An intervention to improve transitions from NICU to ambulatory care: quasi-experimental study.
Moyer VA, Papile LA, Eichenwald E, Giardino AP, Khan MM, Singh H. BMJ Qual Saf. 2014;23:e3.
This AHRQ-funded cohort study used insights from a failure modes and effects analysis to provide dedicated health coaching and enhanced personal health records to families with infants being discharged from a neonatal intensive care unit. Despite the robust effort, there were no differences in post-discharge adverse events, which occurred in approximately half of the infants.
Checklists change communication about key elements of patient care.
Newkirk M, Pamplin JC, Kuwamoto R, Allen DA, Chung KK. J Trauma Acute Care Surg. 2012;73(2 suppl 1):S75-S82.
Computerized dose range checking using hard and soft stop alerts reduces prescribing errors in a pediatric intensive care unit.
Balasuriya L, Vyles D, Bakerman P, et al. J Patient Saf. 2014 Oct 31; [Epub ahead of print].
Distributing Cognition: ICU Handoffs Conform to Grice's Maxims.
Brandwijk M, Nemeth C, O'Conner M, Kahana M, Cook RI. Departments of Pediatrics and Anesthesia and Critical Care: Chicago, IL: University of Chicago.
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Toward learning from patient safety reporting systems.
Pronovost PJ, Thompson DA, Holzmueller CG, et al. J Crit Care. 2006;21:305-315.