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Epidemiology of Errors and Adverse Events
PATIENT SAFETY PRIMERS
Never Events
Adverse Events after Hospital Discharge
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Device-related Complications (78)
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Epidemiology of Errors and Adverse Events
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STUDY
Relationship between occurrence of surgical complications and hospital finances.
Eappen S, Lane BH, Rosenberg B, et al. JAMA. 2013;309:1599-1606.
PRESS RELEASE/ANNOUNCEMENT
AHRQ Patient Safety Project Reduces Bloodstream Infections by 40 Percent.
Rockville, MD: Agency for Healthcare Research and Quality; September 10, 2012.
STUDY
Effect of nonpayment for preventable infections in U.S. hospitals.
Lee GM, Kleinman K, Soumerai SB, et al. N Engl J Med. 2012;367:1428-1437.
STUDY
Burnout and satisfaction with work-life balance among US physicians relative to the general US population.
Shanafelt TD, Boone S, Tan L, et al. Arch Intern Med. 2012;172:1377-1385.
STUDY
Factors contributing to all-cause 30-day readmissions: a structured case series across 18 hospitals.
Feigenbaum P, Neuwirth E, Trowbridge L, et al. Med Care. 2012;50:599-605.
STUDY
Preventable deaths due to problems in care in English acute hospitals: a retrospective case record review study.
Hogan H, Healey F, Neale G, Thomson R, Vincent C, Black N. BMJ Qual Saf. 2012;21:737-745.
STUDY
Preventing patient harms through systems of care.
Pronovost PJ, Bo-Linn GW. JAMA. 2012;308:769-770.
REVIEW
Hospital-based medication reconciliation practices: a systematic review.
Mueller SK, Sponsler KC, Kripalani S, Schnipper JL. Arch Intern Med. 2012;172:1057-1069.
STUDY
Avoiding handover fumbles: a controlled trial of a structured handover tool versus traditional handover methods.
Payne CE, Stein JM, Leong T, Dressler DD. BMJ Qual Saf. 2012;21:925-932.
STUDY
Effect of a pharmacist intervention on clinically important medication errors after hospital discharge: a randomized trial.
Kripalani S, Roumie CL, Dalal AK, et al; PILL-CVD (Pharmacist Intervention for Low Literacy in Cardiovascular Disease) Study Group. Ann Intern Med. 2012;157:1-10.
BOOK/REPORT
Hospital Incident Reporting Systems Do Not Capture Most Patient Harm.
Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; January 2012. Report No. OEI-06-09-00091.
STUDY
Intervention to reduce transmission of resistant bacteria in intensive care.
Huskins WC, Huckabee CM, O'Grady NP, et al; STAR*ICU Trial Investigators. N Engl J Med. 2011;364:1407-1418.
STUDY
A pharmacist-led information technology intervention for medication errors (PINCER): a multicentre, cluster randomised, controlled trial and cost-effectiveness analysis.
Avery AJ, Rodgers S, Cantrill JA, et al. Lancet. 2012;379:1310-1319.
STUDY
Patient safety, satisfaction, and quality of hospital care: cross sectional surveys of nurses and patients in 12 countries in Europe and the United States.
Aiken LH, Sermeus W, Van den Heede K, et al. BMJ. 2012;344:e1717.
STUDY
A systematic review to evaluate the accuracy of electronic adverse drug event detection.
Forster AJ, Jennings A, Chow C, Leeder C, van Walraven C. J Am Med Inform Assoc. 2012;19:31-38.
STUDY
Emergency hospitalizations for adverse drug events in older Americans.
Budnitz DS, Lovegrove MC, Shehab N, Richards CL. N Engl J Med. 2011;365:2002-2012.
STUDY
How dangerous is a day in hospital?: A model of adverse events and length of stay for medical inpatients.
Hauck K, Zhao X. Med Care. 2011;49:1068-1075.
REVIEW
A systematic review of the psychological literature on interruption and its patient safety implications.
Li SY, Magrabi F, Coiera E. J Am Med Inform Assoc. 2012;19:6-12.
BOOK/REPORT
Serious Reportable Events in Healthcare—2011 Update.
Washington, DC: National Quality Forum; 2011. ISBN: 9780982842188.
STUDY
Effects of nurse staffing and nurse education on patient deaths in hospitals with different nurse work environments.
Aiken LH, Cimiotti JP, Sloane DM, Smith HL, Flynn L, Neff DF. Med Care. 2011;49:1047-1053.
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