.B.2    Fong, K.T.3
  • 41
    • 44649155796 scopus 로고    scopus 로고
    • Improving patient safety in intensive care units in Michigan
    • Pronovost PJ, Berenholtz SM, Goeschel C, et al. 2008. Improving patient safety in intensive care units in Michigan. J. Crit. Care. 23(2):207-21
    • (2008) J. Crit. Care. , vol.23 , Issue.2 , pp. 207-221
    • Pronovost, P.J.1    Berenholtz, S.M.2    Goeschel, C.3
  • 43
    • 78649324690 scopus 로고    scopus 로고
    • The anatomy of health care team training and the state of practice: A critical review
    • Weaver SJ, Lyons R, DiazGranados D, et al. 2010. The anatomy of health care team training and the state of practice: a critical review. Acad. Med. 85(11):1746-60
    • (2010) Acad. Med. , vol.85 , Issue.11 , pp. 1746-1760
    • Weaver, S.J.1    Lyons, R.2    Diazgranados, D.3
  • 44
    • 78149311093 scopus 로고    scopus 로고
    • Briefing guide study: Preoperative briefing and postoperative debriefing checklists in the Veterans Health Administration medical team training program
    • Paull DE, Mazzia LM, Wood SD, et al. 2010. Briefing guide study: preoperative briefing and postoperative debriefing checklists in the Veterans Health Administration medical team training program. Am. J. Surg. 200(5):620-23
    • (2010) Am. J. Surg. , vol.200 , Issue.5 , pp. 620-623
    • Paull, D.E.1    Mazzia, L.M.2    Wood, S.D.3
  • 45
    • 79951667984 scopus 로고    scopus 로고
    • Association between implementation of a medical team training program and surgical mortality
    • Neily J, Mills PD, Young-Xu Y, et al. 2010. Association between implementation of a medical team training program and surgical mortality. JAMA 302(15):1721-22
    • (2010) JAMA , vol.302 , Issue.15 , pp. 1721-1722
    • Neily, J.1    Mills, P.D.2    Young-Xu, Y.3
  • 46
    • 78650196782 scopus 로고    scopus 로고
    • Teamwork training improves the clinical care of trauma patients
    • Capella J, Smith S, Philp A, et al. 2010. Teamwork training improves the clinical care of trauma patients. J. Surg. Educ. 67(6):439-43
    • (2010) J. Surg. Educ. , vol.67 , Issue.6 , pp. 439-443
    • Capella, J.1    Smith, S.2    Philp, A.3
  • 47
    • 80053297432 scopus 로고    scopus 로고
    • On the front lines of patient safety: Implementation and evaluation of team training in Iraq. Joint Comm
    • Deering S, Rosen MA, Ludi V, et al. 2011. On the front lines of patient safety: implementation and evaluation of team training in Iraq. Joint Comm. J. Qual. Patient Saf./Joint Comm. Resour. 37(8):350-56
    • (2011) J. Qual. Patient Saf./Joint Comm. Resour. , vol.37 , Issue.8 , pp. 350-356
    • Deering, S.1    Rosen, M.A.2    Ludi, V.3
  • 48
    • 70049109067 scopus 로고    scopus 로고
    • Interprofessional collaboration: Effects of practicebased interventions on professional practice and healthcare outcomes
    • Zwarenstein M, Goldman J, Reeves S. 2009. Interprofessional collaboration: effects of practicebased interventions on professional practice and healthcare outcomes. Cochrane Database Syst. Rev. 3(3):CD000072
    • (2009) Cochrane Database Syst. Rev. , vol.3 , Issue.3
    • Zwarenstein, M.1    Goldman, J.2    Reeves, S.3
  • 49
    • 74549180463 scopus 로고    scopus 로고
    • Rapid response teams: A systematic review andmeta-analysis
    • Chan PS, Jain R, Nallmothu BK, et al. 2010. Rapid response teams: a systematic review andmeta-analysis. Arch. Intern. Med. 170(1):18-26
    • (2010) Arch. Intern. Med. , vol.170 , Issue.1 , pp. 18-26
    • Chan, P.S.1    Jain, R.2    Nallmothu, B.K.3
  • 50
    • 59449089116 scopus 로고    scopus 로고
    • A surgical safety checklist to reduce morbidity and mortality in a global population
    • Haynes AB, Weiser TG, Berry WR, et al. 2009. A surgical safety checklist to reduce morbidity and mortality in a global population. N. Engl. J. Med. 360(5):491-99
    • (2009) N. Engl. J. Med. , vol.360 , Issue.5 , pp. 491-499
    • Haynes, A.B.1    Weiser, T.G.2    Berry, W.R.3
  • 51
    • 41549102923 scopus 로고    scopus 로고
    • Improving the capture of fall events in hospitals: Combining a service for evaluating inpatient falls with an incident report system
    • DOI 10.1111/j.1532-5415.2007.01605.x
    • Shorr RI, Mion LC, Chandler AM, et al. 2008. Improving the capture of fall events in hospitals: combining a service for evaluating inpatient falls with an incident report system. J. Am. Geriatr. Soc. 56(4):701-4 (Pubitemid 351473500)
    • (2008) Journal of the American Geriatrics Society , vol.56 , Issue.4 , pp. 701-704
    • Shorr, R.I.1    Mion, L.C.2    Chandler, A.M.3    Rosenblatt, L.C.4    Lynch, D.5    Kessler, L.A.6
  • 52
    • 77957724227 scopus 로고    scopus 로고
    • Preventing falls and fall-related injuries in hospitals
    • Oliver D, Healey F, Haines TP. 2010. Preventing falls and fall-related injuries in hospitals. Clin. Geriatr. Med. 26(4):645-92
    • (2010) Clin. Geriatr. Med. , vol.26 , Issue.4 , pp. 645-692
    • Oliver, D.1    Healey, F.2    Haines, T.P.3
  • 53
    • 84888637455 scopus 로고    scopus 로고
    • Web-based injury statistics query and reporting system (WISQARS)
    • Centers for Disese Control and Prevention Cent. Disease Control Prev
    • Centers for Disese Control and Prevention. Web-based injury statistics query and reporting system (WISQARS). Natl. Cent. Injury Prev. Control, Cent. Disease Control Prev. http://www. cdc. gov/injury/wisqars/index. html
    • Natl. Cent. Injury Prev. Control
  • 54
    • 0029153512 scopus 로고
    • Serious falls in hospitalized patients: Correlates and resource utilization
    • Bates DW, Pruess K, Souney P, et al. 1995. Serious falls in hospitalized patients: correlates and resource utilization. Am. J. Med. 99(2):137-43
    • (1995) Am. J. Med. , vol.99 , Issue.2 , pp. 137-143
    • Bates, D.W.1    Pruess, K.2    Souney, P.3
  • 55
    • 33750351974 scopus 로고    scopus 로고
    • The costs of fatal and non-fatal falls among older adults
    • DOI 10.1136/ip.2005.011015
    • Stevens JA, Corso PS, Finkelstein EA, et al. 2006. The costs of fatal and non-fatal falls among older adults. Inj. Prev. 12(5):290-95 (Pubitemid 44621760)
    • (2006) Injury Prevention , vol.12 , Issue.5 , pp. 290-295
    • Stevens, J.A.1    Corso, P.S.2    Finkelstein, E.A.3    Miller, T.R.4
  • 56
    • 0028644588 scopus 로고
    • The liability risk of patients who fall
    • Quinlan WC. 1994. The liability risk of patients who fall. J. Healthcare Risk Manag. 14(1):29-33
    • (1994) J. Healthcare Risk Manag. , vol.14 , Issue.1 , pp. 29-33
    • Quinlan, W.C.1
  • 57
    • 0035262650 scopus 로고    scopus 로고
    • Falls risk factors in the hospital setting: A systematic review
    • Evans D, Hodgkinson B, Lambert L, et al. 2001. Falls risk factors in the hospital setting: a systematic review. Int. J. Nurs. Pract. 7(1):38-45
    • (2001) Int. J. Nurs. Pract. , vol.7 , Issue.1 , pp. 38-45
    • Evans, D.1    Hodgkinson, B.2    Lambert, L.3
  • 58
    • 77950900544 scopus 로고    scopus 로고
    • Interventions for preventing falls in older people in nursing care facilities and hospitals
    • Cameron ID, Murray GR, Gillespie LD, et al. 2010. Interventions for preventing falls in older people in nursing care facilities and hospitals. Cochrane Database Syst. Rev. 1(1):CD005465
    • (2010) Cochrane Database Syst. Rev. , vol.1 , Issue.1
    • Cameron, I.D.1    Murray, G.R.2    Gillespie, L.D.3
  • 59
    • 13844305704 scopus 로고    scopus 로고
    • Effects of extra training on the ability of stroke survivors to perform an independent sit-to-stand: A randomized controlled trial
    • Barreca S, Sigouin CS, Lambert C, et al. 2004. Effects of extra training on the ability of stroke survivors to perform an independent sit-to-stand: a randomized controlled trial. J. Geriatr. Phys. Therapy 27(2):59-68
    • (2004) J. Geriatr. Phys. Therapy , vol.27 , Issue.2 , pp. 59-68
    • Barreca, S.1    Sigouin, C.S.2    Lambert, C.3
  • 61
    • 77957735069 scopus 로고    scopus 로고
    • Pilot study to explore the feasibility of a randomised controlled trial to determine the dose effect of physiotherapy on patients admitted to hospital following a fall
    • Jarvis N, Kerr K, Mockett S. 2007. Pilot study to explore the feasibility of a randomised controlled trial to determine the dose effect of physiotherapy on patients admitted to hospital following a fall. Pract. Evidence-Based Physiother. 2(2):4-12.
    • (2007) Pract. Evidence-Based Physiother , vol.2 , Issue.2 , pp. 4-12
    • Jarvis, N.1    Kerr, K.2    Mockett, S.3
  • 62
    • 34547123312 scopus 로고    scopus 로고
    • A randomized, controlled trial of tai chi for the prevention of falls: The central sydney tai chi trial
    • DOI 10.1111/j.1532-5415.2007.01244.x
    • Voukelatos A, Cumming RG, Lord SR, et al. 2007. A randomized, controlled trial of tai chi for the prevention of falls: the central Sydney tai chi trial. J. Am. Geriatr. Soc. 55(8):1185-91 (Pubitemid 47106674)
    • (2007) Journal of the American Geriatrics Society , vol.55 , Issue.8 , pp. 1185-1191
    • Voukelatos, A.1    Cumming, R.G.2    Lord, S.R.3    Rissel, C.4
  • 63
    • 78751608153 scopus 로고    scopus 로고
    • Primary care-relevant interventions to prevent falling in older adults: A systematic evidence review for the US preventive services task force
    • Michael YL, Whitlock EP, Lin JS, et al. 2010. Primary care-relevant interventions to prevent falling in older adults: a systematic evidence review for the US preventive services task force. Ann. Intern. Med. 153(12):815-25
    • (2010) Ann. Intern. Med. , vol.153 , Issue.12 , pp. 815-825
    • Michael, Y.L.1    Whitlock, E.P.2    Lin, J.S.3
  • 64
    • 67649205579 scopus 로고    scopus 로고
    • Medication interventions for fall prevention in the older adult
    • Cooper JW, Burfield AH. 2009. Medication interventions for fall prevention in the older adult. J. Am. Pharm. Assoc. 2003 49(3):e70-82
    • (2009) J. Am. Pharm. Assoc. 2003 , vol.49 , Issue.3
    • Cooper, J.W.1    Burfield, A.H.2
  • 65
    • 79955438285 scopus 로고    scopus 로고
    • Patient education to prevent falls among older hospital inpatients: A randomized controlled trial
    • Haines TP, Hill AM, Hill KD, et al. 2011. Patient education to prevent falls among older hospital inpatients: a randomized controlled trial. Arch. Intern. Med. 171(6):516-24
    • (2011) Arch. Intern. Med. , vol.171 , Issue.6 , pp. 516-524
    • Haines, T.P.1    Hill, A.M.2    Hill, K.D.3
  • 66
    • 57149106302 scopus 로고    scopus 로고
    • Biomechanical evaluation of injury severity associated with patient falls from bed
    • Bowers B, Lloyd J, Lee W, et al. 2008. Biomechanical evaluation of injury severity associated with patient falls from bed. Rehabil. Nurs. 33(6):253-59
    • (2008) Rehabil. Nurs. , vol.33 , Issue.6 , pp. 253-259
    • Bowers, B.1    Lloyd, J.2    Lee, W.3
  • 67
    • 4043178382 scopus 로고    scopus 로고
    • Using targeted risk factor reduction to prevent falls in older in-patients: A randomised controlled trial
    • DOI 10.1093/ageing/afh130
    • Healey F, Monro A, Cockram A, et al. 2004. Using targeted risk factor reduction to prevent falls in older in-patients: a randomised controlled trial. Age Ageing 33(4):390-95 (Pubitemid 39077248)
    • (2004) Age and Ageing , vol.33 , Issue.4 , pp. 390-395
    • Healey, F.1    Monro, A.2    Cockram, A.3    Adams, V.4    Heseltine, D.5
  • 68
    • 1642302758 scopus 로고    scopus 로고
    • Effectiveness of targeted falls prevention programme in subacute hospital setting: Randomised controlled trial
    • Haines TP, Bennell KL, Osborne RH, et al. 2004. Effectiveness of targeted falls prevention programme in subacute hospital setting: randomised controlled trial. BMJ 328(7441):676
    • (2004) BMJ , vol.328 , Issue.7441 , pp. 676
    • Haines, T.P.1    Bennell, K.L.2    Osborne, R.H.3
  • 69
    • 41949090580 scopus 로고    scopus 로고
    • Cluster randomised trial of a targeted multifactorial intervention to prevent falls among older people in hospital
    • DOI 10.1136/bmj.39499.546030.BE
    • Cumming RG, Sherrington C, Lord SR, et al. 2008. Cluster randomised trial of a targetedmultifactorial intervention to prevent falls among older people in hospital. BMJ 336(7647):758-60 (Pubitemid 351507405)
    • (2008) BMJ , vol.336 , Issue.7647 , pp. 758-760
    • Cumming, R.G.1    Sherrington, C.2    Lord, S.R.3    Simpson, J.M.4    Vogler, C.5    Cameron, I.D.6    Naganathan, V.7
  • 71
    • 78049366796 scopus 로고    scopus 로고
    • Fall prevention in acute care hospitals: A randomized trial
    • Dykes PC, Carroll DL, Hurley A, et al. 2010. Fall prevention in acute care hospitals: a randomized trial. JAMA 304(17):1912-18
    • (2010) JAMA , vol.304 , Issue.17 , pp. 1912-1918
    • Dykes, P.C.1    Carroll, D.L.2    Hurley, A.3
  • 72
    • 79953031834 scopus 로고    scopus 로고
    • Development, implementation, and evaluation of a comprehensive fall risk program
    • Neiman J, Rannie M, Thrasher J, et al. 2011. Development, implementation, and evaluation of a comprehensive fall risk program. J. Spec. Pediatr. Nurs. 16(2):130-39
    • (2011) J. Spec. Pediatr. Nurs. , vol.16 , Issue.2 , pp. 130-139
    • Neiman, J.1    Rannie, M.2    Thrasher, J.3
  • 73
    • 0034681866 scopus 로고    scopus 로고
    • Gaps in the continuity of care and progress on patient safety
    • Cook RI, Render M, Woods DD. 2000. Gaps in the continuity of care and progress on patient safety. BMJ 320(7237):791-94 (Pubitemid 30179436)
    • (2000) British Medical Journal , vol.320 , Issue.7237 , pp. 791-794
    • Cook, R.I.1    Render, M.2    Woods, D.D.3
  • 74
    • 79953768389 scopus 로고    scopus 로고
    • Doctors' handovers in hospitals: A literature review
    • Raduma-Tomas MA, Flin R, Yule S, et al. 2011. Doctors' handovers in hospitals: a literature review. Qual. Saf. Health Care 20:128-133
    • (2011) Qual. Saf. Health Care , vol.20 , pp. 128-133
    • Raduma-Tomas, M.A.1    Flin, R.2    Yule, S.3
  • 75
    • 0037600690 scopus 로고    scopus 로고
    • Analysis of errors reported by surgeons at three teaching hospitals
    • DOI 10.1067/msy.2003.169
    • Gawande AA, Zinner MJ, Studdert DM, et al. 2003. Analysis of errors reported by surgeons at three teaching hospitals. Surgery 133(6):614-21 (Pubitemid 36688314)
    • (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
  • 76
    • 34548728568 scopus 로고    scopus 로고
    • Communicating in the "Gray Zone": Perceptions about Emergency Physician-hospitalist Handoffs and Patient Safety
    • DOI 10.1197/j.aem.2007.06.037, PII S1069656307018349
    • Apker J, Mallak LA, Gibson SC. 2007. Communicating in the "gray zone": perceptions about emergency physician hospitalist handoffs and patient safety. Acad. Emerg. Med. 14(10):884-94 (Pubitemid 47432753)
    • (2007) Academic Emergency Medicine , vol.14 , Issue.10 , pp. 884-894
    • Apker, J.1    Mallak, L.A.2    Gibson, S.C.3
  • 77
    • 74149091088 scopus 로고    scopus 로고
    • Improving handoffs in the emergency department
    • Cheung DS, Kelly JJ, Beach C, et al. 2010. Improving handoffs in the emergency department. Ann. Emerg. Med. 55(2):171-80
    • (2010) Ann. Emerg. Med. , vol.55 , Issue.2 , pp. 171-180
    • Cheung, D.S.1    Kelly, J.J.2    Beach, C.3
  • 78
    • 73449114683 scopus 로고    scopus 로고
    • Residents' and attending physicians' handoffs: A systematic review of the literature
    • Riesenberg LA, Leitzsch J, Massucci JL, et al. 2009. Residents' and attending physicians' handoffs: a systematic review of the literature. Acad. Med. 84(12):1775-87
    • (2009) Acad. Med. , vol.84 , Issue.12 , pp. 1775-1787
    • Riesenberg, L.A.1    Leitzsch, J.2    Massucci, J.L.3
  • 79
    • 78650251839 scopus 로고    scopus 로고
    • Review: Bringing patient safety to the forefront through structured computerisation during clinical handover
    • Matic J, Davidson PM, Salamonson Y. 2011. Review: bringing patient safety to the forefront through structured computerisation during clinical handover. J. Clin. Nurs. 20(1-2):184-89
    • (2011) J. Clin. Nurs. , vol.20 , Issue.1-2 , pp. 184-189
    • Matic, J.1    Davidson, P.M.2    Salamonson, Y.3
  • 81
    • 65949091373 scopus 로고    scopus 로고
    • Systematic review of handoff mnemonics literature
    • Riesenberg LA, Leitzsch J, Little BW. 2009. Systematic review of handoff mnemonics literature. Am. J. Med. Qual. 24(3):196-204
    • (2009) Am. J. Med. Qual. , vol.24 , Issue.3 , pp. 196-204
    • Riesenberg, L.A.1    Leitzsch, J.2    Little, B.W.3
  • 83
    • 65649102284 scopus 로고    scopus 로고
    • The teaching of a structured tool improves the clarity and content of interprofessional clinical communication
    • Marshall S, Harrison J, Flanagan B. 2009. The teaching of a structured tool improves the clarity and content of interprofessional clinical communication. Qual. Saf. Health Care 18(2):137-40
    • (2009) Qual. Saf. Health Care , vol.18 , Issue.2 , pp. 137-140
    • Marshall, S.1    Harrison, J.2    Flanagan, B.3
  • 84
    • 78751681098 scopus 로고    scopus 로고
    • Integration of a formalized handoff system into the surgical curriculum: Resident perspectives and early results
    • Telem DA, Buch KE, Ellis S, et al. 2011. Integration of a formalized handoff system into the surgical curriculum: resident perspectives and early results. Arch. Surg. 146(1):89-93
    • (2011) Arch. Surg. , vol.146 , Issue.1 , pp. 89-93
    • Telem, D.A.1    Buch, K.E.2    Ellis, S.3
  • 85
    • 79551660472 scopus 로고    scopus 로고
    • Randomized trial of a warfarin communication protocol for nursing homes: An SBAR-based approach
    • e1-7
    • Field TS, Tjia J, Mazor KM, et al. 2011. Randomized trial of a warfarin communication protocol for nursing homes: an SBAR-based approach. Am. J. Med. 124(2):179. e1-7
    • (2011) Am. J. Med. , vol.124 , Issue.2 , pp. 179
    • Field, T.S.1    Tjia, J.2    Mazor, K.M.3
  • 86
    • 77954085621 scopus 로고    scopus 로고
    • Postoperative handover: Problems, pitfalls, and prevention of error
    • Nagpal K, Arora S, Abboudi M, et al. 2010. Postoperative handover: problems, pitfalls, and prevention of error. Ann. Surg. 252(1):171-76
    • (2010) Ann. Surg. , vol.252 , Issue.1 , pp. 171-176
    • Nagpal, K.1    Arora, S.2    Abboudi, M.3
  • 87
    • 63849135956 scopus 로고    scopus 로고
    • Ticket to ride: Reducing handoff risk during hospital patient transport
    • Pesanka DA, Greenhouse PK, Rack LL, et al. 2009. Ticket to ride: reducing handoff risk during hospital patient transport. J. Nurs. Care Qual. 24(2):109-15
    • (2009) J. Nurs. Care Qual. , vol.24 , Issue.2 , pp. 109-115
    • Pesanka, D.A.1    Greenhouse, P.K.2    Rack, L.L.3
  • 88
    • 77957889417 scopus 로고    scopus 로고
    • "Ticket to ride": How useful is this new handoff tool?
    • West JC. 2009. "Ticket to ride": How useful is this new handoff tool? J. Healthc. Risk Manag. 29(1):28-33
    • (2009) J. Healthc. Risk Manag. , vol.29 , Issue.1 , pp. 28-33
    • West, J.C.1
  • 89
    • 77952311740 scopus 로고    scopus 로고
    • Improved physician work flow after integrating sign-out notes into the electronic medical record. Joint Comm
    • Bernstein JA, Imler DL, Sharek P, et al. 2010. Improved physician work flow after integrating sign-out notes into the electronic medical record. Joint Comm. J. Qual. Patient Saf. 36(2):72-78
    • (2010) J. Qual. Patient Saf. , vol.36 , Issue.2 , pp. 72-78
    • Bernstein, J.A.1    Imler, D.L.2    Sharek, P.3
  • 90
    • 77952303083 scopus 로고    scopus 로고
    • The Veterans Affairs shift change physician-to-physician handoff project. Joint Comm
    • Anderson J, Shroff D, Curtis A, et al. 2010. The Veterans Affairs shift change physician-to-physician handoff project. Joint Comm. J. Qual. Patient Saf. 36(2):62-71
    • (2010) J. Qual. Patient Saf. , vol.36 , Issue.2 , pp. 62-71
    • Anderson, J.1    Shroff, D.2    Curtis, A.3
  • 91
    • 70449644795 scopus 로고    scopus 로고
    • Transitions of care consensus policy statement: American college of physicians, society of general internal medicine, society of hospital medicine, American geriatrics society, American college of emergency physicians, and society for academic emergency medicine
    • Snow V, Beck D, Budnitz T, et al. 2009. Transitions of care consensus policy statement: American College of Physicians, Society of General Internal Medicine, Society of Hospital Medicine, American Geriatrics Society, American College of Emergency Physicians, and Society for Academic Emergency Medicine. J. Hosp. Med. 4(6):364-70
    • (2009) J. Hosp. Med. , vol.4 , Issue.6 , pp. 364-370
    • Snow, V.1    Beck, D.2    Budnitz, T.3
  • 92
    • 77749245874 scopus 로고    scopus 로고
    • Improving handoff communication: A gastroenterology fellowship performance improvement project
    • Malter L, Weinshel E. 2010. Improving handoff communication: a gastroenterology fellowship performance improvement project. Am. J. Gastroenterol. 105(3):490-92
    • (2010) Am. J. Gastroenterol. , vol.105 , Issue.3 , pp. 490-492
    • Malter, L.1    Weinshel, E.2
  • 93
    • 0037146518 scopus 로고    scopus 로고
    • Counting deaths due to medical errors
    • Hayward RA. 2002. Counting deaths due to medical errors. JAMA 288(19):2404-5
    • (2002) JAMA , vol.288 , Issue.19 , pp. 2404-2405
    • Hayward, R.A.1
  • 95
    • 77953598350 scopus 로고    scopus 로고
    • An epidemiologic study of closed emergency department malpractice claims in a national database of physician malpractice insurers
    • Brown TW, McCarthy ML, Kelen GD, et al. 2010. An epidemiologic study of closed emergency department malpractice claims in a national database of physician malpractice insurers. Acad. Emerg. Med. 17(5):553-60
    • (2010) Acad. Emerg. Med. , vol.17 , Issue.5 , pp. 553-560
    • Brown, T.W.1    McCarthy, M.L.2    Kelen, G.D.3
  • 96
    • 68949183183 scopus 로고    scopus 로고
    • A universal model of diagnostic reasoning
    • Croskerry P. 2009. A universal model of diagnostic reasoning. Acad. Med. 84(8):1022-28
    • (2009) Acad. Med. , vol.84 , Issue.8 , pp. 1022-1028
    • Croskerry, P.1
  • 97
    • 73349125812 scopus 로고    scopus 로고
    • Dual processing and diagnostic errors
    • Norman G. 2009. Dual processing and diagnostic errors. Adv. Health. Sci. Educ. Theory Pract. 14(Suppl. ):137-49
    • (2009) Adv. Health. Sci. Educ. Theory Pract. , vol.14 , Issue.SUPPL. , pp. 137-149
    • Norman, G.1
  • 98
    • 77956623991 scopus 로고    scopus 로고
    • Effect of availability bias and reflective reasoning on diagnostic accuracy among internal medicine residents
    • Mamede S, van Gog T, van den Berge K, et al. 2010. Effect of availability bias and reflective reasoning on diagnostic accuracy among internal medicine residents. JAMA 304(11):1198-203
    • (2010) JAMA , vol.304 , Issue.11 , pp. 1198-203
    • Mamede, S.1    Van Gog, T.2    Van Den Berge, K.3
  • 99
    • 78751471061 scopus 로고    scopus 로고
    • The effectiveness of cognitive forcing strategies to decrease diagnostic error: An exploratory study
    • Sherbino J, Dore KL, Siu E, et al. 2011. The effectiveness of cognitive forcing strategies to decrease diagnostic error: an exploratory study. Teach. Learn. Med. 23(1):78-84
    • (2011) Teach. Learn. Med. , vol.23 , Issue.1 , pp. 78-84
    • Sherbino, J.1    Dore, K.L.2    Siu, E.3
  • 100
    • 79952193392 scopus 로고    scopus 로고
    • Checklists to reduce diagnostic errors
    • Ely JW, Graber ML, Croskerry P. 2011. Checklists to reduce diagnostic errors. Acad. Med. 86(3):307-13
    • (2011) Acad. Med. , vol.86 , Issue.3 , pp. 307-313
    • Ely, J.W.1    Graber, M.L.2    Croskerry, P.3
  • 101
    • 11144226995 scopus 로고    scopus 로고
    • Decreasing clinically significant adverse events using feedback to emergency physicians of telephone follow-up outcomes
    • Chern CH, How CK, Wang LM, et al. 2005. Decreasing clinically significant adverse events using feedback to emergency physicians of telephone follow-up outcomes. Ann. Emerg. Med. 45(1):15-23
    • (2005) Ann. Emerg. Med. , vol.45 , Issue.1 , pp. 15-23
    • Chern, C.H.1    How, C.K.2    Wang, L.M.3
  • 102
    • 77954381492 scopus 로고    scopus 로고
    • Errors of diagnosis in pediatric practice: A multisite survey
    • Singh H, Thomas EJ, Wilson L, et al. 2010. Errors of diagnosis in pediatric practice: a multisite survey. Pediatrics 126(1):70-79
    • (2010) Pediatrics , vol.126 , Issue.1 , pp. 70-79
    • Singh, H.1    Thomas, E.J.2    Wilson, L.3
  • 103
    • 77950257286 scopus 로고    scopus 로고
    • Can electronic clinical documentation help prevent diagnostic errors?
    • Schiff GD, Bates DW. 2010. Can electronic clinical documentation help prevent diagnostic errors? N. Engl. J. Med. 362(12):1066-69
    • (2010) N. Engl. J. Med. , vol.362 , Issue.12 , pp. 1066-1069
    • Schiff, G.D.1    Bates, D.W.2
  • 104
    • 0034146799 scopus 로고    scopus 로고
    • Incidence and types of adverse events and negligent care in Utah and Colorado
    • Thomas EJ, Studdert DM, Burstin HR, et al. 2000. Incidence and types of adverse events and negligent care in Utah and Colorado. Med. Care 38(3):261-71
    • (2000) Med. Care , vol.38 , Issue.3 , pp. 261-271
    • Thomas, E.J.1    Studdert, D.M.2    Burstin, H.R.3
  • 105
    • 47749130878 scopus 로고    scopus 로고
    • The incidence and nature of in-hospital adverse events: A systematic review
    • de Vries EN, Ramrattan MA, Smorenburg SM, et al. 2008. The incidence and nature of in-hospital adverse events: a systematic review. Qual. Saf. Health Care 17(3):216-23
    • (2008) Qual. Saf. Health Care , vol.17 , Issue.3 , pp. 216-223
    • De Vries, E.N.1    Ramrattan, M.A.2    Smorenburg, S.M.3
  • 106
    • 77952888893 scopus 로고    scopus 로고
    • Improving cardiac surgical care: A work systems approach
    • Wiegmann DA, Eggman AA, Elbardissi AW, et al. 2010. Improving cardiac surgical care: a work systems approach. Appl. Ergon. 41(5):701-12
    • (2010) Appl. Ergon. , vol.41 , Issue.5 , pp. 701-712
    • Wiegmann, D.A.1    Eggman, A.A.2    Elbardissi, A.W.3
  • 107
    • 56549117938 scopus 로고    scopus 로고
    • Impact of preoperative briefings on operating room delays: A preliminary report
    • Nundy S, Mukherjee A, Sexton JB, et al. 2008. Impact of preoperative briefings on operating room delays: a preliminary report. Arch. Surg. 143(11):1068-72
    • (2008) Arch. Surg. , vol.143 , Issue.11 , pp. 1068-1072
    • Nundy, S.1    Mukherjee, A.2    Sexton, J.B.3
  • 108
    • 76749086497 scopus 로고    scopus 로고
    • Preoperative briefing in the operating room: Shared cognition, teamwork, and patient safety
    • Einav Y, Gopher D, Kara I, et al. 2010. Preoperative briefing in the operating room: shared cognition, teamwork, and patient safety. Chest 137(2):443-49
    • (2010) Chest , vol.137 , Issue.2 , pp. 443-449
    • Einav, Y.1    Gopher, D.2    Kara, I.3
  • 109
    • 78149478666 scopus 로고    scopus 로고
    • Effect of a comprehensive surgical safety system on patient outcomes
    • de Vries EN, Prins HA, Crolla RM, et al. 2010. Effect of a comprehensive surgical safety system on patient outcomes. N. Engl. J. Med. 363(20):1928-37
    • (2010) N. Engl. J. Med. , vol.363 , Issue.20 , pp. 1928-1937
    • De Vries, E.N.1    Prins, H.A.2    Crolla, R.M.3
  • 111
    • 45549093975 scopus 로고    scopus 로고
    • Incidence and characteristics of potential and actual retained foreign object events in surgical patients
    • Cima RR, Kollengode A, Garnatz J, et al. 2008. Incidence and characteristics of potential and actual retained foreign object events in surgical patients. J. Am. Coll. Surg. 207(1):80-87
    • (2008) J. Am. Coll. Surg. , vol.207 , Issue.1 , pp. 80-87
    • Cima, R.R.1    Kollengode, A.2    Garnatz, J.3
  • 113
    • 79952978326 scopus 로고    scopus 로고
    • Prevention of 3 "never events" in the operating room: Fires, gossypiboma, and wrong-site surgery
    • Zahiri HR, Stromberg J, Skupsky H, et al. 2010. Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site surgery. Surg. Innov. 18:55-60
    • (2010) Surg. Innov. , vol.18 , pp. 55-60
    • Zahiri, H.R.1    Stromberg, J.2    Skupsky, H.3
  • 114
    • 37549030914 scopus 로고    scopus 로고
    • Managing the prevention of retained surgical instruments: What is the value of counting?
    • Egorova NN, Moskowitz A, Gelijns A, et al. 2008. Managing the prevention of retained surgical instruments: What is the value of counting? Ann. Surg. 247(1):13-18
    • (2008) Ann Surg. , vol.247 , Issue.1 , pp. 13-18
    • Egorova, N.N.1    Moskowitz, A.2    Gelijns, A.3
  • 116
    • 33646831340 scopus 로고    scopus 로고
    • Recommended practices for sponge, sharps, and instrument counts
    • AORN Recommended Practices Committee 421-26, 429-433
    • AORN Recommended Practices Committee. 2006. Recommended practices for sponge, sharps, and instrument counts. AORN (Assoc. periOperative Registered Nurses) J. 83(2):418, 421-26, 429-33
    • (2006) AORN (Assoc. PeriOperative Registered Nurses) J. , vol.83 , Issue.2 , pp. 418
  • 117
    • 33746034614 scopus 로고    scopus 로고
    • Initial clinical evaluation of a handheld device for detecting retained surgical gauze sponges using radiofrequency identification technology
    • DOI 10.1001/archsurg.141.7.659
    • Macario A, Morris D, Morris S. 2006. Initial clinical evaluation of a handheld device for detecting retained surgical gauze sponges using radiofrequency identification technology. Arch. Surg. 141(7):659-62 (Pubitemid 44079827)
    • (2006) Archives of Surgery , vol.141 , Issue.7 , pp. 659-662
    • Macario, A.1    Morris, D.2    Morris, S.3
  • 118
    • 34347374676 scopus 로고    scopus 로고
    • Radio frequency identification (RFID) applied to surgical sponges
    • DOI 10.1007/s00464-007-9308-7
    • Rogers A, Jones E, Oleynikov D. 2007. Radio frequency identification (RFID) applied to surgical sponges. Surg. Endosc. 21(7):1235-37 (Pubitemid 47024770)
    • (2007) Surgical Endoscopy , vol.21 , Issue.7 , pp. 1235-1237
    • Rogers, A.1    Jones, E.2    Oleynikov, D.3
  • 119
    • 79251471748 scopus 로고    scopus 로고
    • Sensitivity of detection of radiofrequency surgical sponges: A prospective, cross-over study
    • SteelmanV M. 2011. Sensitivity of detection of radiofrequency surgical sponges: a prospective, cross-over study. Am. J. Surg. 201(2):233-37
    • (2011) Am. J. Surg. , vol.201 , Issue.2 , pp. 233-237
    • Steelman, V.M.1
  • 120
    • 77951768022 scopus 로고    scopus 로고
    • Avoiding wrong site surgery: A systematic review
    • Devine J, Chutkan N, Norvell DC, et al. 2010. Avoiding wrong site surgery: a systematic review. Spine (Phila Pa. 1976). 35(9 Suppl. ):S28-36
    • (2010) Spine (Phila Pa 1976) , vol.35 , Issue.9 SUPPL.
    • Devine, J.1    Chutkan, N.2    Norvell, D.C.3
  • 121
    • 78249253921 scopus 로고    scopus 로고
    • Establishing a global learning community for incident-reporting systems
    • Pham JC, Gianci S, Battles J, et al. 2010. Establishing a global learning community for incident-reporting systems. Qual. Saf. Health Care 19(5):446-51
    • (2010) Qual. Saf. Health Care , vol.19 , Issue.5 , pp. 446-451
    • Pham, J.C.1    Gianci, S.2    Battles, J.3
  • 122
    • 34548168123 scopus 로고    scopus 로고
    • Getting surgery right
    • DOI 10.1097/SLA.0b013e3181469987, PII 0000065820070900000006
    • Clarke JR, Johnston J, Finley ED. 2007. Getting surgery right. Ann. Surg. 246(3):395-403 (Pubitemid 47312126)
    • (2007) Annals of Surgery , vol.246 , Issue.3 , pp. 395-403
    • Clarke, J.R.1    Johnston, J.2    Finley, E.D.3
  • 123
    • 67649802947 scopus 로고    scopus 로고
    • Quality improvement guidelines for preventing wrong site, wrong procedure, and wrong person errors: Application of the Joint Commission "universal protocol for preventing wrong site, wrong procedure, wrong person surgery" to the practice of interventional radiology
    • Angle JF, Nemcek AA Jr, Cohen AM, et al. 2009. Quality improvement guidelines for preventing wrong site, wrong procedure, and wrong person errors: application of the Joint Commission "universal protocol for preventing wrong site, wrong procedure, wrong person surgery" to the practice of interventional radiology. J. Vasc. Interv. Radiol. 20(7 Suppl. ):S256-62
    • (2009) J. Vasc. Interv. Radiol. , vol.20 , Issue.7 SUPPL.
    • Angle, J.F.1    Nemcek Jr., A.A.2    Cohen, A.M.3
  • 124
    • 34547608082 scopus 로고    scopus 로고
    • Perioperative patient safety: Correct patient, correct surgery, correct side - A multifaceted, cross-organizational, interventional study
    • DOI 10.1213/01.ane.0000267521.75245.ad, PII 0000053920070800000027
    • Zohar E, Noga Y, Davidson E, et al. 2007. Perioperative patient safety: correct patient, correct surgery, correct side-a multifaceted, cross-organizational, interventional study. Anesth. Analg. 105(2):443-47 (Pubitemid 47196425)
    • (2007) Anesthesia and Analgesia , vol.105 , Issue.2 , pp. 443-447
    • Zohar, E.1    Noga, Y.2    Davidson, E.3    Kantor, M.4    Fredman, B.5
  • 125
    • 78650226359 scopus 로고    scopus 로고
    • Use of an anatomic marking form as an alternative to the universal protocol for preventing wrong site, wrong procedure and wrong person surgery
    • Knight N, Aucar J. 2010. Use of an anatomic marking form as an alternative to the universal protocol for preventing wrong site, wrong procedure and wrong person surgery. Am. J. Surg. 200(6):803-7
    • (2010) Am. J. Surg. , vol.200 , Issue.6 , pp. 803-807
    • Knight, N.1    Aucar, J.2


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.