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Legal and Policy Approaches
PATIENT SAFETY PRIMERS
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REVIEW
Negligence, genuine error, and litigation.
Sohn DH. Int J Gen Med. 2013;6:49-56.
COMMENTARY
Minnesota Hospital Association Statewide Project: SAFE from FALLS.
Apold J, Quigley PA. J Nurs Care Qual. 2012;27:299-306.
AUDIOVISUAL
Chasing Zero: Winning the War on Healthcare Harm.
Austin, TX: Texas Medical Institute for Technology and the Quaid Foundation; 2010.
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.
STUDY
The effect of health information technology on quality in U.S. hospitals.
McCullough JS, Casey M, Moscovice I, Prasad S. Health Aff (Millwood). 2010;29:647-654.
COMMENTARY
Medicare nonpayment, hospital falls, and unintended consequences.
Inouye SK, Brown CJ, Tinetti ME. N Engl J Med. 2009;360:2390-2393.
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
Disruptive behavior affects hospital financial health.
Crane M. Medscape Medical News. December 11, 2010.
COMMENTARY
Hospital complications: linking payment reduction to preventability.
Averill RF, Hughes JS, Goldfield NI, McCullough EC. Jt Comm J Qual Patient Saf. 2009;35:283-285.
COMMENTARY
Financial incentives to promote health care quality: the hospital acquired conditions nonpayment policy.
Kavanagh KT. Soc Work Public Health. 2011;26:524-541.
STUDY
Board quality scorecards: measuring improvement.
Goeschel CA, Berenholtz SM, Culbertson RA, Jin LD, Pronovost PJ. Am J Med Qual. 2011;26:254-260.
NEWSPAPER/MAGAZINE ARTICLE
Hospitals find confession good for the bottom line.
Greene J. Crain's Detroit Business. May 10, 2009;25:18.
NEWSPAPER/MAGAZINE ARTICLE
Patient safety front and center.
Terry K. Hosp Health Netw. July 2011;85:38-40, 42.
ORGANIZATIONAL POLICY/GUIDELINES
Quality Advisory: Implementing a No-Charge Policy for Serious, Adverse Events.
Chicago, IL: American Hospital Association; February 12, 2008.
COMMENTARY
Making inpatient medication reconciliation patient centered, clinically relevant and implementable: a consensus statement on key principles and necessary first steps.
Greenwald JL, Halasyamani L, Greene J, et al. J Hosp Med. 2010;5:477-485.
STUDY
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.
NEWSPAPER/MAGAZINE ARTICLE
Fixing relationships, preventing errors.
McGinn P, Chabon R. HHN Magazine Online. November 25, 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.
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.
BOOK/REPORT
Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2011.
Oakbrook Terrace, IL: The Joint Commission; September 2011.
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