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Health Care Executives and Administrators
PATIENT SAFETY PRIMERS
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Safety Target
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Device-related Complications (180)
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Diagnostic Errors (152)
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Identification Errors (113)
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Discontinuities, Gaps, and Hand-Off Problems (449)
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Fatigue and Sleep Deprivation (96)
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Medication Safety (1049)
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Medical Complications (505)
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Epidemiology of Errors and Adverse Events (857)
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Approach to Improving Safety
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Health Care Executives and Administrators
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Facility and Group Administrators (320)
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Nurse Managers (284)
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Risk Managers (409)
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Quality and Safety Professionals (1579)
Setting of Care
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Hospitals (2699)
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BOOK/REPORT
The Patient Safety Initiative at America’s Public Hospitals: The Year One Overview.
Research Brief. Washington, DC: National Association of Public Hospitals and Health Systems; January 2011.
GOVERNMENT RESOURCE
Partnership for Patients.
Washington, DC: US Department of Health and Human Services.
BOOK/REPORT
Tennessee Center for Patient Safety Annual Report 2010.
Nashville, TN: Tennessee Center for Patient Safety; August 2011.
MULTI-USE WEBSITE
BOOSTing Care Transitions Resource Room.
Project BOOST (Better Outcomes for Older adults through Safe Transitions), Society of Hospital Medicine.
BOOK/REPORT
Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2009.
Oakbrook Terrace, IL: The Joint Commission; January 2010.
BOOK/REPORT
Hospital Reporting Program.
Portland, OR: Oregon Patient Safety Commission.
COMMENTARY
Revisiting duty-hour limits — IOM recommendations for patient safety and resident education.
Iglehart JK. N Engl J Med. 2008;359:2633-2635.
COMMENTARY
Duty hour reform in a shifting medical landscape.
Jena AB, Prasad V. J Gen Intern Med. 2013 Apr 9; [Epub ahead of print].
BOOK/REPORT
Patient Safety Authority Annual Reports.
Harrisburg, PA: Patient Safety Authority; April 2012.
AWARD RECIPIENT
Announcing 2009 Leapfrog top hospitals.
Washington, DC: Leapfrog Group; December 4, 2009.
REVIEW
Interdisciplinary teamwork in hospitals: a review and practical recommendations for improvement.
O'Leary KJ, Sehgal NL, Terrell G, Williams MV; High Performance Teams and the Hospital of the Future Project Team. J Hosp Med. 2011 Oct 31; [Epub ahead of print].
NEWSPAPER/MAGAZINE ARTICLE
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.
COMMENTARY
Learning accountability for patient outcomes.
Pronovost PJ. JAMA. 2010;304:204-205.
REVIEW
What is patient safety culture? A review of the literature.
Sammer CE, Lykens K, Singh KP, Mains DA, Lackan NA. J Nurs Scholarsh. 2010;42:156-165.
NEWSPAPER/MAGAZINE ARTICLE
Fixing relationships, preventing errors.
McGinn P, Chabon R. HHN Magazine Online. November 25, 2008.
STUDY
Improving safety culture on adult medical units through multidisciplinary teamwork and communication interventions: the TOPS Project.
Blegen MA, Sehgal NL, Alldredge BK, Gearhart S, Auerbach AD, Wachter RM. Qual Saf Health Care. 2010;19:346-350.
COMMENTARY
CMS changes in reimbursement for HAIs: setting a research agenda.
Stone PW, Glied SA, McNair PD, et al. Med Care. 2010;48:433-439.
BOOK/REPORT
Resident Duty Hours: Enhancing Sleep, Supervision, and Safety.
Ulmer C, Wolman DM, Johns MME, eds. Committee on Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedule to Improve Patient Safety, Institute of Medicine. Washington, DC: The National Academies Press; 2008. ISBN: 9780309127721.
BOOK/REPORT
HealthGrades Seventh Annual Patient Safety in American Hospitals Study.
Golden, CO: HealthGrades, Inc.; March 2010.
TOOLKIT
Wristband Standardization Initiative.
Austin, TX: Texas Hospital Association; October 2008.
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