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Surgical Complications
PATIENT SAFETY PRIMERS
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Surgical Complications
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BOOK/REPORT
Adverse Events in Hospitals: Care Study of Incidence Among Medicare Beneficiaries in Two Selected Counties.
Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; December 2008. Report No. OEI-06-08-00220.
BOOK/REPORT
IBEAS: A Pioneer Study on Patient Safety in Latin America: Towards Safer Hospital Care.
Geneva, Switzerland: World Health Organization; 2011.
BOOK/REPORT
Patient Safety in Canada: An Update.
Ottawa, ON, Canada: Canadian Institute for Health Information; August 14, 2007.
BOOK/REPORT
HealthGrades Sixth Annual Patient Safety in American Hospitals Study.
Golden, CO: HealthGrades, Inc.; April 2009.
BOOK/REPORT
Tennessee Center for Patient Safety Annual Report 2010.
Nashville, TN: Tennessee Center for Patient Safety; August 2011.
BOOK/REPORT
Patient Safety Authority Annual Reports.
Harrisburg, PA: Patient Safety Authority; April 2013.
MULTI-USE WEBSITE
HAC Posting on Hospital Compare.
Centers for Medicare & Medicaid Services.
NEWSPAPER/MAGAZINE ARTICLE
Medicare says it won't cover hospital errors.
Pear R. New York Times. August 19, 2007.
NEWSPAPER/MAGAZINE ARTICLE
Medicare releases patient safety ratings for hospitals.
Rau J. Kaiser Health News. October 17, 2011.
NEWSPAPER/MAGAZINE ARTICLE
CMS seeks to add 9 hospital-acquired conditions to no-pay list.
O'Reilly KB. American Medical News. May 12, 2008.
BOOK/REPORT
Improving America's Hospitals: The Joint Commission's Report on Quality and Safety 2008.
Oakbrook Terrace, IL: The Joint Commission; November 2008.
NEWSPAPER/MAGAZINE ARTICLE
Many Mass. hospitals will pay for errors.
Kowalczyk L. Boston Globe. September 17, 2007;Metro section:1A.
STUDY
Publicly available hospital comparison web sites: determination of useful, valid, and appropriate information for comparing surgical quality.
Leonardi MJ, McGory ML, Ko CY. Arch Surg. 2007;142:863-869.
STUDY
Saving lives by studying deaths: using standardized mortality reviews to improve inpatient safety.
Lau H, Litman KC. Jt Comm J Qual Patient Saf. 2011;37:400-408.
STUDY
Adverse events during hospitalization: results of a patient survey.
Fowler FJ, Epstein A, Weingart SN, et al. Jt Comm J Qual Patient Saf. 2008;34:583-590.
BOOK/REPORT
Hospital Performance Report.
Trenton, NJ: New Jersey Department of Health and Senior Services; March 2012.
COMMENTARY
The clinical transformation of Ascension Health: eliminating all preventable injuries and deaths.
Pryor DB, Tolchin SF, Hendrich A, Thomas CS, Tersigni AR. Jt Comm J Qual Patient Saf. 2006;32:299-308.
STUDY
Variations in surgical outcomes associated with hospital compliance with safety practices.
Brooke BS, Dominici F, Pronovost PJ, Makary MA, Schneider E, Pawlik TM. Surgery. 2012;151:651-659.
BOOK/REPORT
Hospital-acquired infections in Pennsylvania.
Harrisburg, PA: Pennsylvania Health Care Cost Containment Council; November 2006.
COMMENTARY
Debriefing medical teams: 12 evidence-based best practices and tips.
Salas E, Klein C, King H, et al. Jt Comm J Qual Patient Saf. 2008;34:518-527.
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