PATIENT SAFETY PRIMERS
Device-related Complications (3)
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Discontinuities, Gaps, and Hand-Off Problems (6)
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Setting of Care
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The business case for quality: economic analysis of the Michigan Keystone Patient Safety Program in ICUs.
Waters HR, Korn R Jr, Colantuoni E, et al. Am J Med Qual. 2011;26:333-339.
U.S. adoption of computerized physician order entry systems.
Cutler DM, Feldman NE, Horwitz JR. Health Aff (Millwood). 2005;24:1654-1663.
The MacArthur Fellows Program: Peter Pronovost.
The John D. and Catherine T. MacArthur Foundation. September 23, 2008.
The iatrogenic-harm cost equation and new technology.
Webster CS. Anaesthesia. 2005;60:843-846.
Driving out errors, with mom in mind.
Weinstock M. Hosp Health Netw. April 2011.
Hospital implementation of computerized provider order entry systems: results from the 2003 Leapfrog Group quality and safety survey.
Hillman JM, Given RS. J Healthc Inf Manag. Fall 2005;19:55-65.
Counterheroism, common knowledge, and ergonomics: concepts from aviation that could improve patient safety.
Lewis GH, Vaithianathan R, Hockey PM, Hirst G, Bagian JP. Milbank Q. 2011;89:4-38.
Getting a Good Report Card: Unintended Consequences of the Public Reporting of Hospital Quality
Lindenauer P. AHRQ WebM&M [serial online]. November 2006.
Apology May Cut Medical Cost.
"The Early Show." CBS News Video. February 7, 2007.
Anesthesia Patient Safety Foundation (APSF) Grant Program.
Indianapolis, IN: Anesthesia Patient Safety Foundation.
Opportunities and Recommendations for State–Federal Coordination to Improve Health System Performance: A Focus on Patient Safety.
Buxbaum J. Portland, ME: National Academy for State Health Policy; January 2010.
Effect of nonpayment for hospital-acquired, catheter–associated urinary tract infection: a statewide analysis.
Meddings JA, Reichert H, Rogers MA, Saint S, Stephansky J, McMahon LF. Ann Intern Med. 2012;157:305-312.
Doing well by doing good: assessing the cost savings of an intervention to reduce central line-associated bloodstream infections in a Hawaii hospital.
Hsu E, Lin D, Evans SJ, et al. Am J Med Qual. 2013 May 7; [Epub ahead of print].
Medicare's policy not to pay for treating hospital-acquired conditions: the impact.
McNair PD, Luft HS, Bindman AB. Health Aff (Millwood). 2009;28:1485-1493.
Excusable neglect in malpractice suits against radiologists: a proposed jury instruction to recognize the human condition.
Caldwell C, Seamone ER. Ann Health Law. Winter 2007;16:43-77.
A novel approach to increase residents' involvement in reporting adverse events.
Scott DR, Weimer M, English C, et al. Acad Med. 2011;86:742-746.
The (slowly) vanishing prescription pad.
Steinbrook R. N Engl J Med. 2008;359:115-117.
Relationship between occurrence of surgical complications and hospital finances.
Eappen S, Lane BH, Rosenberg B, et al. JAMA. 2013;309:1599-1606.
Eliminating Serious, Preventable, and Costly Medical Errors - Never Events.
Baltimore, MD: Centers for Medicare & Medicaid Services (CMS) Office of Public Affairs; May 18, 2006.
One group of doctors changes its ways.
Hallinan JT. Post-Gazette.com. June 21, 2005.
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