State Governments and Agencies
PATIENT SAFETY PRIMERS
Device-related Complications (1)
Diagnostic Errors (1)
Identification Errors (1)
Medication Safety (3)
Medical Complications (3)
Nonsurgical Procedural Complications (1)
Surgical Complications (2)
State Governments and Agencies
Newspaper/Magazine Article (5)
Press Release/Announcement (2)
Web Resource (4)
Epidemiology of Errors and Adverse Events (4)
Active Errors (4)
Latent Errors (2)
Near Miss (1)
Approach to Improving Safety
Quality Improvement Strategies (6)
Legal and Policy Approaches (17)
Error Reporting and Analysis (17)
Communication Improvement (3)
Human Factors Engineering (1)
Logistical Approaches (1)
Culture of Safety (5)
Technologic Approaches (2)
Education and Training (2)
Health Care Providers (14)
Health Care Executives and Administrators (11)
Non-Health Care Professionals (14)
Setting of Care
Residential Facilities (2)
Outpatient Surgery (3)
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Statement of The Hospital & Healthsystem Association of Pennsylvania.
Hearings before the House Insurance Committee of the Pennsylvania General Assembly. (April 22, 2004) (statement of James R. Combes, MD, senior medical advisor, HAP).
Just Culture Collaborative.
Jefferson City, MO: Missouri Center for Patient Safety; 2007.
Patient Safety Toolbox.
Portland, ME: National Academy for State Health Policy.
Patient Safety Authority.
333 Market Street, Lobby Level, Harrisburg, PA 17120.
Governor signs Executive Order creating new Division of Patient Safety.
Evanston, IL: Office of the Governor; July 13, 2006.
Promoting collaboration and transparency in patient safety.
Apold J, Daniels T, Sonneborn M. Jt Comm J Qual Patient Saf. 2006;32:672-675.
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.
The Council of State Governments (CSG's) Health Literacy Tool Kit.
NEW JERSEY LEGISLATION
Requires DHSS to make reported information about certain adverse events publicly available.
New Jersey Legislature. A4327 (2007).
Oregon Patient Safety Commission.
Oregon State Legislature. HB 2349 (2003).
Health Occupations Article.
McHale BK, Hammen PA, Cole WH. HB 1274 Section 19-139 of the Health General Article; 2002.
Diagnostic error in acute care.
PA-PSRS Patient Saf Advis. 2010;7:76-86.
General Laws of Massachusetts.
Chapter 177 Section 6 of the Acts of 2001, part 1, Title II, Chapter 6A Section 16E; 2001.
State Patient Safety Centers: A New Approach to Promote Patient Safety.
Rosenthal J, Booth M. Portland, ME: National Academy for State Health Policy; November 2004.
Forgotten but not gone: tourniquets left on patients.
PA-PSRS Patient Saf Advis. June 2005;2:19-21.
Center for Consumer Health Care Information Patient Safety Center.
New York Department of Health, Empire State Plaza, Albany, NY 12237.
An Amendment of the Medical Care Availability and Reduction of Error (Mcare) Act.
General Assembly of Pennsylvania. SB968 (2007).
Translating patient safety legislation into health care practice.
Rabinowitz ABK, Clarke JR, Marella W, et al. Jt Comm J Qual Patient Saf. 2006;32:676-681.
Affordable Health Care for Floridians Act.
HB 1629 Section 18 Section 381.0271 Florida Statute; 2004.
Ambulatory surgery facilities: a comprehensive review of medication error reports in Pennsylvania.
PA-PSRS Patient Saf Advis. September 2011;8:85-93.
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