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Policy Makers
PATIENT SAFETY PRIMERS
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BOOK/REPORT
Advances in Patient Safety: New Directions and Alternative Approaches.
Rockville, MD: Agency for Healthcare Research and Quality; July 2008. AHRQ Publication Nos. 080034 (1-4).
NEWSPAPER/MAGAZINE ARTICLE
Preventing fatal errors.
Bailey B, Sevrens Lyons J. The Mercury News. November 27, 2005.
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.
COMMENTARY
Global priorities for patient safety research.
Bates DW, Larizgoitia I, Prasopa-Plaizier N, Jha AK; Research Priority Setting Working Group of the WHO World Alliance for Patient Safety. BMJ. 2009;338:b1775.
COMMENTARY
Patient safety beyond the hospital.
Gandhi TK, Lee TH. N Engl J Med. 2010;363:1001-1003.
BOOK/REPORT
MHA Keystone Center for Patient Safety & Quality 2010 Annual Report.
Lansing, MI: Michigan Health & Hospital Association; October 2010.
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.
COMMENTARY
Viewing health care delivery as science: challenges, benefits, and policy implications.
Pronovost PJ, Goeschel CA. Health Serv Res. 2010;45:1508-1522.
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.
COMMENTARY
Moving beyond readmission penalties: creating an ideal process to improve transitional care.
Burke RE, Kripalani S, Vasilevskis EE, Schnipper JL. J Hosp Med. 2013;8:102-109.
BOOK/REPORT
Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2012.
Oakbrook Terrace, IL: The Joint Commission; September 2012.
BOOK/REPORT
Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2010.
Oakbrook Terrace, IL: The Joint Commission; September 2010.
COMMENTARY
A new frontier in patient safety.
McCannon J, Berwick DM. JAMA
.
2011;305:2221-2222.
COMMENTARY
Healthcare in a land called PeoplePower: nothing about me without me.
Delbanco T, Berwick DM, Boufford JI, et al. Health Expect. 2001;4:144-150.
AWARD RECIPIENT
Announcing 2009 Leapfrog top hospitals.
Washington, DC: Leapfrog Group; December 4, 2009.
AUDIOVISUAL
"To Err Is Human" Report Retrospective and the Decade Ahead.
2009 NPSF Congress: Lucian Leape Institute Plenary. Boston, MA: National Patient Safety Foundation; May 21, 2009.
BOOK/REPORT
Tennessee Center for Patient Safety Annual Report 2010.
Nashville, TN: Tennessee Center for Patient Safety; August 2011.
SPECIAL OR THEME ISSUE
Patient Safety Papers 4.
Baker GR, ed. Healthc Q. 2009;12:1-198.
STUDY
Risk managers, physicians, and disclosure of harmful medical errors.
Loren DJ, Garbutt J, Dunagan WC, et al. Jt Comm J Qual Patient Saf. 2010;36:101-108.
COMMENTARY
Revisiting duty-hour limits — IOM recommendations for patient safety and resident education.
Iglehart JK. N Engl J Med. 2008;359:2633-2635.
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