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Residential Facilities
PATIENT SAFETY PRIMERS
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Setting of Care
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BOOK/REPORT
Adverse Health Events in Minnesota: Ninth Annual Public Report.
St. Paul, MN: Minnesota Department of Health; January 2013.
BOOK/REPORT
Improving Communication During Transitions of Care.
Oakbrook Terrace, IL: Joint Commission Resources; 2010. ISBN: 9781599404097.
NEWSPAPER/MAGAZINE ARTICLE
Preventing fatal errors.
Bailey B, Sevrens Lyons J. The Mercury News. November 27, 2005.
NEWSPAPER/MAGAZINE ARTICLE
Approved: no new National Patient Safety Goals, only minor revisions for 2011.
Jt Comm Perspect. August 2010;30:6-7.
STUDY
Health care–associated invasive MRSA infections, 2005–2008.
Kallen AJ, Mu Y, Bulens S, et al; Active Bacterial Core surveillance (ABCs) MRSA Investigators of the Emerging Infections Program. JAMA. 2010;304:641-648.
SPECIAL OR THEME ISSUE
How-to Guides: Improving Transitions from the Hospital to Reduce Avoidable Rehospitalizations.
Cambridge, MA: Institute for Healthcare Improvement; June 2012.
SPECIAL OR THEME ISSUE
Clinical Handover: Critical Communications.
Med J Aust. 2009;190:S105-S160.
NEWSPAPER/MAGAZINE ARTICLE
USP initiatives for the safe use of medical gases.
Zaidi K, Curry PD Jr, Becker SC. Pharmaceutical Technology. November 2, 2005;29:102-103.
PRESS RELEASE/ANNOUNCEMENT
Patient safety: healthcare acquired conditions and serious reportable events.
Washington, DC: National Quality Forum; September 2009.
STUDY
Addressing delays in medication administration for patients transferred from the hospital to the nursing home: a pilot quality improvement project.
Ward KT, Bates-Jensen B, Eslami MS, et al. Am J Geriatr Pharmacother. 2008;6:205-211.
REVIEW
Nonhospital health care–associated hepatitis B and C virus transmission: United States, 1998-2008.
Thompson ND, Perz JF, Moorman AC, Holmberg SD. Ann Intern Med. 2009;150:33-39.
STUDY
Patterns in nursing home medication errors: disproportionality analysis as a novel method to identify quality improvement opportunities.
Hansen RA, Cornell PY, Ryan PB, Williams CE, Pierson S, Greene SB. Pharmacoepidemiol Drug Saf. 2010;19:1087-1094.
NEWSPAPER/MAGAZINE ARTICLE
Approved: 2010 National Patient Safety Goals.
Jt Comm Perspect. October 2009;29:1, 20-31.
NEWSPAPER/MAGAZINE ARTICLE
Multiple latent failures align to allow a serious drug interaction to harm a patient.
ISMP Medication Safety Alert! Acute Care Edition. May 5, 2011;16:1-3.
STUDY
Assessing resident safety culture in nursing homes: using the nursing home survey on resident safety.
Castle NG, Wagner LM, Perera S, Ferguson JC, Handler SM. J Patient Saf. 2010;6:59-67.
NEWSPAPER/MAGAZINE ARTICLE
Nursing homes seen deficient on basic care.
Dembner A. Boston Globe. July 3, 2006;Health Science section:A1.
COMMENTARY
Patient safety: moving the bar in prison health care standards.
Stern MF, Greifinger RB, Mellow J. Am J Public Health. 2010;100:2103-2110.
STUDY
Building a culture of safety through team training and engagement.
Thomas L, Galla C. BMJ Qual Saf. 2013;22:425-434.
STUDY
Medication errors during patient transitions into nursing homes: characteristics and association with patient harm.
Desai R, Williams CE, Greene SB, Pierson S, Hansen RA. Am J Geriatr Pharmacother. 2011;9:413-422.
REVIEW
Care transitions and home health care.
Boling PA. Clin Geriatr Med. 2009;25:135-148.
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