Commentary Understanding national coverage policies. Navigating the maze of HACs, serious reportable events, and wrong surgical sites. Citation Text: Cook J, D'Amato C, Garrett G, et al. Understanding national coverage policies. Navigating the maze of HACs, serious reportable events, and wrong surgical sites. J AHIMA. 2009;80(6):62-4; quiz 67-8. Copy Citation Format: Google ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL August 19, 2009 Cook J, D'Amato C, Garrett G, et al. J AHIMA. 2009;80(6):62-4; quiz 67-8. View more articles from the same authors. The authors explain reporting and coding requirements for various types of sentinel event data and describe how these affect coverage. PubMed citation Free full text Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Cook J, D'Amato C, Garrett G, et al. Understanding national coverage policies. Navigating the maze of HACs, serious reportable events, and wrong surgical sites. J AHIMA. 2009;80(6):62-4; quiz 67-8. Copy Citation Format: Google ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Related Resources From the Same Author(s) Nurses' perceived skills and attitudes about updated safety concepts: impact on medication administration errors and practices. June 28, 2017 Impact of a pharmacotherapy alerting system on medication errors. January 23, 2013 Improving safety through speaking up: an ethical and financial imperative. July 24, 2019 Identifying potential medication discrepancies during medication reconciliation in the post-acute long-term care setting. July 17, 2019 Losing the moment: understanding interruptions to nurses' work. May 19, 2010 Evaluation of nationally mandated drug use reviews to improve patient safety in nursing homes: a natural experiment. 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Nurses' perceived skills and attitudes about updated safety concepts: impact on medication administration errors and practices. June 28, 2017
Identifying potential medication discrepancies during medication reconciliation in the post-acute long-term care setting. July 17, 2019
Evaluation of nationally mandated drug use reviews to improve patient safety in nursing homes: a natural experiment. June 22, 2005
The relationship between nursing experience and education and the occurrence of reported pediatric medication administration errors. April 27, 2016
The relationship between the nursing work environment and the occurrence of reported paediatric medication administration errors: a pan Canadian study. October 2, 2013
Randomized controlled trial of a pictogram-based intervention to reduce liquid medication dosing errors and improve adherence among caregivers of young children. September 10, 2008
Exploring organizational context and structure as predictors of medication errors and patient falls. May 28, 2008
Identifying safety practices perceived as low value: an exploratory survey of healthcare staff in the United Kingdom and Australia. March 8, 2023
Evaluation of adverse drug events and medication discrepancies in transitions of care between hospital discharge and primary care follow-up. October 29, 2014
Attitudes toward safety and teamwork in a maternity unit with embedded team training. November 3, 2010
Overdiagnosis and overtreatment as a quality problem: insights from healthcare improvement research. May 9, 2018
National quality program achieves improvements in safety culture and reduction in preventable harms in community hospitals. June 20, 2018
Strengthening open disclosure after incidents in maternity care: a realist synthesis of international research evidence. April 12, 2023
Knowledge retention after simulated crisis: importance of independent practice and simulated mortality. June 5, 2019
Effectiveness of a barcode medication administration system in reducing preventable adverse drug events in a neonatal intensive care unit: a prospective cohort study. November 12, 2008
Impact of unacceptable behaviour between healthcare workers on clinical performance and patient outcomes: a systematic review. February 16, 2022
Communication failure: analysis of prescribers' use of an internal free-text field on electronic prescriptions. March 7, 2018
Are online patient reviews associated with health care outcomes? A systematic review of the literature. June 23, 2021
The role of continuous quality improvement and psychological safety in predicting work-arounds. May 14, 2008
How well do health professionals interpret diagnostic information? A systematic review. August 12, 2015
Preventable adverse drug events causing hospitalisation: identifying root causes and developing a surveillance and learning system at an urban community hospital, a cross-sectional observational study. February 24, 2021
The impact of dedicated medication nurses on the medication administration error rate: a randomized controlled trial. March 27, 2005
The effects of resident level of training on the rate of pediatric prescription errors in an academic emergency department. February 13, 2013
Predictors of completeness of patients' self-reported personal medication lists and discrepancies with clinic medication lists. December 11, 2013
Hospital ethical climate and teamwork in acute care: the moderating role of leaders. November 26, 2008
Health care work environments, employee satisfaction, and patient safety: care provider perspectives. February 7, 2007
Primary care physician communication at hospital discharge reduces medication discrepancies. December 18, 2013
Retrospective analysis of medication incidents reported using an on-line reporting system. December 13, 2006
The trainee's voice: recognising the importance of preoperative briefings for surgical trainees. May 7, 2014
Chemotherapy in home care: one team's performance improvement journey toward reducing medication errors. October 12, 2011
The association between professional burnout and engagement with patient safety culture and outcomes: a systematic review. August 15, 2018
Perioperative team-based morbidity and mortality conferences: a systematic review of the literature. October 11, 2023
The pharmacist-physician relationship in the detection of ambulatory medication errors. January 31, 2006
Critical care clinicians' experiences of patient safety during the COVID-19 pandemic. November 30, 2022
The role of dynamic trade-offs in creating safety—a qualitative study of handover across care boundaries in emergency care. October 28, 2015
“Those found responsible have been sacked”: some observations on the usefulness of error. October 10, 2010
The impact of perioperative catastrophes on anesthesiologists: results of a national survey. March 29, 2012
Going blank: factors contributing to interruptions to nurses' work and related outcomes. December 1, 2010
The role of talking (and keeping silent) in physician coping with medical error: a qualitative study. August 8, 2012
Harnessing implementation science to improve care quality and patient safety: a systematic review of targeted literature. May 21, 2014
Barriers and enablers to nurses' use of harm prevention strategies for older patients in hospital: a cross-sectional survey. May 11, 2022
The role of advice in medication administration errors in the pediatric ambulatory setting. September 9, 2009
Evaluating the impact of auto-calculation settings on opioid prescribing at an academic medical center. May 8, 2019
Beyond service quality: the mediating role of patient safety perceptions in the patient experience–satisfaction relationship. October 12, 2011
COVID-19: peer support and crisis communication strategies to promote institutional resilience. April 22, 2020
Healthcare-associated infections in Veterans Affairs acute-care and long-term healthcare facilities during the coronavirus disease 2019 (COVID-19) pandemic. April 5, 2023
Renal medication-related clinical decision support (CDS) alerts and overrides in the inpatient setting following implementation of a commercial electronic health record: implications for designing more effective alerts. February 17, 2021
High-priority drug-drug interaction clinical decision support overrides in a newly implemented commercial computerized provider order-entry system: override appropriateness and adverse drug events. May 20, 2020
Challenges to nurses' efforts of retrieving, documenting, and communicating patient care information. March 13, 2013
A 7-year analysis of attributable costs of healthcare-associated infections in a network of community hospitals in the southeastern United States. January 31, 2024
Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital complications: a medical record review across nine Swiss hospitals. January 10, 2024
Voices from frontline nurses on care quality and patient safety during COVID-19: an application of the Donabedian Model. November 1, 2023
Unpacking the complexity of COVID-19 fatalities: adverse events as contributing factors--a single-center, retrospective analysis of the first two years of the pandemic. August 16, 2023
Preventing surgical site infections: implementing strategies throughout the perioperative continuum. July 19, 2023
Using a human factors framework to assess clinician perceptions of and barriers to high reliability in hand hygiene. June 14, 2023
Why hospitals still make serious medical errors—and how they are trying to reduce them. March 29, 2023
Barriers and facilitators to reporting medical device-related pressure ulcers: a qualitative exploration of international practice. December 14, 2022
Using community detection techniques to identify themes in COVID-19-related patient safety event reports. December 7, 2022
Toward zero harm: Mackenzie Health's journey toward becoming a high reliability organization and eliminating avoidable harm. November 16, 2022
Serious hazards of transfusion: evaluating the dangers of a wrong patient autologous salvaged blood in cardiac surgery. October 5, 2022
WebM&M Cases Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads to a PICC without a Plan. September 28, 2022
Healthcare-associated adverse events in alternate level of care patients awaiting long-term care in hospital. September 14, 2022
Association between hospital acquired harm outcomes and membership in a national patient safety collaborative. August 10, 2022
Applying decision science to the prioritization of healthcare-associated infection initiatives. October 27, 2021
Decreased incidence of cesarean surgical site infection rate with hospital-wide perioperative bundle. September 29, 2021
The impact of coronavirus disease 2019 (COVID-19) on healthcare-associated infections in 2020: a summary of data reported to the National Healthcare Safety Network. September 22, 2021
Organizational readiness to change as a leverage point for improving safety: a national nursing home survey. September 8, 2021
Rates of adverse events in hospitalized patients after summer-time resident changeover in the United States: is there a July effect? August 25, 2021
Estimating the economic cost of nurse sensitive adverse events amongst patients in medical and surgical settings. June 16, 2021
Improving peripherally inserted central catheter appropriateness and reducing device-related complications: a quasiexperimental study in 52 Michigan hospitals. April 14, 2021
In U.S. nursing homes, where Covid-19 killed scores, even reports of maggots and rape don’t dock five-star ratings. March 24, 2021
Using event reports in real-time to identify and mitigate patient safety concerns during the COVID-19 pandemic. October 28, 2020