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STUDY
Description and evaluation of adaptations to the Global Trigger Tool to enhance value to adverse event reduction efforts.
Kennerly DA, Saldaña M, Kudyakov R, da Graca B, Nicewander D, Compton J. J Patient Saf. 2013;9:87-95.
COMMENTARY
The Safe Tables Collaborative: a statewide experience.
Wagner CA, Cecchettini D, Fletcher J. Jt Comm J Qual Patient Saf. 2011;37:206-210.
MEETING/CONFERENCE PROCEEDINGS
Patient Safety as an Exercise in Behavioral Change.
Leape LL. Social and Behavioral Sciences in Action. Washington, DC: National Research Council of the National Academies. September 24, 2012.
NEWSPAPER/MAGAZINE ARTICLE
Could it happen here? Learning from other organizations' safety errors.
Conway J. Healthc Exec. November/December 2008;23:64-67.
COMMENTARY
The competitive imperative of learning.
Edmondson AC. Harv Bus Rev. 2008;86:60-67, 160.
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.
MEETING/CONFERENCE PROCEEDINGS
The 2012 Fifth International High Reliability Conference Proceedings.
Oakbrook Terrace, IL: Joint Commission; May 21–23, 2012.
STUDY
Patient safety climate in hospitals: act locally on variation across units.
Campbell EG, Singer S, Kitch BT, Iezzoni LI, Meyer GS. Jt Comm J Qual Patient Saf. 2010;36:319-326.
NEWSPAPER/MAGAZINE ARTICLE
Tapping front-line knowledge: identifying problems as they occur helps enhance patient safety.
Luther K, Resar RK. Healthc Exec. Jan/Feb 2013;28:84-87.
BOOK/REPORT
Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2009.
Oakbrook Terrace, IL: The Joint Commission; January 2010.
NEWSPAPER/MAGAZINE ARTICLE
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.
STUDY
Structuring patient and family involvement in medical error event disclosure and analysis.
Etchegaray JM, Ottosen MJ, Burress L, et al. Health Aff (Millwood). 2014;33:46-52.
REVIEWclassic
"July Effect": impact of the academic year-end changeover on patient outcomes. A systematic review.
Young JQ, Ranji SR, Wachter RM, Lee CM, Niehaus B, Auerbach AD. Ann Intern Med. 2011;155:309-315.
MULTI-USE WEBSITE
Tennessee Center for Patient Safety.
Nashville, TN.
STUDY
Project BOOST: effectiveness of a multihospital effort to reduce rehospitalization.
Hansen LO, Greenwald JL, Budnitz T, et al. J Hosp Med. 2013;8;421-427.
COMMENTARY
Learning accountability for patient outcomes.
Pronovost PJ. JAMA. 2010;304:204-205.
COMMENTARY
Minnesota Hospital Association Statewide Project: SAFE from FALLS.
Apold J, Quigley PA. J Nurs Care Qual. 2012;27:299-306.
STUDY
Use of an appreciative inquiry approach to improve resident sign-out in an era of multiple shift changes.
Helms AS, Perez TE, Baltz J, et al. J Gen Intern Med. 2012;27:287-291.
STUDYclassic
Safety in numbers: the development of Leapfrog's composite patient safety score for US hospitals.
Austin JM, D'Andrea G, Birkmeyer JD, et al. J Patient Saf. 2014;10:64-71.
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