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Sohn DH. Int J Gen Med. 2013;6:49-56.
Sohn DH.Negligence, genuine error, and litigation. Int J Gen Med. 2013; 6: 49-56
This review describes differences between negligence, adverse events, and system errors, as well as the legal avenues for addressing them.
Minnesota Hospital Association Statewide Project: SAFE from FALLS.
Apold J, Quigley PA. J Nurs Care Qual. 2012;27:299-306.
Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries.
Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; November 2010. Report No. OEI-06-09-00090.
Chasing Zero: Winning the War on Healthcare Harm.
Austin, TX: Texas Medical Institute for Technology and the Quaid Foundation; 2010.
Hospitals tally their avoidable mistakes.
Rein L. Washington Post. July 21, 2009:E1.
Medicare nonpayment, hospital falls, and unintended consequences.
Inouye SK, Brown CJ, Tinetti ME. N Engl J Med. 2009;360:2390-2393.
Hard Truths: the Journey to Putting Patients First.
Department of Health. London, England: Crown Publishing; November 2013. ISBN: 9780101875424.
Medical errors harm huge number of patients. What will it take to make America's hospitals safer?
Sternberg S. US News & World Report. August 28, 2012.
The impact of anti-infective drug shortages on hospitals in the United States: trends and causes.
Griffith MM, Gross AE, Sutton SH, et al. Clin Infect Dis. 2012;54:684-691.
IBEAS: A Pioneer Study on Patient Safety in Latin America: Towards Safer Hospital Care.
Geneva, Switzerland: World Health Organization; 2011.
Board quality scorecards: measuring improvement.
Goeschel CA, Berenholtz SM, Culbertson RA, Jin LD, Pronovost PJ. Am J Med Qual. 2011;26:254-260.
Disruptive behavior affects hospital financial health.
Crane M. Medscape Medical News. December 11, 2010.
Hospital governance and the quality of care.
Jha AK, Epstein AM. Health Aff (Millwood). 2010;29:182-187.
In Conversation with...Steven J. Spear, DBA, MS, MS
The competent surgeon: individual accountability in the era of "systems" failure.
Whittemore AD. Ann Surg. 2009;250:357-362.
Use of electronic health records in US hospitals.
Jha AK, Desroches CM, Campbell EG, et al. N Engl J Med. 2009;360:1628-1638.
AHRQ presses on: no rule yet, but agency taps 10 safety organizations.
DerGurahain J. Mod Healthc. November 10, 2008;38:8.
Nosocomial infection, the Deficit Reduction Act, and incentives for hospitals.
Graves N, McGowan JE Jr. JAMA. 2008;300:1577-1579.
Baby has jaundice: is that a problem?
Zimmerman R. Wall Street Journal. February 6, 2007:A1.
When a nurse is prosecuted for a fatal medical mistake, does it make medicine safer?
Gordon M. Health Shots. National Public Radio. April 10, 2019.
Another round of the blame game: a paralyzing criminal indictment that recklessly "overrides" just culture.
ISMP Medication Safety Alert! Acute Care Edition. February 14, 2019;24.
Can communication-and-resolution programs achieve their potential? Five key questions.
Gallagher TH, Mello MM, Sage WM, Bell SK, McDonald TB, Thomas EJ. Health Aff (Millwood). 2018;37:1845-1852.
Preventing falls and fall-related injuries in health care facilities.
Sentinel Event Alert. September 28, 2015;(55):1-5.
New HHS Data Shows Major Strides Made in Patient Safety, Leading to Improved Care and Savings.
Washington, DC: US Department of Health and Human Services; May 7, 2014.
Chemotherapy drug shortages in pediatric oncology: a consensus statement.
DeCamp M, Joffe S, Fernandez CV, Faden RR, Unguru Y; Working Group on Chemotherapy Drug Shortages in Pediatric Oncology. Pediatrics. 2014;133:e716-e724.
Pressing for better quality across healthcare.
Levey NN. Los Angeles Times. October 4, 2011.
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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