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Policy Makers
PATIENT SAFETY PRIMERS
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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
How do black-serving hospitals perform on patient safety indicators?: Implications for national public reporting and pay-for-performance.
Ly DP, Lopez L, Isaac T, Jha AK. Med Care. 2010;48:1133-1137.
MULTI-USE WEBSITE
HAC Posting on Hospital Compare.
Centers for Medicare & Medicaid Services.
BOOK/REPORT
HealthGrades Sixth Annual Patient Safety in American Hospitals Study.
Golden, CO: HealthGrades, Inc.; April 2009.
BOOK/REPORT
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.
COMMENTARY
The economics of health care quality and medical errors.
Andel C, Davidow SL, Hollander M, Moreno DA. J Health Care Finance. 2012;39:39-50.
BOOK/REPORT
Patient Safety Authority Annual Reports.
Harrisburg, PA: Patient Safety Authority; April 2012.
STUDY
The impact of medical errors on ninety-day costs and outcomes: an examination of surgical patients.
Encinosa WE, Hellinger FJ. Health Serv Res. 2008;43:2067-2085.
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.
STUDY
Thirty-day, all-cause readmissions for elderly patients who have an injury-related inpatient stay.
Spector WD, Mutter R, Owens P, Limcangco R. Med Care. 2012;50:863-869.
BOOK/REPORT
IBEAS: A Pioneer Study on Patient Safety in Latin America: Towards Safer Hospital Care.
Geneva, Switzerland: World Health Organization; 2011.
STUDY
Effect of nonpayment for hospital-acquired, catheter–associated urinary tract infection: a statewide analysis.
Meddings JA, Reichert H, Rogers MA, Saint S, Stephansky J, McMahon LF. Ann Intern Med. 2012;157:305-312.
BOOK/REPORT
Eliminating CLABSI: A National Patient Safety Imperative.
Rockville, MD: Agency for Healthcare Research and Quality; September 2011. AHRQ Publication No. 11-0037-1-EF.
BOOK/REPORT
HealthGrades Seventh Annual Patient Safety in American Hospitals Study.
Golden, CO: HealthGrades, Inc.; March 2010.
BOOK/REPORT
HealthGrades Eighth Annual Patient Safety in American Hospitals Study.
Reed K, May R. Denver, CO: HealthGrades, Inc.; March 2011.
BOOK/REPORT
Few Adverse Events in Hospitals Were Reported to State Adverse Event Reporting Systems.
Wright S. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; July 2012. Report No. OEI-06-09-00092.
REVIEW
Improving patient safety through the systematic evaluation of patient outcomes.
Forster AJ, Dervin G, Martin C, Papp S. Can J Surg. 2012;55:418-425.
STUDY
Exploring the causes of adverse events in hospitals and potential prevention strategies.
Smits M, Zegers M, Groenewegen PP, et al. Qual Saf Health Care. 2010;19:e5.
STUDY
The incidence of adverse events in Swedish hospitals: a retrospective medical record review study.
Soop M, Fryksmark U, Koster M, Haglund B. Int J Qual Health Care. 2009;21:285-291.
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