U.S. Department of Health & Human Services
PATIENT SAFETY PRIMERS
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Adverse Events in Hospitals: Overview of Key Issues.
Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; December 2008. Report No. OEI-06-07-00470.
Patient Safety Authority Annual Reports.
Harrisburg, PA: Patient Safety Authority; April 2014.
Hospital patient safety grades may misrepresent hospital performance.
Hwang W, Derk J, LaClair M, Paz H. J Hosp Med. 2014;9:111-115.
The partnership with patients: a call to action for leaders.
Denham CR. J Patient Saf. 2011;7:113-121.
Hospital Reporting Program.
Portland, OR: Oregon Patient Safety Commission.
Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries.
Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; November 2010. Report No. OEI-06-09-00090.
Centers for Medicare & Medicaid Services.
Patient Safety in Canada: An Update.
Ottawa, ON, Canada: Canadian Institute for Health Information; August 14, 2007.
Assessing and improving quality and safety.
Zeis M. HealthLeaders Media. July/August 2013;16:26-28.
NY Medicaid ups the ante: by refusing to pay for 14 'never events,' the nation's biggest Medicaid program could propel other states into action.
DerGurahian J. Mod Healthc. June 16, 2008;38:6.
Assessing the state of safe medication practices using the ISMP Medication Safety Self Assessment for Hospitals: 2000 and 2011.
Vaida AJ, Lamis RL, Smetzer JL, Kenward K, Cohen MR. Jt Comm J Qual Patient Saf. 2014;40:51-67.
National Healthcare Safety Network.
Centers for Disease Control and Prevention.
Standing Up for Doctors, Speaking Out for Patients. Final Report.
London, UK: Health Policy & Economic Research Unit, British Medical Association Scotland; May 2010.
"That was a close call": endorsing a broad definition of near misses in health care.
Marks CM, Kasda E, Paine L, Wu AW. Jt Comm J Qual Patient Saf. 2013;39:475-479.
Common formats for patient safety data collection and event reporting.
Federal Register. Rockville, MD: Agency for Healthcare Research and Quality. February 18, 2014;79:9214-9215.
Adverse Events in Hospitals: State Reporting Systems.
Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; December 2008. Report No. OEI-06-07-00471.
Diagnostic error in acute care.
PA-PSRS Patient Saf Advis. 2010;7:76-86.
Interpreting adverse drug reaction (ADR) reports as hospital patient safety incidents.
Davies EC, Green CF, Mottram DR, Pirmohamed M. Br J Clin Pharmacol. 2010;70:102-108.
Influence of state laws mandating reporting of healthcare-associated infections: the case of central line–associated bloodstream infections.
Pakyz AL, Edmond MB. Infect Control Hosp Epidemiol. 2013;34:780-784.
Variability in the measurement of hospital-wide mortality rates.
Shahian DM, Wolf RE, Iezzoni LI, Kirle L, Normand SL. N Engl J Med. 2010;363:2530-2539.
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