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 05/14/08 |
The wisdom and justice of not paying for "preventable complications." Pronovost PJ, Goeschel CA, Wachter RM. JAMA. 2008;299:2197-2199.
Do the AHRQ Patient Safety Indicators flag conditions that are present at the time of hospital admission? Bahl V, Thompson MA, Kau T-Y, Hu HM, Campbell DA Jr. Med Care. 2008;46:516-522.
Workarounds to barcode medication administration systems: their occurrences, causes, and threats to patient safety. Koppel R, Wetterneck T, Telles JL, Karsh BT. J Am Med Inform Assoc. 2008 Apr 24; [Epub ahead of print].
Potentially inappropriate medication use in hospitalized elders. Rothberg MB, Pekow PS, Liu F, et al. J Hosp Med. 2008;3:91-102.
Informatics opportunities: the intersection of patient safety and clinical informatics. Kilbridge PM, Classen DC. J Am Med Inform Assoc. 2008 Apr 24; [Epub ahead of print].
Overconfidence as a cause of diagnostic error in medicine. Berner ES, Graber ML. Am J Med. 2008;121(suppl 1):S2-S23.
Diagnostic Error: Is Overconfidence the Problem. Graber ML, Berner ES, eds. Amer J Med. 2008;121(suppl 1):S1-S46.
Pennsylvania Patient Safety Authority 2007 Annual Report. Harrisburg, PA: Patient Safety Authority; April 29, 2008.
Billed for medical mistakes. Stock S. I-Team Investigation. CBS4.com. May 1, 2008.
Hospital Survey on Patient Safety Culture Comparative Database. Agency for Healthcare Research and Quality.
| Newspapers/Magazine Articles |
Some red rules shouldn't rule in hospitals. ISMP Medication Safety Alert! Acute Care Edition. April 24, 2008;13:1-3.
Using Data Effectively to Manage the Risks to Medication Safety. US Pharmacopeia, Institute for Safe Medication Practices. June 7, 2008; Red Lion Hotel, Seattle, WA.
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Safety Target Medication errors, Diagnostic errors, Nosocomial infections, Post-operative surgical complications, More... |
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Approach to Improving Safety Human factors engineering, Error reporting, Teamwork training, Culture of safety, Nurse staffing ratios, Regulation, More... |
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Error Types Cognitive errors ("mistakes"), Non-cognitive errors ("slips & lapses"), Latent errors, More... |
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Clinical Area Anesthesiology, Emergency medicine, Critical care nursing, Community pharmacy, More... |
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Target Audience Physicians, Nurses, Risk managers, Educators, Policymakers, More... |
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Setting of Care Intensive care units, Operating room, Children's hospitals, Ambulatory clinic or office, Residential facilities, More... |
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