U.S. Department of Health & Human Services
PATIENT SAFETY PRIMERS
Device-related Complications (9)
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Discontinuities, Gaps, and Hand-Off Problems (63)
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Approach to Improving Safety
Teamwork Training (115)
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Setting of Care
Psychiatric Facilities (2)
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Collaboration between pharmacists, physicians and nurse practitioners: a qualitative investigation of working relationships in the inpatient medical setting.
Makowsky MJ, Schindel TJ, Rosenthal M, Campbell K, Tsuyuki RT, Madill HM. J Interprof Care. 2009;23:169-84.
Medication Safety Self Assessment for Automated Dispensing Cabinets.
Horsham, PA: Institute for Safe Medication Practices; 2009.
The Team Checkup Tool: evaluating QI team activities and giving feedback to senior leaders.
Lubomski LH, Marsteller JA, Hsu YJ, et al. Jt Comm J Qual Patient Saf. 2008;34:619-623.
Improvement of medication event interventions through use of an electronic database.
Merandi J, Morvay S, Lewe D, et al. Am J Health Syst Pharm. 2013;70:1708-1714.
Tennessee Center for Patient Safety.
Structured interdisciplinary rounds in a medical teaching unit: improving patient safety.
O’Leary KJ, Buck R, Fligiel HM, et al. Arch Intern Med. 2011;171:678-684.
Learning accountability for patient outcomes.
Pronovost PJ. JAMA. 2010;304:204-205.
A new frontier in patient safety.
McCannon J, Berwick DM. JAMA
BOOSTing Care Transitions Resource Room.
Project BOOST (Better Outcomes for Older adults through Safe Transitions), Society of Hospital Medicine.
Interdisciplinary teamwork in hospitals: a review and practical recommendations for improvement.
O'Leary KJ, Sehgal NL, Terrell G, Williams MV; High Performance Teams and the Hospital of the Future Project Team. J Hosp Med. 2011 Oct 31; [Epub ahead of print].
Operating room briefings: working on the same page.
Makary MA, Holzmueller CG, Thompson D, et al. Jt Comm J Qual Patient Saf. 2006;32:351-355.
Practically speaking: rethinking hand hygiene improvement programs in health care settings.
Son C, Chuck T, Childers T, et al. Am J Infect Control. 2011;39:716-724.
The power of collaboration with patient safety programs: building safe passage for patients, nurses, and clinical staff.
Kerfoot KM, Rapala K, Ebright P, Rogers SM. J Nurs Adm. 2006;36:582-588.
How-to Guide: Multidisciplinary Rounds.
Cambridge, MA: Institute for Healthcare Improvement; February 2010.
Health Care Leader Action Guide to Reduce Avoidable Readmissions.
Osei-Anto A, Joshi M, Audet AJ, Berman A, Jencks SF. New York, NY: The Commonwealth Fund, The John Hartford Foundation, Health Research and Educational Trust; January 25, 2010.
View the world through a different lens: shadowing another provider.
Thompson DA, Holzmueller CG, Lubomski L, Pronovost PJ. Jt Comm J Qual Patient Saf. 2008;34:614-618.
'You talking to me?' Docs and feedback.
Diamond F. Manag Care. July 2013;22:30-32.
Professionalism: a necessary ingredient in a culture of safety.
DuPree E, Anderson R, McEvoy MD, Brodman M. Jt Comm J Qual Patient Saf. 2011;37:447-455.
Integrating CUSP and TRIP to improve patient safety.
Romig M, Goeschel C, Pronovost P, Berenholtz SM. Hosp Pract (Minneap). 2010;38:114-121.
Development of a checklist for documenting team and collaborative behaviors during multidisciplinary bedside rounds.
Henneman EA, Kleppel R, Hinchey KT. J Nurs Adm. 2013;43:280-285.
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