Nosocomial infection, the Deficit Reduction Act, and incentives for hospitals.

Nicholas Graves; John E McGowan

Commentary

Nosocomial infection, the Deficit Reduction Act, and incentives for hospitals.

October 8, 2008

Graves N, McGowan JE. JAMA. 2008;300(13):1577-9.

View more articles from the same authors.

This commentary describes how nosocomial infections affect health care costs and how Medicare's policy of not paying for certain hospital-acquired conditions may influence hospital practice.

PubMed citation

Available at

Related Resources From the Same Author(s)

Reducing the incidence of retained surgical instrument fragments.

September 14, 2011

What counts as a voiceable concern in decisions about speaking out in hospitals: a qualitative study.

January 19, 2022

Creating a web-based incident analysis and communication system.

November 2, 2011

Sharing the process of diagnostic decision making.

August 9, 2017

Improving medication safety with accurate preadmission medication lists and postdischarge education.

September 26, 2012

Diagnostic reasoning in cardiovascular medicine.

January 19, 2022

Effect of critical access hospital conversion on patient safety.

November 28, 2007

Hospital process compliance and surgical outcomes in Medicare beneficiaries.

October 27, 2010

The long road to patient safety: a status report on patient safety systems.

December 14, 2005

Rural hospital patient safety systems implementation in two states.

August 29, 2007

Hospital patient safety: characteristics of best-performing hospitals.

June 20, 2007

The influence of the structure and culture of medical group practices on prescription drug errors.

August 31, 2005

Assumptions of quality medicine: the role of uncertainty.

June 14, 2017

Information-gathering patterns associated with higher rates of diagnostic error.

December 9, 2009

Nursing home administrators' opinions of the resident safety culture in nursing homes.

February 7, 2007

Teaching internal medicine residents quality improvement and patient safety: a lean thinking approach.

April 28, 2010

Risk models to improve safety of dispensing high-alert medications in community pharmacies.

November 7, 2012

Regional variations in diagnostic practices.

May 12, 2010

Tubing misconnections: normalization of deviance.

June 29, 2011

Is there light? Well it depends—a grounded theory study of nurses, lighting, and medication administration.

December 16, 2015

Nursing home patient safety culture perceptions among US and immigrant nurses.

January 24, 2018

Mislabeled units of umbilical cord blood detected by a quality assurance program at the transplantation center.

October 14, 2009

Development and sustainability of an inpatient-to-outpatient discharge handoff tool: a quality improvement project.

April 30, 2014

An experimental study in nurse-physician relationships.

August 2, 2006

Incidence and OR team awareness of “near-miss” and retained surgical sharps: a national survey on United States operating rooms.

June 23, 2021

Pharmacist workload and pharmacy characteristics associated with the dispensing of potentially clinically important drug-drug interactions.

May 9, 2007

Trauma Resuscitation Using in situ Simulation Team Training (TRUST) study: latent safety threat evaluation using framework analysis and video review.

September 1, 2021

Peer review of medical practices: missed opportunities to learn.

January 28, 2015

An overlooked condition.

November 30, 2005

Structural racism and health inequities in the USA: evidence and interventions.

April 14, 2017

Do professionalism lapses in medical school predict problems in residency and clinical practice?

June 17, 2020

A prevalence study of errors in opioid prescribing in a large teaching hospital.

August 10, 2011

Nurse aides' ratings of the resident safety culture in nursing homes.

September 27, 2006

Introduction to the STS National Database Series: outcomes analysis, quality improvement, and patient safety.

November 18, 2015

Is communication improved with the implementation of an obstetrical version of the World Health Organization safe surgery checklist?

November 9, 2016

Association of hospital participation in a quality reporting program with surgical outcomes and expenditures for Medicare beneficiaries.

February 18, 2015

Association of adverse effects of medical treatment with mortality in the United States: a secondary analysis of the Global Burden of Diseases, Injuries, and Risk Factors study.

January 30, 2019

The coronavirus and the risks to the elderly in long-term care.

May 6, 2020

Hospital autopsy: endangered or extinct?

July 8, 2015

Systems approach to health service design, delivery and improvement: a systematic review and meta-analysis.

February 3, 2021

Organisational crisis resource management: leading an academic department of emergency medicine through the COVID-19 pandemic.

October 7, 2020

Simulation-based trial of surgical-crisis checklists.

January 30, 2013

Why your doctor's white coat can be a threat to your health.

May 8, 2019

All CLEAR? Preparing for IT downtime.

September 28, 2016

Use of HIT for adverse event reporting in nursing homes: barriers and facilitators.

January 23, 2013

Standardised proformas improve patient handover: audit of trauma handover practice.

October 22, 2008

Controlled trial to improve resident sign-out in a medical intensive care unit.

August 30, 2017

Description and yield of current quality and safety review in selected US academic emergency departments.

August 30, 2017

Reasons provided by prescribers when overriding drug–drug interaction alerts.

November 28, 2007

Hospital- and system-wide interventions for health care-associated infections: a systematic review.

September 16, 2020

What interventions could reduce diagnostic error in emergency departments? A review of evidence, practice and consumer perspectives.

July 24, 2019

Junior doctors and patient safety: evaluating knowledge, attitudes and perception of safety climate.

September 5, 2012

Relationship between nursing home safety culture and Joint Commission accreditation.

May 2, 2012

Utilizing pharmacy students in transitions-of-care services.

September 9, 2015

Indication documentation and indication-based prescribing within electronic prescribing systems: a systematic review and narrative synthesis.

April 5, 2023

Root cause analysis of adverse events in an outpatient anticoagulation management consortium.

May 31, 2017

Crisis checklists for the operating room: development and pilot testing.

January 30, 2005

Streamlining care in crisis: rapid creation and implementation of a digital support tool for COVID-19.

October 21, 2020

Bedside shift reports: what does the evidence say?

September 24, 2014

Hand hygiene deficiency citations in nursing homes.

September 26, 2012

How well is quality improvement described in the perioperative care literature? A systematic review.

May 4, 2016

Description and evaluation of an interprofessional patient safety course for health professions and related sciences students.

January 10, 2007

Evaluating ambulatory practice safety: the PROMISES Project administrators and practice staff surveys.

December 17, 2014

Does clinical supervision of health professionals improve patient safety? A systematic review and meta-analysis.

June 29, 2016

Impact of medication reviews on potentially inappropriate medications and associated costs among older women in aged care.

September 21, 2022

Safety culture of nursing homes: opinions of top managers.

April 6, 2011

Association of emotional intelligence with malpractice claims: a review.

February 13, 2019

Impact of pharmacist previsit input to providers on chronic opioid prescribing safety.

March 14, 2018

Measuring administrators' and direct care workers' perceptions of the safety culture in assisted living facilities.

August 1, 2012

Using smart IV infusion pumps outside of patient rooms.

February 2, 2022

Interventions to improve hand hygiene compliance in patient care.

September 1, 2017

On the prospects for a blame-free medical culture.

November 4, 2009

Nursing resources and patient outcomes in intensive care: a systematic review of the literature.

November 14, 2007

Adverse events following an emergency department visit.

February 28, 2007

Implementation of a mandatory checklist of protocols and objectives improves compliance with a wide range of evidence-based intensive care unit practices.

July 29, 2009

Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017.

May 10, 2017

We will not compete on safety: how children's hospitals have come together to hasten harm reduction.

June 27, 2018

The Ask Me to Explain campaign: a 90-day intervention to promote patient and family involvement in care in a pediatric emergency department.

June 1, 2016

Is hand hygiene before putting on nonsterile gloves in the intensive care unit a waste of health care worker time? A randomized controlled trial.

September 4, 2013

Exploring safety systems for dispensing in community pharmacies: focusing on how staff relate to organizational components.

September 17, 2014

An observational study of the frequency, severity, and etiology of failures in postoperative care after major elective general surgery.

October 24, 2012

Evaluating the effect of distractions in the operating room on clinical decision-making and patient safety.

December 21, 2016

Assessing resident safety culture in nursing homes: using the nursing home survey on resident safety.

December 2, 2009

Randomized trial of reducing ambulatory malpractice and safety risk: results of the Massachusetts PROMISES Project.

July 19, 2017

Maternal sleepiness and risk of infant drops in the postpartum period.

June 12, 2019

The effectiveness of electronic differential diagnoses (DDX) generators: a systematic review and meta-analysis.

March 30, 2016

Addressing ambulatory safety and malpractice: the Massachusetts PROMISES project.

December 14, 2016

Patient safety culture and the association with safe resident care in nursing homes.

April 18, 2012

The effect of hospitalist discontinuity on adverse events.

March 25, 2015

Hospital board and management practices are strongly related to hospital performance on clinical quality metrics.

August 19, 2015

Agreement of expert judgment in causality assessment of adverse drug reactions.

May 4, 2005

Chronic pain diagnoses and opioid dispensings among insured individuals with serious mental illness.

March 4, 2020

Medication errors during simulated paediatric resuscitations: a prospective, observational human reliability analysis.

December 18, 2019

Quality and safety implications of emergency department information systems.

July 17, 2013

Crossing the communication chasm: challenges and opportunities in transitions of care from the hospital to the primary care clinic.

March 1, 2017

Causes of death of residents in ACGME-accredited programs 2000 through 2014: implications for the learning environment.

May 31, 2017

Use of pediatric injectable medicines guidelines and associated medication administration errors: a human reliability analysis.

February 23, 2022

Applying thematic synthesis to interpretation and commentary in epidemiological studies: identifying what contributes to successful interventions to promote hand hygiene in patient care.

September 9, 2020

Lost information during the handover of critically injured trauma patients: a mixed-methods study.

December 16, 2015

Use of prescribing safety quality improvement reports in UK general practices: a qualitative assessment.

July 14, 2021

Related Resources

Patient Safety Authority Annual Reports.

May 1, 2023

National Healthcare Quality and Disparities Reports.

November 7, 2022

Hospital Compare.

May 13, 2021

Strategies to prevent healthcare-associated infections through hand hygiene.

July 30, 2014

Vital signs: improving antibiotic use among hospitalized patients.

March 26, 2014

The next organizational challenge: finding and addressing diagnostic error.

March 5, 2014

Healthcare-associated infections: a national patient safety problem and the coordinated response.

February 19, 2014

Healthcare personnel attire in non–operating-room settings.

February 12, 2014

Reducing Avoidable Readmissions Effectively campaign: a statewide collaborative.

February 5, 2014

Understanding the Role of Facility Design in the Acquisition and Prevention of Healthcare-Associated Infections.

February 5, 2014

Mandatory influenza vaccination for health care workers as the new standard of care: a matter of patient safety and nonmaleficent practice.

January 29, 2014

Public reporting of health care–associated surveillance data: recommendations from the Healthcare Infection Control Practices Advisory Committee.

January 22, 2014

Medication event huddles: a tool for reducing adverse drug events.

January 15, 2014

Hospital board oversight of quality and patient safety: a narrative review and synthesis of recent empirical research.

January 8, 2014

Organizational culture and its implications for infection prevention and control in healthcare institutions.

January 8, 2014

Implementing a national program to reduce catheter-associated urinary tract infection: a quality improvement collaboration of state hospital associations, academic medical centers, professional societies, and governmental agencies.

December 18, 2013

Hard Truths: the Journey to Putting Patients First.

November 27, 2013

Positive deviance: a new tool for infection prevention and patient safety.

October 16, 2013

Eliminating CAUTI: Interim Data Report: A National Patient Safety Imperative.

October 9, 2013

"That was a close call": endorsing a broad definition of near misses in health care.

October 2, 2013

Impact of a national multimodal intervention to prevent catheter-related bloodstream infection in the ICU: the Spanish experience.

September 18, 2013

A toolkit to disseminate best practices in inpatient medication reconciliation: Multi-Center Medication Reconciliation Quality Improvement Study (MARQUIS).

July 31, 2013

National Healthcare Safety Network.

July 10, 2013

Quality improvement through implementation of discharge order reconciliation.

June 12, 2013

Doing well by doing good: assessing the cost savings of an intervention to reduce central line-associated bloodstream infections in a Hawaii hospital.

June 12, 2013

Human cognition and the dynamics of failure to rescue: the Lewis Blackman case.

May 22, 2013

Front-Line Ownership: Generating a Cure Mindset for Patient Safety.

May 8, 2013

Frontline hospital workers and the worker safety/patient safety nexus.

April 3, 2013

Negligence, genuine error, and litigation.

March 20, 2013

Infusing fun into quality and safety initiatives.

January 30, 2013

See More About The Topic

Hospitals

Health Care Providers

Health Care Executives and Administrators

General Internal Medicine

Hospital Medicine

Nosocomial infection, the Deficit Reduction Act, and incentives for hospitals.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Nosocomial infection, the Deficit Reduction Act, and incentives for hospitals.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

PSNet Log in

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site