U.S. Department of Health and Human Services
Agency for Healthcare Research and Quality: Advancing Excellence in Health Care
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Avery L, Bennett R, Brinsley-Rainisch K, et al. Atlanta, GA: Centers for Disease Control and Prevention; October 9, 2018.
This annual analysis explores rates of health care–associated infections (HAIs) reported in the United States. Data from 2016 revealed reductions in the all the HAIs tracked, including central line–associated bloodstream infections and surgical site infections.
Health-Care-Associated Infections in Hospitals: An Overview of State Reporting Programs and Individual Hospital Initiatives to Reduce Certain Infections.
Washington, DC: United States Government Accountability Office; September 2008. Publication GAO-08-808.
AHRQ National Scorecard on Hospital-Acquired Conditions Updated Baseline Rates and Preliminary Results 2014–2017.
Rockville, MD: Agency for Healthcare Research and Quality; January 2019.
Adverse effects of the Medicare PSI-90 hospital penalty system on revenue-neutral hospital-acquired conditions.
Padula WV, Black JM, Davidson PM, Kang SY, Pronovost PJ. J Patient Saf. 2018 Jul 17; [Epub ahead of print].
Defense Health Agency Should Improve Tracking of Serious Adverse Medical Events and Monitoring of Required Follow-up.
Washington, DC: United States Government Accountability Office; April 2018. Publication GAO-18-378.
The Future of NHS Patient Safety Investigation.
NHS Improvement. London, UK: National Health Service.
Critical Deficiencies at the Washington DC VA Medical Center.
Washington, DC: Department of Veterans Affairs, Office of Inspector General. March 7, 2018. Report No. 17-02644-130.
Adverse Health Events in Minnesota: 15th Annual Public Report.
St. Paul, MN: Minnesota Department of Health; March 2019.
Improved Policies and Oversight Needed for Reviewing and Reporting Providers for Quality and Safety Concerns.
Washington, DC: United States Government Accountability Office; November 2017. Publication GAO-18-63.
Indiana Medical Error Reporting System: Final Report for 2015.
Whitson T, Garten B. Indianapolis, IN: Indiana State Department of Health; 2017.
Completeness of serious adverse drug event reports received by the US Food and Drug Administration in 2014.
Moore TJ, Furberg CD, Mattison DR, Cohen MR. Pharmacoepidemiol Drug Saf. 2016;25:713-718.
The US has a drug shortage—and people are dying.
Koba M. Fortune. January 6, 2015.
Legislative Report to the General Assembly: Adverse Event Reporting.
Pino R, Furniss WH, Mueller L, Olson JC. Hartford, CT: Connecticut Department of Public Health; October 2016.
CPS Annual Reports.
Jefferson City, MO: Center for Patient Safety; April 12, 2016.
Patient Stories 2013: Time for Change.
Harrow, Middlesex, UK: The Patients Association; 2013.
Organisation Patient Safety Incident Reports.
National Patient Safety Agency.
Few Adverse Events in Hospitals Were Reported to State Adverse Event Reporting Systems.
Wright S. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; July 2012. Report No. OEI-06-09-00092.
Hospital Safety Grade.
Medication-Related Adverse Outcomes in U.S. Hospitals and Emergency Departments, 2008.
Lucado J, Paez K, Elixhauser A. HCUP Statistical Brief #109. Rockville, MD: Agency for Healthcare Research and Quality; April 2011.
Diagnostic error in a national incident reporting system in the UK.
Sevdalis N, Jacklin R, Arora S, Vincent CA, Thomson RG. J Eval Clin Pract. 2010;16:1276-1281.
The Institute for Safe Medication Practices Canada.
Harmful medication errors involving unfractionated and low-molecular-weight heparin in three patient safety reporting programs.
Grissinger MC, Hicks RW, Keroack MA, Marella WM, Vaida A. Jt Comm J Qual Patient Saf. 2010;36:195-202.
Medication error reporting in nursing homes: identifying targets for patient safety improvement.
Greene SB, Williams CE, Pierson S, Hansen RA, Carey TS. Qual Saf Health Care. 2010;19:218-222.
Adverse drug events among hospitalized Medicare patients: epidemiology and national estimates from a new approach to surveillance.
Classen DC, Jaser L, Budnitz DS. Jt Comm J Qual Patient Saf. 2010;36:12-21, AP1-AP9.
Common formats allow uniform collection and reporting of patient safety data by patient safety organizations.
Clancy CM. Am J Med Qual. 2010;25:73-75.
Patient Safety Toolbox.
Portland, ME: National Academy for State Health Policy.
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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