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Approach to Improving Safety
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BOOK/REPORT
Patient-Centered Care Improvement Guide.
Frampton S, Guastello S, Brady C, et al. Derby, CT: Planetree; Camden, ME: Picker Institute; 2008.
STUDY
Hospital discharge documentation and risk of rehospitalisation.
Hansen LO, Strater A, Smith L, et al. BMJ Qual Saf. 2011;20:773-778.
STUDY
A reengineered hospital discharge program to decrease rehospitalization: a randomized trial.
Jack BW, Chetty VK, Anthony D, et al. Ann Intern Med. 2009;150:178-187.
STUDY
The effects of a 'discharge time-out' on the quality of hospital discharge summaries.
Mohta N, Vaishnava P, Liang C, et al. BMJ Qual Saf. 2012;21:885-890.
AWARD RECIPIENT
2006 Quest for Quality Prize.
Runy LA. Hosp Health Netw. September 2006. 
STUDY
Hospitalized patients' understanding of their plan of care.
O'Leary KJ, Kulkarni N, Landler MP, et al. Mayo Clin Proc. 2010;85:47-52.
BOOK/REPORT
Health Care Leader Action Guide to Reduce Avoidable Readmissions.
Osei-Anto A, Joshi M, Audet AJ, Berman A, Jencks SF. New York, NY: The Commonwealth Fund, The John Hartford Foundation, Health Research and Educational Trust; January 25, 2010.
MULTI-USE WEBSITE
Getting Safer Care.
Agency for Healthcare Research and Quality.
COMMENTARY
Complementary telephone strategies to improve postdischarge communication.
Rennke S, Kesh S, Neeman N, Sehgal NL. Am J Med. 2012;125:28-30.
STUDY
Putting the 'patient' in patient safety: a qualitative study of consumer experiences.
Rathert C, Brandt J, Williams ES. Health Expect. 2012;15:327-336.
STUDY
A qualitative exploration of patients' attitudes towards the 'Participate Inform Notice Know' (PINK) patient safety video.
Pinto A, Vincent C, Darzi A, Davis R. Int J Qual Health Care. 2013;25:29-34.
STUDYclassic
Communication discrepancies between physicians and hospitalized patients.
Olson DP, Windish DM. Arch Intern Med. 2010;170:1302-1307.
STUDY
Effect of hospital follow-up appointment on clinical event outcomes and mortality.
Grafft CA, McDonald FS, Ruud KL, Liesinger JT, Johnson MG, Naessens JM. Arch Intern Med. 2010;170:955-960.
REVIEW
Promoting effective transitions of care at hospital discharge: a review of key issues for hospitalists.
Kripalani S, Jackson AT, Schnipper JL, Coleman EA. J Hosp Med. 2007;2:314-323.
COMMENTARY
Improving heparin safety: a multidisciplinary invited conference.
Peterson C, Ham CW, Vanderveen T. Hosp Pharm. 2008;43:491-497.
STUDY
Last orders: follow-up of tests ordered on the day of hospital discharge.
Ong MS, Magrabi F, Jones G, Coiera E. Arch Intern Med. 2012;172:1347-1349.
COMMENTARY
The challenge of medication reconciliation.
Patient Safety & Quality Healthcare. May 10, 2006.
AUDIOVISUALclassic
The faces of medical error...from tears to transparency.
The Empowered Patient Coalition; 2010.
COMMENTARY
Anatomy of an incident disclosure: the importance of dialogue.
Iedema R, Allen S. Jt Comm J Qual Patient Saf. 2012;38:435-442.
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