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Policy Makers
PATIENT SAFETY PRIMERS
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BOOK/REPORT
Adverse Events in Hospitals: Overview of Key Issues.
Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; December 2008. Report No. OEI-06-07-00470.
ORGANIZATIONAL POLICY/GUIDELINES
Quality Advisory: Implementing a No-Charge Policy for Serious, Adverse Events.
Chicago, IL: American Hospital Association; February 12, 2008.
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.
NEWSPAPER/MAGAZINE ARTICLE
Medicare says it won't cover hospital errors.
Pear R. New York Times. August 19, 2007.
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.
STUDY
The $17.1 billion problem: the annual cost of measurable medical errors.
Van Den Bos J, Rustagi K, Gray T, Halford M, Ziemkiewicz E, Shreve J. Health Aff (Millwood). 2011;30:596-603.
NEWSPAPER/MAGAZINE ARTICLE
Minnesota is first state with policy to stop billing after medical errors.
Lerner M. Star Tribune. September 18, 2007;News section:5B.
NEWSPAPER/MAGAZINE ARTICLE
CMS seeks to add 9 hospital-acquired conditions to no-pay list.
O'Reilly KB. American Medical News. May 12, 2008.
NEWSPAPER/MAGAZINE ARTICLE
Many Mass. hospitals will pay for errors.
Kowalczyk L. Boston Globe. September 17, 2007;Metro section:1A.
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
A new frontier in patient safety.
McCannon J, Berwick DM. JAMA
.
2011;305:2221-2222.
COMMENTARY
Revisiting duty-hour limits — IOM recommendations for patient safety and resident education.
Iglehart JK. N Engl J Med. 2008;359:2633-2635.
NEWSPAPER/MAGAZINE ARTICLE
Transparency and public reporting are essential for a safe health care system.
Leape LL. Perspect Health Reform. New York, NY: The Commonwealth Fund; March 17, 2010.
BOOK/REPORT
HealthGrades Sixth Annual Patient Safety in American Hospitals Study.
Golden, CO: HealthGrades, Inc.; April 2009.
STUDY
Venous thromboembolism after trauma: a never event?
Thorson CM, Ryan ML, Van Haren RM, et al. Crit Care Med. 2012;40:2967-2973.
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.
COMMENTARY
Minnesota Hospital Association Statewide Project: SAFE from FALLS.
Apold J, Quigley PA. J Nurs Care Qual. 2012;27:299-306.
MULTI-USE WEBSITE
HAC Posting on Hospital Compare.
Centers for Medicare & Medicaid Services.
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.
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