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Policy Makers
PATIENT SAFETY PRIMERS
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REVIEW
Medication safety in acute care in Australia: where are we now? Part 2: a review of strategies and activities for improving medication safety 2002-2008.
Semple SJ, Roughead EE. Aust New Zealand Health Policy. 2009;6:24.
COMMENTARY
Revisiting duty-hour limits — IOM recommendations for patient safety and resident education.
Iglehart JK. N Engl J Med. 2008;359:2633-2635.
AWARD RECIPIENT
Announcing 2009 Leapfrog top hospitals.
Washington, DC: Leapfrog Group; December 4, 2009.
STUDY
The effect of health information technology on quality in U.S. hospitals.
McCullough JS, Casey M, Moscovice I, Prasad S. Health Aff (Millwood). 2010;29:647-654.
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.
COMMENTARY
Getting moving on patient safety—harnessing electronic data for safer care.
Jha AK, Classen DC. N Engl J Med 2011;365:1756-1758.
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
Patient safety beyond the hospital.
Gandhi TK, Lee TH. N Engl J Med. 2010;363:1001-1003.
COMMENTARY
Hospital complications: linking payment reduction to preventability.
Averill RF, Hughes JS, Goldfield NI, McCullough EC. Jt Comm J Qual Patient Saf. 2009;35:283-285.
AUDIOVISUAL PRESENTATION
North Carolina Just Culture Journey.
Plano, TX: Just Culture Community; November 2008.
BOOK/REPORT
2009 Utah Sentinel Events Data Report.
Salt Lake City, UT: Utah Department of Health, Utah Hospitals & Health Systems Association, and HealthInsight; March 10, 2010.
STUDY
Medicare's policy not to pay for treating hospital-acquired conditions: the impact.
McNair PD, Luft HS, Bindman AB. Health Aff (Millwood). 2009;28:1485-1493.
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.
REVIEW
Hospital-based medication reconciliation practices: a systematic review.
Mueller SK, Sponsler KC, Kripalani S, Schnipper JL. Arch Intern Med. 2012;172:1057-1069.
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.
STUDY
Use of electronic health records in US hospitals.
Jha AK, Desroches CM, Campbell EG, et al. N Engl J Med. 2009;360:1628-1638.
STUDY
What stands in the way of technology-mediated patient safety improvements? A study of facilitators and barriers to physicians' use of electronic health records.
Holden RJ. J Patient Saf. 2011;7:193-203.
BOOK/REPORT
Improving America's Hospitals: The Joint Commission's Report on Quality and Safety 2008.
Oakbrook Terrace, IL: The Joint Commission; November 2008.
COMMENTARY
Building physician work hour regulations from first principles and best evidence.
Volpp KG, Landrigan CP. JAMA. 2008;300:1197-1199.
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