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The Collection
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Quality and Safety Professionals
PATIENT SAFETY PRIMERS
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Device-related Complications (112)
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Target Audience
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Quality and Safety Professionals
Setting of Care
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Hospitals (1630)
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Ambulatory Care (173)
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STUDY
Errare humanum est: frequency of laterality errors in radiology reports.
Sangwaiya MJ, Saini S, Blake MA, Dreyer KJ, Kalra MK. AJR Am J Roentgenol. 2009;192:W239-W244.
STUDY
Diagnostic errors in pediatric radiology.
Taylor GA, Voss SD, Melvin PR, Graham DA. Pediatr Radiol. 2011;41:327-334.
NEWSPAPER/MAGAZINE ARTICLE
Action needed to prevent dangerous heparin-insulin confusion.
ISMP Medication Safety Alert! Acute Care Edition. May 3, 2007;12:1-2.
STUDY
Diagnostic errors with inserted tubes, lines and catheters in children.
Fuentealba I, Taylor GA. Pediatr Radiol. 2012;42:1305-1315.
COMMENTARY
ISMP medication error report analysis.
Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:1062-1065.
STUDY
Paid malpractice claims for adverse events in inpatient and outpatient settings.
Bishop TF, Ryan AK, Casalino LP. JAMA. 2011;305:2427-2431.
STUDY
Increasing rate of detection of wrong-patient radiographs: use of photographs obtained at time of radiography.
Tridandapani S, Ramamurthy S, Galgano SJ, Provenzale JM. AJR Am J Roentgenol. 2013;200:W345-W352.
NEWSPAPER/MAGAZINE ARTICLE
Shared MDIs: can cross-contamination be avoided?
ISMP Medication Safety Alert! Acute Care Edition. April 9, 2009;14:1-3.
STUDY
Eight CT lessons that we learned the hard way: an analysis of current patterns of radiological error and discrepancy with particular emphasis on CT.
McCreadie G, Oliver TB. Clin Radiol. 2009;64:491-499; discussion 500-501.
STUDY
Disclosing harmful mammography errors to patients.
Gallagher TH, Cook AJ, Brenner RJ, et al. Radiology. 2009;253:443-452.
MEASUREMENT TOOL/INDICATOR
Tubing Misconnections Self Assessment for Healthcare Facilities.
Horsham, PA: Institute for Safe Medication Practices, Deerfield, IL: Baxter Healthcare; 2012.
STUDY
Accuracy of radiographic readings in the emergency department.
Petinaux B, Bhat R, Boniface K, Aristizabal J. Am J Emerg Med. 2011;29:18-25.
ORGANIZATIONAL POLICY/GUIDELINES
Medical device alarm safety in hospitals.
Sentinel Event Alert. April 8, 2013;(50):1-3.
STUDY
The computerized rounding report: implementation of a model system to support transitions of care.
Wohlauer MV, Rove KO, Pshak TJ, et al. J Surg Res. 2012;172:11-17.
COMMENTARY
Patient safety event reporting in a large radiology department.
Schultz SR, Watson RE Jr, Prescott SL, et al. AJR Am J Roentgenol. 2011;197:684-688.
STUDY
Communication failures in patient sign-out and suggestions for improvement: a critical incident analysis.
Arora V, Johnson J, Lovinger D, Humphrey HJ, Meltzer DO. Qual Saf Health Care. 2005;14:401-407.
STUDY
The safety of hospital stroke care.
Holloway RG, Tuttle D, Baird T, Skelton WK. Neurology. 2007;68:550-555.
COMMENTARY
Application of failure mode and effect analysis in a radiology department.
Thornton E, Brook OR, Mendiratta-Lala M, Hallett DT, Kruskal JB. Radiographics. 2011;31:281-293.
STUDY
Patient safety issues in advanced practice nursing students' care settings.
Schnall R, Cook S, John RM, et al. J Nurs Care Qual. 2012;27:132-138.
COMMENTARY
ISMP medication error report analysis.
Cohen MR. Hosp Pharm. 2008;43:696–698.
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