U.S. Department of Health and Human Services
Agency for Healthcare Research and Quality: Advancing Excellence in Health Care
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Wright S. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; January 5, 2010. Report No. OEI-06-09-00360.
This brief report analyzes information from state reporting initiatives, Patient Safety Organizations, and the Centers for Medicare and Medicaid Services regarding privacy practices and policies surrounding public disclosure of adverse events.
Americans' growing exposure to clinician quality information: insights and implications.
Schlesinger MJ, Rybowski L, Shaller D, et al. Health Aff (Millwood). 2019;38:374-382.
Understanding patient safety and quality outcome data.
Easter K, Tamburri LM. Crit Care Nurse. 2018;38:58-66.
Associations between hospital characteristics, measure reporting, and the Centers for Medicare & Medicaid Services overall hospital quality star ratings.
DeLancey JO, Softcheck J, Chung JW, Barnard C, Dahlke AR, Bilimoria KY. JAMA. 2017;317:2015-2017.
Secret data on hospital inspections may soon become public.
Ornstein C. Health Shots. National Public Radio and ProPublica. April 18, 2017.
Patient safety: disclosure of medical errors and risk mitigation.
Moffatt-Bruce SD, Ferdinand FD, Fann JI. Ann Thorac Surg. 2016;102:358-362.
Consumers' Priorities for Hospital Quality Improvement and Implications for Public Reporting.
Ginsburg M, Glasmire K. Oakland, CA: California HealthCare Foundation; April 2011.
Agency for Healthcare Research and Quality.
First do no harm.
Allen M. Washington Monthly. March/April 2011.
A pinpoint beam strays invisibly, harming instead of healing.
Bogdanich W, Rebelo K. New York Times. December 28, 2010;A1.
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.
Hidden mistakes in hospitals.
Kauffman M, Altimari D. The Hartford Courant. November 15, 2009;Final:A1.
Framework for patient safety research and improvement.
Pronovost PJ, Goeschel CA, Marsteller JA, Sexton JB, Pham JC, Berenholtz SM. Circulation. 2009;119:330-337.
Systematic review: the evidence that publishing patient care performance data improves quality of care.
Fung CH, Lim YW, Mattke S, Damberg C, Shekelle PG. Ann Intern Med. 2008;148:111-123.
Protecting patients: hospitals wrestle with reporting and fixing medical mistakes.
Collins LM. Deseret Morning News. July 8, 2007;A1.
Advancing Patient Safety Through State Reporting Systems
Jill Rosenthal, MPH
In Conversation with...Diane Rydrych, MA
Do crowdsourced hospital ratings coincide with Hospital Compare measures of clinical and nonclinical quality?
Perez V, Freedman S. Health Serv Res. 2018;53:4491-4506.
The best medical care in the world.
Reilly BM. N Engl J Med. 2018;378:1741-1743.
Many well-known hospitals fail to score high in Medicare rankings.
Rau J. National Public Radio. July 27, 2016.
Innovations to improve patient safety.
Agency for Healthcare Research and Quality. Health Care Innovations Exchange. May 18, 2016.
Rating hospitals by the stars: the feds' latest plan to measure quality is the most controversial.
Rau J. Washington Post. May 17, 2016.
California hospitals make hundreds of errors every year, public is unaware.
Stock S, Putnam J, Carroll J, Pham S. NBC Bay Area. November 19, 2014.
Thousands of doctors practicing despite errors, misconduct.
Eisler P, Hansen B. USA Today. August 20, 2013.
Improving America's Hospitals—The Joint Commission's Annual Report on Quality and Safety.
Oakbrook Terrace, IL: Joint Commission.
Hospira Carpuject pre-filled cartridges—drug alert: products may contain more than the intended fill volume.
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; May 23, 2012.
PSNET: Patient Safety Network
PSNet is produced for the Agency for Healthcare Research and Quality by a team of editors at the University of California, San Francisco with guidance from a prominent Technical Expert/Advisory Panel. The AHRQ PSNet site was designed and implemented by Silverchair.
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