OBSTETRIC SAFETY

Baskett T.F. Shoulder dystocia. Best Practices & Research Clinical Obstetrics and Gynecology, 16(1), 57-68. 2002.

Deering S., Poggi S., Macedonia C., Gherman R. & Satin AJ. Improving resident competency in the management of shoulder dystocia with simulation training. Obstetrics & Gynecology. 103(6):1224-8, 2004.

Guise J-M, Lowe N.  Do You Speak SBAR? A Safety Series. JOGNN. 35(3): 313-314, 2006

McFarland M.B., Lander O., Piper J.M. & Berkus M.D. Perinatal outcome and the type and number of maneuvers in shoulder dystocia. International Journal of Gynecology & Obstetrics. 55, 219-224. 1996.

Sachs B. A 38-year-old woman with fetal loss and hysterectomy. JAMA. 294(7):833-40, 2005.

White AA, Pichert JW, Bledsoe SH, Irwin C, Entman SS. Cause and effect analysis of closed claims in obstetrics and gynecology. Obstetrics & Gynecology. 2005;105(5 Pt 1):1031-1038

Sentinel Event Alert Issue 30. JCAHO [http://www.jcaho.org/about+us/news+letters/sentinel+event+alert/sea_30.htm. Accessed January 3, 2004.

PEDIATRIC/NEONATAL SAFETY

Textbook of Neonatal Resuscitation (NRP) 4th edition (2000). Kattwinkel, J. (Ed.). Algorithm, Performance Megacodes & International Guidelines for Neonatal Resuscitation. American Heart Association & American Academy of Pediatrics.

Dildy G.A. (2001). The future of intapartum fetal pulse oximetry. Current Opinion in Obstetrics and Gynecology, 13: 133-136.

Landrigan CP. Rothschild JM. Cronin JW. Kaushal R. Burdick E. Katz JT. Lilly CM. Stone PH. Lockley SW. Bates DW. Czeisler CA. Effect of reducing interns' work hours on serious medical errors in intensive care units. New England Journal of Medicine. 351(18):1838-48, 2004 Oct 28.

Thomas EJ. Sexton JB. Helmreich RL. Translating teamwork behaviours from aviation to healthcare: development of behavioural markers for neonatal resuscitation. Quality & Safety in Health Care. 13 Suppl 1:i57-64, 2004 Oct.

Woods DM. Johnson J. Holl JL. Mehra M. Thomas EJ. Ogata ES. Lannon C. Anatomy of a patient safety event: a pediatric patient safety taxonomy. Quality & Safety in Health Care. 14(6):422-7, 2005 Dec.

ANESTHESIA SAFETY

American College of Obstetricians and Gynecologists (ACOG) Technical Bulletin #225-July 1996. Obstetric Analgesia & Anesthesia. www.acog.org.

Benumof J.L. (1996). Laryngeal mask airway and the ASA difficult airway algorithm. Anesthesiology 84(3), 686-699.

Bryant A., & Tingen M.S. (1999). Clinical Articles: The use of cricoid pressure during emergency intubation. Journal of Emergency Nursing 26: 283-284.

Exri T., Szmuk P., Evron S., Geva D., Hagay S., & Katz J. (2001). Difficult airway in obstetrical anesthesia: A review. Obstetrical and Gynecological Survey 56(10), 631-641.

Gataure P.S. (1995). The laryngeal mask airway in obstetrical anaesthesia. Canadian Journal Anaesthesia 42: 130-133.

Mathews G.A. (2001). Survey of cricoid pressure application by anaesthetists, operating department practitioners, intensive care and accident and emergency nurses. Anaesthesia, 56: 915-917.

Pennant J.H. & White P.F. (1993). The laryngeal mask airway. Anesthesiology 79, 144-163.

Poggi S.H., Allen R.H., Patel C., Deering S.H., Pezzullo J.C., Shin Y. Spong C.Y. (2004). Effect of epidural anaesthesia on clinician-applied force during vaginal delivery. American Journal of Obstetrics & Gynecology. 191(3):903-6.

GENERAL SAFETY

Barrett J., Gifford C., Morey J., Risser D., Salisbury M., (2001). Enhancing patient safety through teamwork training. Journal of Healthcare Risk Management, 21(3), 57-64

Bates DW. Using information technology to improve surgical safety. British Journal of Surgery. 91(8):939-40, 2004 Aug. UI: 15286951

Benner P. (1982). From novice to expert. American Journal of Nursing, March, 402-407.

Bond W.F. & Spillane L. For the CORD Core Competencies Simulation Group (2002). The use of simulation for emergency medicine resident assessment. Academic Emergency Medicine, 9(11), 1295-1299.

Brennan TA, Leape LL, Laird NM, et al. Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I. New England Journal of Medicine. 1991;324(6):370-376.

Crosby K.S. & Croskerry P. (2003). Patient Safety: A curriculum for teaching patient safety in emergency medicine. Academic Emergency Medicine, 10(1), 69-78.

Croskerry P. (2000). The feedback sanction. Academic Emergency Medicine, 7(11). 1232-1238.

Cullen DJ, Sweitzer BJ, Bates DW, Burdick E, Edmondson A, Leape LL. Preventable adverse drug events in hospitalized patients: a comparative study of intensive care and general care units. Critical Care Medicine. 1997;25(8):1289-1297.

Eisenlohr A., Render M.L. & Patterson E.S. (2003). Creating patient safety with organizational learning: A case-based learning intervention at a public and private hospital. From http://csel.eng.ohio-state.edu/emily.

Endsley M. (1995). Toward a theory of situation awareness in dynamic systems. Human Factors 37(1), 32-64.

Forster AJ. Murff HJ. Peterson JF. Gandhi TK. Bates DW. Adverse drug events occurring following hospital discharge. Journal of General Internal Medicine. 20(4):317-23, 2005 Apr.

Knox G.E. & Simpson K.R. (1999). High reliability perinatal units: An approach to the prevention of patient injury and medical malpractice claims. Journal of Healthcare Risk Management. Spring 1999, 24-32.

Kohn L, Corrigan J, Donalson M. To Err is human: building a safer health system. Washington: National Academy Press; 1999.

Leape LL, Brennan TA, Laird N, et al. The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II. New England Journal of Medicine. 1991;324(6):377-384.

Lingard L, Resnick R., Espin S., DeVito I. (2002). Team communication in the operating room: Talk patterns, sites of tension, and implications for the novices. Academic Medicine. 77(3), 232-237.

McLaughlin S.A., Doezema D. & Sklar D. (2002). Human simulation in emergency medicine training: A model curriculum. Academic Emergency Medicine, 9(11),1310-1318.

Nolan T.W. (2002). System changes to improve patient safety. British Medical Journal, 320, 771-773.

Patterson E.S., Woods D.D., Cook R.I., & Render M.L. (2001). New artic air crash aftermath role-play simulation: Orchestrating a fundamental surprise. From http://csel.eng.ohio-state.edu/emily.

Patterson E.S., Woods D.D., Sarter N.B. Watts-Perotti J. (1998). Patterns in cooperative cognition. From http://csel.eng.ohio-state.edu/emily.

Pavlovich-Danis S., Forman H. & Simek P. (1998). The nurse-physician relationship: Can it be saved? JONA 28(7/8). July/August.

Perinatal Nursing. Simpson K.R & Creehan P. (Eds) (2001). Simpson K.R. & Knox G.E. Perinatal Teamwork: Turning rhetoric into reality. pp.53-67. AWHONN. Lippincott. Philadelphia. www.awhonn.org.

Perry S.J. (2002). Profiles in patient safety: Organizational barriers to patient safety. Academic Emergency Medicine, 9(8), 848-850.

Porto G.G. (2001). Safety by design: Ten lessons from human factors research. Journal of Healthcare Risk Management, 21(3), 43-50.

Reason J. Human Error. New York: Cambridge University Press; 1990.

Reason J. Human error: models and management. BMJ. 2000;320(7237):768-770.

Reason J. Managing the risks of organizational accidents. Brookfield: Ashgate; 1997.

Schaefer H.G., Helmreich R.L., Scheidegger D. (1994). Human factors and safety in emergency medicine. Resuscitation 28, 221-225.

Sexton J.B., Thomas E.J. & Helmreich R.L. (2000). Error, stress, and teamwork in medicine and aviation: Cross sectional surveys. British Medical Journal, 320(March 18), 745-749.

Woods D.D. & Patterson E.S. (2001). How unexpected events produce an escalation of cognitive and coordinative demands. From http://csel.eng.ohio-state.edu/emily.

Shojania K, Duncan B, McDonald K, Wachter R, eds. Making Health Care Safer. A Critical Analysis of Patient Safety Practices. Evidence Report/Technology Assessment: Number 43. Rockville, MD: Agency for Healthcare Research and Quality; 2001. AHRQ Publication No. 01-E058.

Tamuz M. Thomas EJ. Franchois KE. Defining and classifying medical error: lessons for patient safety reporting systems. Quality & Safety in Health Care. 13(1):13-20, 2004 Feb.

Thomas EJ, Studdert DM, Burstin HR, et al. Incidence and types of adverse events and negligent care in Utah and Colorado. Medical Care. 2000;38(3):261-271.

Zapert K. Steffenson AE. Schneider EC. Physicians' views of interventions to reduce medical errors: does evidence of effectiveness matter?. Academic Medicine. 80(2):189-92, 2005 Feb.