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Approach to Improving Safety
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BOOK/REPORTclassic
Best Care at Lower Cost: The Path to Continuously Learning Health Care in America.
Smith M, Saunders R, Stuckhardt L, McGinnis JM, eds. Committee on the Learning Health Care System in America, Institute of Medicine. Washington, DC: National Academies Press; 2012. ISBN: 9780309260732.
COMMENTARYclassic
Continuous improvement as an ideal in health care.
Berwick DM. N Engl J Med. 1989;320:53-56.
STUDY
Spreading a medication administration intervention organizationwide in six hospitals.
Kliger J, Singer S, Hoffman F, O'Neil E. Jt Comm J Qual Patient Saf. 2012;38:51-60.
STUDY
An intervention to decrease patient identification band errors in a children's hospital.
Hain PD, Joers B, Rush M, et al. Qual Saf Health Care. 2010;19:244-247.
STUDY
Impact of the Comprehensive Unit-Based Safety Program (CUSP) on safety culture in a surgical inpatient unit.
Timmel J, Kent PS, Holzmueller CG, Paine L, Schulick RD, Pronovost PJ. Jt Comm J Qual Patient Saf. 2010:36;252-260.
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.
STUDY
Perceptions of the impact of a large-scale collaborative improvement programme: experience in the UK Safer Patients Initiative.
Benn J, Burnett S, Parand A, Pinto A, Iskander S, Vincent C. J Eval Clin Pract. 2009;15:524-540.
BOOK/REPORT
Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2007.
Oakbrook Terrace, IL: The Joint Commission; November 2007.
BOOK/REPORT
Improving America's Hospitals: A Report on Quality and Safety.
Oakbrook Terrace, IL: The Joint Commission; March 2007.
STUDY
Registration-associated patient misidentification in an academic medical center: causes and corrections.
Bittle MJ, Charache P, Wassilchalk DM. Jt Comm J Qual Patient Saf. 2007;33:25-33.
COMMENTARY
Developing and implementing new safe practices: voluntary adoption through statewide collaboratives.
Leape LL, Rogers G, Hanna D, et al. Qual Saf Health Care. 2006;15:289-295.
STUDY
Using Six Sigma to reduce medication errors in a home-delivery pharmacy service.
Castle L, Franzblau-Isaac E, Paulsen J. Jt Comm J Qual Saf. 2005;31:319-324.
STUDY
Sins of omission. Getting too little medical care may be the greatest threat to patient safety.
Hayward RA, Asch SM, Hogan MM, Hofer TP, Kerr EA. J Gen Intern Med. 2005;20:686-691.
STUDY
Patient Safety Leadership WalkRounds™ at Partners HealthCare: learning from implementation.
Frankel A, Grillo SP, Baker EG, et al. Jt Comm J Qual Patient Saf. 2005;31:423-437. 
STUDY
Long-term reduction in adverse drug events: an evidence-based improvement model.
Gazarian M, Graudins LV. Pediatrics. 2012;129:e1334-e1342.
COMMENTARY
Patients count on it: an initiative to reduce incorrect counts and prevent retained surgical items.
Norton EK, Martin C, Micheli AJ. AORN J. 2012;1:109-121.
COMMENTARY
Kaiser Permanente's performance improvement system, part 4: creating a learning organization.
Schilling L, Dearing JW, Staley P, Harvey P, Fahey L, Kuruppu F. Jt Comm J Qual Patient Saf. 2011;37:532-543.
STUDY
Michigan Health & Hospital Association Keystone Obstetrics: a statewide collaborative for perinatal patient safety in Michigan.
Simpson KR, Knox GE, Martin M, George C, Watson SR. Jt Comm J Qual Patient Saf. 2011;37:544-551.
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