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Literature DB >> 16568924

A practical tool to learn from defects in patient care.

Peter J Pronovost¹, Christine G Holzmueller, Elizabeth Martinez, Christina L Cafeo, David Hunt, Conan Dickson, Michael Awad, Martin A Makary.

Abstract

Entities: Species

Mesh：

Year: 2006 PMID： 16568924 DOI： 10.1016/s1553-7250(06)32014-4

Source DB: PubMed Journal: Jt Comm J Qual Patient Saf ISSN： 1553-7250

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17 in total

1. Creating and evaluating a data-driven curriculum for central venous catheter placement.

Authors: James R Duncan; Katherine Henderson; Mandie Street; Amy Richmond; Mary Klingensmith; Elio Beta; Andrea Vannucci; David Murray
Journal: J Grad Med Educ Date: 2010-09

2. Viewing health care delivery as science: challenges, benefits, and policy implications.

Authors: Peter J Pronovost; Christine A Goeschel
Journal: Health Serv Res Date: 2010-08-02 Impact factor: 3.402

3. Removing "orange wires": surfacing and hopefully learning from mistakes.

Authors: Peter J Pronovost; Elizabeth A Martinez; Jose M Rodriguez-Paz
Journal: Intensive Care Med Date: 2006-07-28 Impact factor: 17.440

Review 4. Achieving the National Quality Forum's "Never Events": prevention of wrong site, wrong procedure, and wrong patient operations.

Authors: Robert K Michaels; Martin A Makary; Yasser Dahab; Frank J Frassica; Eugenie Heitmiller; Lisa C Rowen; Richard Crotreau; Henry Brem; Peter J Pronovost
Journal: Ann Surg Date: 2007-04 Impact factor: 12.969

A practical tool to learn from defects in patient care.

1. Creating and evaluating a data-driven curriculum for central venous catheter placement.

2. Viewing health care delivery as science: challenges, benefits, and policy implications.

3. Removing "orange wires": surfacing and hopefully learning from mistakes.

Review 4. Achieving the National Quality Forum's "Never Events": prevention of wrong site, wrong procedure, and wrong patient operations.

5. Creating high reliability in health care organizations.

6. A research framework for reducing preventable patient harm.

7. Transforming the Morbidity and Mortality Conference to Promote Safety and Quality in a PICU.

8. The intensive care unit family meeting: making it happen.

9. Planning and implementing a systems-based patient safety curriculum in medical education.

10. Preoccupation with failure and adherence to shared baselines: Measuring high-reliability organizational culture.