December (1) 2012 | Volume 16, Issue 12:1

Table of Contents

1. Application of an Aviation Model of Incident Reporting and Investigation to the Neurosurgical Scenario: Method and Preliminary Data
2. As She Lay Dying: How I Fought to Stop Medical Errors from Killing My Mom
3. Counting Matters: Lessons from the Root Cause Analysis of a Retained Surgical Item
4. Duplication of Surgical Site Marking
5. Effects of Nursing Unit Spatial Layout on Nursing Team Communication Patterns, Quality of Care, and Patient Safety
6. A Framework for Encouraging Patient Engagement in Medical Decision Making
7. The Heart of Health Care: Parents’ Perspectives on Patient Safety
8. How-To Guide: Prevent Obstetrical Adverse Events
9. Impact of a Hospital-Wide Hand Hygiene Initiative on Healthcare-Associated Infections: Results of an Interrupted Time Series
10. The Impact of Medication Reconciliation Program at Admission in an Internal Medicine Department
11. Improving Patient Safety through the Systematic Evaluation of Patient Outcomes
12. Online, Direct-to-Consumer Access to Insulin: Patient Safety Considerations and Reform
13. Pediatric Medical Line Safety: The Prevalence and Severity of Medical Line Entanglements
14. Pharmacy Dispensing of Electronically Discontinued Medications
15. The Role of the Electronic Health Record in Patient Safety Events
16. A Study of the Prevalence of Adverse Events in Primary Healthcare in Spain
17. Surgical Fires: Trends Associated with Prevention Efforts
18. A Systematic Approach to the Identification and Classification of Near-Miss Events on Labor and Delivery in a Large, National Health Care System
19. “Team Time-Out” and Surgical Safety—Experiences in 12,390 Neurosurgical Patients
20. Thirty-Day Outcomes Support Implementation of a Surgical Safety Checklist

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