PATIENT SAFETY PRIMERS
Device-related Complications (1)
Identification Errors (2)
Discontinuities, Gaps, and Hand-Off Problems (2)
Medication Safety (9)
Medical Complications (4)
Nonsurgical Procedural Complications (1)
Surgical Complications (8)
Psychological and Social Complications (1)
Australia and New Zealand (2)
North America (41)
Journal Article (21)
Newspaper/Magazine Article (14)
Press Release/Announcement (1)
Web Resource (4)
Epidemiology of Errors and Adverse Events (10)
Active Errors (7)
Latent Errors (2)
Approach to Improving Safety
Health Care Providers (18)
Health Care Executives and Administrators (32)
Non-Health Care Professionals (20)
Setting of Care
Ambulatory Care (1)
Outpatient Surgery (2)
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Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2009.
Oakbrook Terrace, IL: The Joint Commission; January 2010.
New York City puts hospital error data online.
Kershaw S. New York Times. Sepember 7, 2007;Metro Desk section:B1.
HealthGrades Quality Study: Fifth Annual Patient Safety in American Hospitals Study.
Golden, CO: HealthGrades, Inc.; April 2008.
Measurement for improvement: a survey of current practice in Australian public hospitals.
Brand CA, Tropea J, Ibrahim JE, et al. Med J Aust. 2008;189:35-40.
Consumers' Priorities for Hospital Quality Improvement and Implications for Public Reporting.
Ginsburg M, Glasmire K. Oakland, CA: California HealthCare Foundation; April 2011.
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.
More families hear apologies following medical mistakes.
Greene L. St. Petersburg Times. August 19, 2008.
Web sites compare how hospitals measure up.
Neary L. "Talk of the Nation." National Public Radio. August 26, 2008.
Do no harm: hospital care in Las Vegas.
Allen M, Richards A. Las Vegas Sun. June 27, 2010.
Publicly available hospital comparison web sites: determination of useful, valid, and appropriate information for comparing surgical quality.
Leonardi MJ, McGory ML, Ko CY. Arch Surg. 2007;142:863-869.
Hidden mistakes in hospitals.
Kauffman M, Altimari D. The Hartford Courant. November 15, 2009;Final:A1.
22 California hospitals earn top status for outstanding patient safety & health care quality.
San Francisco, CA: The Leapfrog Group; May 2, 2006.
Adherence to Surgical Care Improvement Project measures and the association with postoperative infections.
Stulberg JJ, Delaney CP, Neuhauser DV, Aron DC, Fu P, Koroukian SM. JAMA. 2010;303:2479-2485.
First do no harm.
Allen M. Washington Monthly. March/April 2011.
Driving out errors, with mom in mind.
Weinstock M. Hosp Health Netw. April 2011.
In Conversation with...Diane Rydrych, MA
Rydrych D. AHRQ WebM&M [serial online]. June 2007.
Improving America's Hospitals—The Joint Commission's Annual Report on Quality and Safety.
Oakbrook Terrace, IL: Joint Commission.
Hospitals shine light on mistakes by publicly saying: "we're sorry."
O'Reilly KB. American Medical News. August 11, 2008;51:1.
Protecting patients: hospitals wrestle with reporting and fixing medical mistakes.
Collins LM. Deseret Morning News. July 8, 2007;A1.
NEW JERSEY LEGISLATION
Requires DHSS to make reported information about certain adverse events publicly available.
New Jersey Legislature. A4327 (2007).
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