U.S. Department of Health & Human Services
PATIENT SAFETY PRIMERS
Device-related Complications (66)
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Identification Errors (25)
Discontinuities, Gaps, and Hand-Off Problems (272)
Fatigue and Sleep Deprivation (51)
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Setting of Care
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Improving safety culture on adult medical units through multidisciplinary teamwork and communication interventions: the TOPS Project.
Blegen MA, Sehgal NL, Alldredge BK, Gearhart S, Auerbach AD, Wachter RM. Qual Saf Health Care. 2010;19:346-350.
A case for safety leadership team training of hospital managers.
Singer SJ, Hayes J, Cooper JB, et al. Health Care Manage Rev. 2011;36:1-13.
What are the critical success factors for team training in health care?
Salas E, Almeida SA, Salisbury M, et al. Jt Comm J Qual Patient Saf. 2009;35:398-405.
Medical Team Training.
Oakbrook, IL: Joint Commission Resources; 2008. ISBN: 9781599400921.
Identifying organizational cultures that promote patient safety.
Singer SJ, Falwell A, Gaba DM, et al. Health Care Manage Rev. 2009;34:300-311.
Reducing hospital errors: interventions that build safety culture.
Singer SJ, Vogus TJ. Annu Rev Public Health. 2013;34:373-396.
Trainees' perceptions of patient safety practices: recounting failures of supervision.
Ross PT, McMyler ET, Anderson SG, et al. Jt Comm J Qual Patient Saf. 2011;37:88-95.
Effects of a multicentre teamwork and communication programme on patient outcomes: results from the Triad for Optimal Patient Safety (TOPS) project.
Auerbach AD, Sehgal NL, Blegen MA, et al. BMJ Qual Saf. 2012;22:118-126.
Why your TeamSTEPPS program may not be working.
Clapper TC, Ng GM. Clin Simul Nurs. 2013;9:e287-e292.
That’s the way we do things around here!
ISMP Medication Safety Alert! Acute Care Edition. February 24, 2011;16:1-2.
Using crew resource management and a 'read-and-do checklist' to reduce failure-to-rescue events on a step-down unit.
Young-Xu Y, Fore AM, Metcalf A, Payne K, Neily J, Sculli GL. Am J Nurs. 2013;113:51-57.
Outcomes of classroom-based team training interventions for multiprofessional hospital staff. A systematic review.
Rabøl LI, Østergaard D, Mogensen T. Qual Saf Health Care. 2010;19:e27.
The importance of leadership in preventing healthcare–associated infection: results of a multisite qualitative study.
Saint S, Kowalski CP, Banaszak-Holl J, Forman J, Damschroder L, Krein SL. Infect Control Hosp Epidemiol. 2010;31:901-907.
Communication-and-resolution programs: the challenges and lessons learned from six early adopters.
Mello MM, Boothman RC, McDonald T, et al. Health Aff (Millwood). 2014;33:20-29.
Analysis of staff safety concerns.
Davidson J, Lamontagne G, Burnell L, et al. J Nurs Care Qual. 2013;28:147-152.
Patient safety climate in 92 US hospitals: differences by work area and discipline.
Singer SJ, Gaba DM, Falwell A, Lin S, Hayes J, Baker L. Med Care. 2009;47:23-31.
Hospital governance and the quality of care.
Jha AK, Epstein AM. Health Aff (Millwood). 2010;29:182-187.
Physicians with multiple patient complaints: ending our silence.
Gallagher TH, Levinson W. BMJ Qual Saf. 2013;22:521-524.
Impact of a statewide intensive care unit quality improvement initiative on hospital mortality and length of stay: retrospective comparative analysis.
Lipitz-Snyderman A, Steinwachs D, Needham DM, Colantuoni E, Morlock LL, Pronovost PJ. BMJ. 2011;342:d219.
Preventing violence in the health care setting.
Sentinel Event Alert. June 3, 2010;(45):1-3.
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