Healthcare Quarterly

Vol. 12 Special Issue | Patient Safety Papers

Editorial

G. Ross Baker

Perspectives

Identifying Risks

Effect of Ambient Workload in the Intensive Care Unit on Mortality and Time to Discharge Alive

Scot A. Mountain, S. Morad Hameed, Najib T. Ayas, Monica Norena, Dean R. Chittock, Hubert Wong and Peter Dodek

Computed Tomography Radiation Dose: A Primer for Administrators

David A. Leswick, Chance S. Dumaine, Nida S. Syed and Derek A. Fladeland

Safety of Discharge of Seniors from the Emergency Department to the Community

Jane McCusker, Danièle Roberge, Alain Vadeboncoeur and Josée Verdon

Impact of Adverse Events on Hospital Disposition in Community-Dwelling Seniors Admitted to Acute Care

Stacy Ackroyd-Stolarz, Judith Read Guernsey, Neil J. MacKinnon and George Kovacs

Identification of Safety Outcomes for Canadian Home Care Clients: Evidence from the Resident Assessment Instrument - Home Care reporting system concerning emergency room visits

Diane M. Doran, John Hirdes, Jeff Poss, Micaela Jantzi, Régis Blais, G. Ross Baker and Jennie Pickard

Identifying Risks

Ensuring the Safety of Health Information Systems: Using Heuristics for Patient Safety

Christopher J. Carvalho, Elizabeth M. Borycki and Andre Kushniruk

Self-Reported Medical Errors in Seven Countries: Implications for Canada

Joshua O'Hagan, Neil J. MacKinnon, David Persaud and Holly Etchegary

Falls among Top Reasons for Transfers from Continuing Care to Acute Care Hospitals in Canada

Raymond Przybysz, Heather Dawson and Kira Leeb

Designing Safer Systems

Human Factors Perspectives on a Systemic Approach to Ensuring a Safer Medication Delivery Process

Joseph A. Cafazzo, Patricia Trbovich, Andrea Cassano-Piche, Anjum Chagpar, Peter G. Rossos, Kim J. Vicente and Anthony C. Easty

Building Clinical and Organizational Resilience to Reconcile Safety Threats, Tensions and Trade-Offs: Insights from Theory and Evidence

Lianne Jeffs, Deborah Tregunno, Kathleen MacMillan and Sherry Espin

Looking Ahead: The Use of Prospective Analysis to Improve the Quality and Safety of Care

Beverley Tezak, Carol Anderson, Annette Down, Helen Gibson, Brenda Lynn, Shelley McKinney, Christena Selby and Lorraine Sunstrum-Mann

Enhancing Transfusion Safety with an Innovative Bar-Code-Based Tracking System

Ryan W. Askeland, Steve P. McGrane, Dan R. Reifert and John D. Kemp

Toward an Integrated Simulation Approach for Predicting and Preventing Technology-Induced Errors in Healthcare: Implications for Healthcare Decision-Makers

Elizabeth M. Borycki, Andre Kushniruk, Elizabeth Keay, James Nicoll, James Anderson and Marilyn Anderson

Home Care Safety Perspectives from Clients, Family Members, Caregivers and Paid Providers

Ariella Lang, Marilyn Macdonald, Jan Storch, Kari Elliott, Lynn Stevenson, Helene Lacroix, Susan Donaldson, Serena Corsini-Munt, Farraminah Francis and Cherie Geering Curry

Implementation of Admission Medication Reconciliation at Two Academic Health Sciences Centres: Challenges and Success Factors

Edward Etchells, Anne Matlow, Maitreya Coffey, Patricia Cornish and Tessie Koonthanam

Hand Hygiene: Seeing Is Believing

Cynthia Plante-Jenkins and Florentina Belu

Implementing Safety Solutions

Improving Communication of Critical Test Results in a Pediatric Academic Setting: Key Lessons in Achieving and Sustaining Positive Outcomes

Cheryl Jackson, Maureen MacDonald, Michael Anderson, Polly Stevens, Philip Gordon and Ronald Laxer

Role of Champions in the Implementation of Patient Safety Practice Change

Stephanie Soo, Whitney Berta and G. Ross Baker

Compliance with a Pediatric Clinical Practice Guideline for Intravenous Fluid and Electrolyte Administration

Amanda Hurdowar, Lynn Urmson, Desmond Bohn, Denis Geary, Ronald Laxer and Polly Stevens

"Nurses Don't Hate Change" - Survey of nurses in a neonatal intensive care unit regarding the implementation, use and effectiveness of a bar code medication administration system

Frank H. Morriss Jr., Paul W. Abramowitz, Lee Carmen and Anne B. Wallis

Creating Safety Learning Systems

Medical Safety and Community Practice: Necessary Elements and Barriers to Implement a Safety Learning System

Maeve O'Beirne and Pam D. Sterling

Establishing a Provincial Patient Safety and Learning System: Pilot Project Results and Lessons Learned

Doug Cochrane, Annemarie Taylor, Georgene Miller, Valoria Hait, Irene Matsui, Manish Bharadwaj and Patrick Devine

Categorizing Errors and Adverse Events for Learning: A Provider Perspective

Liane R. Ginsburg, You-Ta Chuang, Julia Richardson, Peter G. Norton, Whitney Berta, Deborah Tregunno and Peggy Ng

TOCSIN: A Proposed Dashboard of Indicators to Control Healthcare-Associated Infections

Régis Blais, François Champagne and Louise Rousseau

Understanding Decision-Making in Healthcare and the Law

Decision-Making in Healthcare and the Law: An Introduction

Jan M. Davies, Sharon Caughey and Pat Croskerry

Context Is Everything or How Could I Have Been That Stupid?

Pat Croskerry

Understanding Decision-Making in Healthcare and the Law

Nurses' Decisions, Irreducible Uncertainty and Maximizing Nurses' Contribution to Patient Safety

Carl Thompson and Huiqin Yang

Shared Decision-Making

William Godolphin

Thinking about Thinking: Implications for Patient Safety

Kathryn Montgomery

Healthcare and the Law: A View from the Bar

John Martland