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PATIENT SAFETY PRIMERS
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An Amendment of the Medical Care Availability and Reduction of Error (Mcare) Act.
General Assembly of Pennsylvania. SB968 (2007).
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.
Assessing and improving quality and safety.
Zeis M. HealthLeaders Media. July/August 2013;16:26-28.
Diagnostic error in acute care.
PA-PSRS Patient Saf Advis. 2010;7:76-86.
Temporal trends in rates of patient harm resulting from medical care.
Landrigan CP, Parry GJ, Bones CB, Hackbarth AD, Goldmann DA, Sharek PJ. N Engl J Med. 2010;363:2124-2134.
National estimates of adverse events during nonpsychiatric hospitalizations for persons with schizophrenia.
Khaykin E, Ford DE, Pronovost PJ, Dixon L, Daumit GL. Gen Hosp Psychiatry. 2010;32:419-425.
Rounding to influence.
Reinertsen JL, Johnson KM. Healthc Exec. Sept/Oct 2010;25:72-75.
Pulse Report 2009: Safety Culture: Staff Perspectives on American Health Care.
South Bend, IN: Press Ganey Associates, Inc: 2009.
VA Health Care: VA Uses Medical Injury Tort Claims Data to Assess Veterans’ Care, but Should Take Action to Ensure That These Data Are Complete.
Washington, DC: United States Government Accountability Office; October 28, 2011. Publication GAO-12-6R.
Are we finally getting serious about medical errors?
Burns J. Managed Care Magazine. May 2011;20:23-28.
Integrating incident data from five reporting systems to assess patient safety: making sense of the elephant.
Levtzion-Korach O, Frankel A, Alcalai H, et al. Jt Comm J Qual Patient Saf. 2010;36:402-410.
Analysis of staff safety concerns.
Davidson J, Lamontagne G, Burnell L, et al. J Nurs Care Qual. 2013;28:147-152.
Leadership WalkRound Films.
London, UK: National Patient Safety Agency, NHS Institute for Innovation and Improvement, The Health Foundation, Patient Safety First; 2009.
Measuring patient safety culture: an assessment of the clustering of responses at unit level and hospital level.
Smits M, Wagner C, Spreeuwenberg P, van der Wal G, Groenewegen PP. Qual Saf Health Care. 2009;18:292-296.
'Global Trigger Tool' shows that adverse events in hospitals may be ten times greater than previously measured.
Classen DC, Resar R, Griffin F, et al. Health Aff (Millwood). 2011;30:581-589.
Medication Safety Self Assessment for Automated Dispensing Cabinets.
Horsham, PA: Institute for Safe Medication Practices; 2009.
Revealing and resolving patient safety defects: the impact of leadership WalkRounds on frontline caregiver assessments of patient safety.
Frankel A, Grillo SP, Pittman M, et al. Health Serv Res. 2008;43:2050-2066.
Collaboration focused on priority issues promotes safety.
ISMP Medication Safety Alert! Acute Care Edition. October 10, 2008;13:1-3.
Professionalism: a necessary ingredient in a culture of safety.
DuPree E, Anderson R, McEvoy MD, Brodman M. Jt Comm J Qual Patient Saf. 2011;37:447-455.
In Conversation with...James L. Reinertsen, MD
Reinertsen JL. AHRQ WebM&M [serial online]. July 2007.
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