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United States of America
PATIENT SAFETY PRIMERS
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REVIEW
Negligence, genuine error, and litigation.
Sohn DH. Int J Gen Med. 2013;6:49-56.
COMMENTARY
Minnesota Hospital Association Statewide Project: SAFE from FALLS.
Apold J, Quigley PA. J Nurs Care Qual. 2012;27:299-306.
AUDIOVISUAL
Chasing Zero: Winning the War on Healthcare Harm.
Austin, TX: Texas Medical Institute for Technology and the Quaid Foundation; 2010.
REVIEW
Duty-hour limits and patient care and resident outcomes: can high-quality studies offer insight into complex relationships?
Philibert I, Nasca T, Brigham T, Shapiro J. Annu Rev Med. 2013;64:467-483.
COMMENTARY
Duty hour reform in a shifting medical landscape.
Jena AB, Prasad V. J Gen Intern Med. 2013 Apr 9; [Epub ahead of print].
BOOK/REPORT
Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries.
Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; November 2010. Report No. OEI-06-09-00090.
STUDY
The $17.1 billion problem: the annual cost of measurable medical errors.
Van Den Bos J, Rustagi K, Gray T, Halford M, Ziemkiewicz E, Shreve J. Health Aff (Millwood). 2011;30:596-603.
COMMENTARY
Medicare nonpayment, hospital falls, and unintended consequences.
Inouye SK, Brown CJ, Tinetti ME. N Engl J Med. 2009;360:2390-2393.
STUDY
The effect of health information technology on quality in U.S. hospitals.
McCullough JS, Casey M, Moscovice I, Prasad S. Health Aff (Millwood). 2010;29:647-654.
NEWSPAPER/MAGAZINE ARTICLE
No bad apples.
Thrall TH. Hosp Health Netw. December 2008.
STUDY
Slow progress on meeting hospital safety standards: learning from the Leapfrog Group's efforts.
Moran J, Scanlon D. Health Aff (Millwood). 2013;32:27-35.
BOOK/REPORT
The First Annual HealthGrades Pediatric Patient Safety in American Hospitals Study.
Reed K, May R. Golden, CO: Health Grades, Inc; 2010.
REVIEW
Reduction in medication errors in hospitals due to adoption of computerized provider order entry systems.
Radley DC, Wasserman MR, Olsho LE, Shoemaker SJ, Spranca MD, Bradshaw B. J Am Med Inform Assoc. 2013;20:470-476.
BOOK/REPORT
Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2011.
Oakbrook Terrace, IL: The Joint Commission; September 2011.
STUDY
High-reliability emergency response teams in the hospital: improving quality and safety using in situ simulation training.
Wheeler DS, Geis G, Mack EH, LeMaster T, Patterson MD. BMJ Qual Saf. 2013;507-514.
UPCOMING MEETING/CONFERENCE
Project BOOST: improving the care of patients as they transition from hospital to home.
National Patient Safety Foundation. July 17, 2013; 2:00–3:00 PM (Eastern).
STUDY
Rapid response teams: qualitative analysis of their effectiveness.
Leach LS, Mayo AM. Am J Crit Care. 2013;22:198-210.
NEWSPAPER/MAGAZINE ARTICLE
When errors occur.
Wetzel TG. Hosp Health Netw. October 2010.
STUDY
Effects of the 2011 duty hour reforms on interns and their patients: a prospective longitudinal cohort study.
Sen S, Kranzler HR, Didwania AK, et al. JAMA Intern Med. 2013;173:657-662.
NEWSPAPER/MAGAZINE ARTICLE
10 years, 5 voices, 1 challenge.
Larkin H. Hosp Health Netw. October 21, 2009.
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