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Heilman J, ed. Albuquerque, NM: University of New Mexico; May 2013.
This publication outlines quality and safety improvement projects from one hospital's residency program, including efforts to enhance care transitions, reduce wait times, and increase reporting of near misses and adverse events.
Tennessee Center for Patient Safety.
Documenting quality improvement and patient safety efforts: the quality portfolio. A statement from the Academic Hospitalist Taskforce.
Taylor BB, Parekh V, Estrada CA, Schleyer A, Sharpe B. J Gen Intern Med. 2014;29:214-218.
As she lay dying: how I fought to stop medical errors from killing my mom.
Welch JR. Health Aff (Millwood). 2012;31:2817-2820.
The Patient Safety Initiative at America’s Public Hospitals: The Year One Overview.
Research Brief. Washington, DC: National Association of Public Hospitals and Health Systems; January 2011.
AHRQ presses on: no rule yet, but agency taps 10 safety organizations.
DerGurahain J. Mod Healthc. November 10, 2008;38:8.
Engaging residents and fellows to improve institution-wide quality: the first six years of a novel financial incentive program.
Vidyarthi AR, Green AL, Rosenbluth G, Baron RB. Acad Med. 2014;89:460-468.
Suffering in silence: a qualitative study of second victims of adverse events.
Ullström S, Sachs MA, Hansson J, Øvretveit J, Brommels M. BMJ Qual Saf. 2014;23:325-331.
Economic evaluation of the impact of medication errors reported by US clinical pharmacists.
Samp JC, Touchette DR, Marinac JS, Kuo GM; American College of Clinical Pharmacy Practice-Based Research Network Collaborative. Pharmacotherapy. 2014;34:350-357.
Prevalence, patterns and predictors of nursing care left undone in European hospitals: results from the multicountry cross-sectional RN4CAST study.
Ausserhofer D, Zander B, Busse R, et al; RN4CAST consortium. BMJ Qual Saf. 2014;23:126-135.
Engineering a fail-safe health system.
Sloane T. Hosp Health Networks. October 2013;87:34-38.
Project BOOST: effectiveness of a multihospital effort to reduce rehospitalization.
Hansen LO, Greenwald JL, Budnitz T, et al. J Hosp Med. 2013;8;421-427.
A perinatal care quality and safety initiative: are there financial rewards for improved quality?
Kozhimannil KB, Sommerness SA, Rauk P, et al. Jt Comm J Qual Patient Saf. 2013;39:339-348.
Does health care role and experience influence perception of safety culture related to preventing infections?
Braun BI, Harris AD, Richards CL, et al. Am J Infect Control. 2013;41:638-641.
Setting quality and safety priorities in a target-rich environment: an academic medical center's challenge.
Mort EA, Demehin AA, Marple KB, McCullough KY, Meyer GS. Acad Med. 2013;88:1099-1104.
The leader's role in medical device safety.
Federico F. Healthc Exec. May/June 2013;28:82-85.
A framework for patient safety: a defense nuclear industry-based high-reliability model.
Birnbach DJ, Rosen LF, Williams L, Fitzpatrick M, Lubarsky DA, Menna JD. Jt Comm J Qual Patient Saf. 2013;39:233-240.
Top 10 ways to improve patient safety now.
O'Reilly KB. American Medical News. April 15, 2013.
Moving beyond readmission penalties: creating an ideal process to improve transitional care.
Burke RE, Kripalani S, Vasilevskis EE, Schnipper JL. J Hosp Med. 2013;8:102-109.
Identifying hospital organizational strategies to reduce readmissions.
Ahmad FS, Metlay JP, Barg FK, Henderson RR, Werner RM. Am J Med Qual. 2013;28:278-285.
Meeting the Joint Commission's 2013 National Patient Safety Goals.
Oakbrook Terrace, IL: The Joint Commission; September 2012. ISBN: 9781599407555.
Utah Tenth Anniversary (2001–2011) Patient Safety Report: Identifying Opportunities for Improvement.
Salt Lake City, UT: Utah Department of Health, HealthInsight, Utah Hospital Association; 2012.
Surfing the Healthcare Tsunami: Bring Your Best Board.
Austin, TX: Texas Medical Institute for Technology; 2012.
Factors associated with reported preventable adverse drug events: a retrospective, case-control study.
Beckett RD, Sheehan AH, Reddan JG. Ann Pharmacother. 2012;46:634-641.
Toward improving patient safety through voluntary peer-to-peer assessment.
Hudson DW, Holzmueller CG, Pronovost PJ, et al. Am J Med Qual. 2012;27:201-220.
Financial incentives to promote health care quality: the hospital acquired conditions nonpayment policy.
Kavanagh KT. Soc Work Public Health. 2011;26:524-541.
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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