AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (1)

•Diagnostic Errors (5)

•Identification Errors (1)

•Discontinuities, Gaps, and Hand-Off Problems (7)

•Fatigue and Sleep Deprivation (3)

•Medication Safety (17)

•Medical Complications (22)

•Surgical Complications (13)

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•Journal Article (51)

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•Newspaper/Magazine Article (18)

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•Epidemiology of Errors and Adverse Events (11)

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Approach to Improving Safety
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Financial

Clinical Areas

•Medicine (56)

•Nursing (2)

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Target Audience

•Health Care Providers (36)

•Health Care Executives and Administrators (75)

•Non-Health Care Professionals (54)

•Patients (14)

Setting of Care

•Hospitals (61)

•Residential Facilities (1)

•Ambulatory Care (6)

1 - 20 of 100

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STUDY

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.

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.

NEWSPAPER/MAGAZINE ARTICLE

Hospitals find confession good for the bottom line.

Greene J. Crain's Detroit Business. May 10, 2009;25:18.

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

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.

NEWSPAPER/MAGAZINE ARTICLE

Transparency and public reporting are essential for a safe health care system.

Leape LL. Perspect Health Reform. New York, NY: The Commonwealth Fund; March 17, 2010.

COMMENTARY

The economics of health care quality and medical errors.

Andel C, Davidow SL, Hollander M, Moreno DA. J Health Care Finance. 2012;39:39-50.

NEWSPAPER/MAGAZINE ARTICLE

Hospital safety records, CEO pay increasingly linked.

Wilson B. Am Med News. November 26, 2007:50:16.

STUDY

Preventing hospital-acquired infections: a national survey of practices reported by U.S. hospitals in 2005 and 2009.

Krein SL, Kowalski CP, Hofer TP, Saint S. J Gen Intern Med. 2012;27:773-779.

NEWSPAPER/MAGAZINE ARTICLE

Minnesota is first state with policy to stop billing after medical errors.

Lerner M. Star Tribune. September 18, 2007;News section:5B.

NEWSPAPER/MAGAZINE ARTICLE

Insurers stop paying for care linked to errors.

Fuhrmans V. Wall Street Journal. January 15, 2008:D1.

NEWSPAPER/MAGAZINE ARTICLE

Driving out errors, with mom in mind.

Weinstock M. Hosp Health Netw. April 2011.

NEWSPAPER/MAGAZINE ARTICLE

Many Mass. hospitals will pay for errors.

Kowalczyk L. Boston Globe. September 17, 2007;Metro section:1A.

STUDY

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.

COMMENTARY

Building physician work hour regulations from first principles and best evidence.

Volpp KG, Landrigan CP. JAMA. 2008;300:1197-1199.

REVIEW

The economic burden of patient safety targets in acute care: a systematic review.

Mittmann N, Koo M, Daneman N, et al. Drug Healthc Patient Saf. 2012;4:141-165.

STUDY

Cost implications of ACGME's 2011 changes to resident duty hours and the training environment.

Nuckols TK, Escarce JJ. J Gen Intern Med. 2012;27:241-249.

NEWSPAPER/MAGAZINE ARTICLE

'Never' land.

Carpenter D. Hosp Health Netw. November 2007;81:34-38.

REVIEW

Hospital do-not-resuscitate orders: why they have failed and how to fix them.

Yuen JK, Reid MC, Fetters MD. J Gen Intern Med. 2011;26:791-797.

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