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Error Reporting
PATIENT SAFETY PRIMERS
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STUDY
The long road to patient safety: a status report on patient safety systems.
Longo DR, Hewett JE, Ge B, Schubert S. JAMA. 2005;294:2858-2865.
STUDY
A comparison of hospital adverse events identified by three widely used detection methods.
Naessens JM, Campbell CR, Huddleston JM, et al. Int J Qual Health Care. 2009;21:301-307.
REVIEW
The business case for patient safety.
Hwang RW, Herndon JH. Clin Orthop Relat Res. 2007;457:21-34.
BOOK/REPORT
Patient Safety Authority Annual Reports.
Harrisburg, PA: Patient Safety Authority; April 2012.
COMMENTARY
Organizational Change in the Face of Highly Public Errors—I. The Dana-Farber Cancer Institute Experience
Conway JB, Weingart SN. AHRQ WebM&M [serial online]. May 2005.
COMMENTARY
ISMP medication error report analysis.
Cohen MR. Hosp Pharm. 2005;40:940-945.
NEWSPAPER/MAGAZINE ARTICLE
USP initiatives for the safe use of medical gases.
Zaidi K, Curry PD Jr, Becker SC. Pharmaceutical Technology. November 2, 2005;29:102-103.
BOOK/REPORT
Third Annual Report on Adverse Health Events in Wyoming Healthcare Facilities.
Chasson L, compiler; Mahoney G, Sherard BD, eds. Cheyenne, WY: Wyoming Department of Health; 2008.
BOOK/REPORT
Inspiring Ideas and Celebrating Successes: A Guidebook to Leading Patient Safety Practices in Ontario Hospitals.
OHA Patient Safety Support Service. Toronto, Ontario, Canada: Ontario Hospital Association; 2006.
NEWSPAPER/MAGAZINE ARTICLE
Preventing fatal errors.
Bailey B, Sevrens Lyons J. The Mercury News. November 27, 2005.
BOOK/REPORT
Serious Reportable Events in Massachusetts Acute Care Hospitals: January 1, 2008–December 31, 2008.
Executive Office of Health and Human Services, Department of Public Health, Bureau of Health Care Safety and Quality. Boston, MA: Commonwealth of Massachusetts; 2009.
STUDY
Patients' concerns about medical errors during hospitalization.
Burroughs TE, Waterman AD, Gallagher TH, et al. Jt Comm J Qual Patient Saf. 2007;33:5-14.
REVIEW
Monitoring for medication errors in outpatient settings.
Balkrishnan R, Foss CE, Pawaskar M, Uhas AA, Feldman SR. J Dermatolog Treat. 2009;20:229-232.
STUDY
Quality of traditional surveillance for public reporting of nosocomial bloodstream infection rates.
Lin MY, Hota B, Khan YM, et al; CDC Prevention Epicenter Program. JAMA. 2010;304:2035-2041.
STUDY
Nurses' perceptions of causes of medication errors and barriers to reporting.
Ulanimo VM, O'Leary-Kelley C, Connolly PM. J Nurs Care Qual. 2007;22:28-33.
NEWSPAPER/MAGAZINE ARTICLE
Deadly infections: hospitals can lower the risk, but many fail to act.
Consumer Reports. March 2010;75:16-21.
STUDY
Injury and death associated with incidents reported to the Patient Safety Net.
Reid M, Estacio R, Albert R. Am J Med Qual. 2009;24:520-524.
NEWSPAPER/MAGAZINE ARTICLE
Preventing infections: how Portland hospitals compare.
Rojas-Burke J. The Oregonian. May 8, 2010.
STUDY
Increasing medication error reporting rates while reducing harm through simultaneous cultural and system-level interventions in an intensive care unit.
Abstoss KM, Shaw BE, Owens TA, Juno JL, Commiskey EL, Niedner MF. BMJ Qual Saf. 2011;914-922.
COMMENTARY
Understanding national coverage policies. Navigating the maze of HACs, serious reportable events, and wrong surgical sites.
Cook J, D'Amato C, Garrett G, Ruhnau-Gee B, Hyde L, Novak N. J AHIMA. 2009;80:62-64.
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