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Medical Errors

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Preventing Bloodstream Infections

April 1, 2011 | Journal Article

Over the past decade, advances in the quality of care have been slow. One area of success, however, has been in combating central line–associated bloodstream infections.

University of Pittsburgh Medical Center (UPMC) Implements Transforming Care at the Bedside with a Focus on Medical Errors

July 5, 2011 | Story

"You can't deliver sustainable, long-term quality and safety improvement without infrastructure dedicated to the work," Minnier says. "And the amount you have will be a very strong predictor of the change and the sustainability of that change."

Learning Accountability for Patient Outcomes

July 14, 2010 | Commentary

In this commentary, Dr. Pronovost calls for greater accountability for patient safety within the U.S. health care system. He emphasizes the role of teamwork in reducing CLABSI and other preventable infections.

Implementing Standardized Operating Room Briefings and Debriefings at a Large Regional Medical Center

August 1, 2009 | Journal Article

Implementation of a standardized briefing and debriefing tool in a large regional medical center was a practical and feasible strategy to improve perceptions of interdisciplinary communication and teamwork in the operating room.

Diet Wheel to Ensure Correct Patient Diets and Reduce Errors

May 13, 2010 | Toolkit

Goal was to reduce errors and ensure patients receive the correct diet ordered by physicians. Satisfaction improved among nursing associates and dietary associates. Communication between the various hospital departments also improved.

Reducing Health Care Hazards

April 7, 2009 | Journal Article

A proposed public-private partnership to help the health care community emulate the successes of the Commercial Aviation Safety Team in commercial aviation.

New Techniques Suggested to Reduce Medical Errors

November 1, 2000 | Program Result Report

In 1996 and 1998, a range of organizations co-sponsored two multidisciplinary national conferences examining the problem of errors in medicine and health care.

Nurses and Medication Management

December 16, 2011 | Program Result Report

Interdisciplinary research teams at four institutions examined nursing's role in - and contribution to - medication management in hospital and transitional care settings.

Pursuing Perfection: Raising the Bar for Health Care Performance

National Program

Program to help hospital and physician organizations dramatically improve patient outcomes by pursuing perfection in all of their major care processes.

Joint Statement on Antibiotic Resistance from 25 National Health Organizations and the Centers for Disease Control and Prevention

November 12, 2012 | Report

In this statement presented by 25 national health organizations, a set of principles are presented which represent their commitment to conserving and replenishing antibiotic resources.

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