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PATIENT SAFETY PRIMERS
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BOOK/REPORT
Consumer Guide to Adverse Health Events.
St. Paul, MN: Minnesota Department of Health; January 2009.
BOOK/REPORT
Delivering Safer Health Care in Western Australia: The Second WA Sentinel Event Report 2005-2006.
East Perth, WA, Australia: Department of Health of Western Australia; 2006.
NEWSPAPER/MAGAZINE ARTICLE
Sarasota Memorial Hospital reviewed after restrained patient dies.
Gulliver D. Sarasota Herald Tribune. November 7, 2006:BS1.
MULTI-USE WEBSITE
Organisation Patient Safety Incident Reports.
National Patient Safety Agency.
NEWSPAPER/MAGAZINE ARTICLE
Report: hospital errors cost 18 lives.
Rojas-Burke J. Oregonian. January 30, 2007:B01.
NEWSPAPER/MAGAZINE ARTICLE
State starts project to track serious hospital mistakes.
Colburn D. The Oregonian. February 1, 2006:B1.
MULTI-USE WEBSITE
Indiana Medical Error Reporting System.
Indiana State Department of Health.
NEW JERSEY LEGISLATION
Requires DHSS to make reported information about certain adverse events publicly available.
New Jersey Legislature. A4327 (2007).
NEWSPAPER/MAGAZINE ARTICLE
Three die at Vets Home after errors.
Wolfe W. Minneapolis Star Tribune. February 28, 2007.
NEWSPAPER/MAGAZINE ARTICLE
Never events: Utah hospitals saw nearly 60 serious errors in 2007.
May H. Salt Lake Tribune. August 18, 2008.
BOOK/REPORT
Safety in Doses.
London, UK: National Patient Safety Agency; 2009. ISBN: 9781906624088.
BOOK/REPORT
2009 Utah Sentinel Events Data Report.
Salt Lake City, UT: Utah Department of Health, Utah Hospitals & Health Systems Association, and HealthInsight; March 10, 2010.
NEWSPAPER/MAGAZINE ARTICLE
Mistakes hospitals don't want you to see.
Ostrom CM. Seattle Times. October 23, 2007:A1.
PENNSYLVANIA LEGISLATION
An Amendment of the Medical Care Availability and Reduction of Error (Mcare) Act.
General Assembly of Pennsylvania. SB968 (2007).
ORGANIZATIONAL POLICY/GUIDELINES
WHO Draft Guidelines for Adverse Event Reporting and Learning Systems.
World Alliance for Patient Safety. Geneva, Switzerland: World Health Organization; 2005.
STUDY
Medication error reporting in nursing homes: identifying targets for patient safety improvement.
Greene SB, Williams CE, Pierson S, Hansen RA, Carey TS. Qual Saf Health Care. 2010;19:218-222.
COMMENTARY
Constitutional arguments in favor of modifying the HCQIA to allow the dissemination of physician information to healthcare consumers.
Chernitsky LA. Wash Lee Law Rev. Spring 2006;63:737-776.
COMMENTARY
Getting moving on patient safety—harnessing electronic data for safer care.
Jha AK, Classen DC. N Engl J Med 2011;365:1756-1758.
BOOK/REPORT
Medication-Related Adverse Outcomes in U.S. Hospitals and Emergency Departments, 2008.
Lucado J, Paez K, Elixhauser A. HCUP Statistical Brief #109. Rockville, MD: Agency for Healthcare Research and Quality; April 2011.
BOOK/REPORT
Legislative Report to the General Assembly: Adverse Event Reporting.
Mullen J, Furniss WH, Mueller L, Olson JC. Hartford, CT: Connecticut Department of Public Health; October 2012.
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