U.S. Department of Health & Human Services
PATIENT SAFETY PRIMERS
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Racial disparities in the frequency of patient safety events: results from the National Medicare Patient Safety Monitoring System.
Metersky ML, Hunt DR, Kliman R, et al. Med Care. 2011;49:504-510.
An inpatient fall prevention initiative in a tertiary care hospital.
Weinberg J, Proske D, Szerszen A, et al. Jt Comm J Qual Patient Saf. 2011;37:317-325.
Injury and death associated with incidents reported to the Patient Safety Net.
Reid M, Estacio R, Albert R. Am J Med Qual. 2009;24:520-524.
The no-fall zone.
Butcher L. Hosp Health Netw. June 2013.
Patient Safety Authority Annual Reports.
Harrisburg, PA: Patient Safety Authority; April 2014.
Inpatient fall prevention: use of in-room Webcams.
Hardin SR, Dienemann J, Rudisill P, Mills KK. J Patient Saf. 2013;9:29-35.
Chronic kidney disease adversely influences patient safety.
Seliger SL, Zhan M, Hsu VD, Walker LD, Fink JC. J Am Soc Nephrol. 2008;19:2414-2419.
HAC Posting on Hospital Compare.
Centers for Medicare & Medicaid Services.
Meeting the Joint Commission's 2013 National Patient Safety Goals.
Oakbrook Terrace, IL: The Joint Commission; September 2012. ISBN: 9781599407555.
SPECIAL OR THEME ISSUE
J Safety Res. 2011;42:415-542.
Medicare nonpayment, hospital falls, and unintended consequences.
Inouye SK, Brown CJ, Tinetti ME. N Engl J Med. 2009;360:2390-2393.
Serious Reportable Events in Massachusetts Acute Care Hospitals: January 1, 2008–December 31, 2008.
Executive Office of Health and Human Services, Department of Public Health, Bureau of Health Care Safety and Quality. Boston, MA: Commonwealth of Massachusetts; 2009.
To reduce patient falls, hospitals try alarms, more nurses.
Ryan J. All Things Considered. National Public Radio. October 16, 2013.
Effects of an intervention to increase bed alarm use to prevent falls in hospitalized patients: a cluster randomized trial.
Shorr RI, Chandler AM, Mion LC, et al. Ann Intern Med. 2012;157:692-699.
Fall prevention in acute care hospitals: a randomized trial.
Dykes PC, Carroll DL, Hurley A, et al. JAMA. 2010;304:1912-1918.
Inpatient fall prevention programs as a patient safety strategy: a systematic review.
Miake-Lye IM, Hempel S, Ganz DA, Shekelle PG. Ann Intern Med. 2013;158(5 Pt 2):390-396.
Is it possible to identify risks for injurious falls in hospitalized patients?
Mion LC, Chandler AM, Waters TM, et al. Jt Comm J Qual Patient Saf. 2012;38:408-413.
Effect of a pharmacist-led multicomponent intervention focusing on the medication monitoring phase to prevent potential adverse drug events in nursing homes.
Lapane KL, Hughes CM, Daiello LA, Cameron KA, Feinberg J. J Am Geriatr Soc. 2011;59:1238-1245.
Inspiring Ideas and Celebrating Successes: A Guidebook to Leading Patient Safety Practices in Ontario Hospitals.
OHA Patient Safety Support Service. Toronto, Ontario, Canada: Ontario Hospital Association; 2006.
Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care.
Ganz DA, Huang C, Saliba D, et al. Rockville, MD: Agency for Healthcare Research and Quality; January 2013. AHRQ Publication No. 13-0015-EF.
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