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.
Centers for Medicare & Medicaid Services.
Fall prevention in acute care hospitals: a randomized trial.
Dykes PC, Carroll DL, Hurley A, et al. JAMA. 2010;304:1912-1918.
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: 2011–2013.
Biondolillo M. Executive Office of Health and Human Services, Department of Public Health. Boston, MA: Commonwealth of Massachusetts; August 2014.
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.
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.
To reduce patient falls, hospitals try alarms, more nurses.
Ryan J. All Things Considered. National Public Radio. October 16, 2013.
At risk care plans: a way to reduce readmissions and adverse events.
Bahle J, Majercik C, Ludwick R, Bukosky H, Frase D. J Nurs Care Qual. 2014 Dec 10; [Epub ahead of print].
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.
Adverse Health Events in Minnesota: Tenth Annual Public Report.
St. Paul, MN: Minnesota Department of Health; January 2014.
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