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Sasso L, Bagnasco A, Aleo G, et al. BMJ Qual Saf. 2017;26:929-932.
Sasso L ; Bagnasco A ; Aleo G; et al. Incorporating nursing complexity in reimbursement coding systems: the potential impact on missed care. BMJ Qual Saf. 2017; 26: 929-932
Multiple factors in the hospital environment influence the incidence of missed nursing care. This commentary describes strategies to address these errors of omission, including changing mental models to recognize the financial benefit of increasing staffing levels to improve patient safety.
Medicare trims payments to 800 hospitals, citing patient safety incidents.
Rau J. Kaiser Health News. March 1, 2019.
The impact of RVU-based compensation on patient safety outcomes in outpatient otolaryngology procedures.
Stanisce L, Ahmad N, Deckard N, et al. Otolaryngol Head Neck Surg. 2019 Feb 5; [Epub ahead of print].
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.
Notice of Intent to Publish Funding Opportunity Announcement to Improve Care Transitions Through the Use of Interoperable Health Information Technology (R01).
Rockville, MD: Agency for Healthcare Research and Quality; January 28, 2019. AHRQ Publication No. NOT-HS-19-009.
Medicare cuts payments to nursing homes whose patients keep ending up in hospital.
Rau J. Kaiser Health News. December 3, 2018.
Improving resident and fellow engagement in patient safety through a graduate medical education incentive program.
Turner DA, Bae J, Cheely G, Milne J, Owens TA, Kuhn CM. J Grad Med Educ. 2018;10:671-675.
Clinical impact and economic burden of hospital-acquired conditions following common surgical procedures.
Horn SR, Liu TC, Horowitz JA, et al. Spine (Phila Pa 1976). 2018;43:E1358-E1363.
Success in hospital-acquired pressure ulcer prevention: a tale in two data sets.
Smith S, Snyder A, McMahon LF Jr, Petersen L, Meddings J. Health Aff (Millwood). 2018;37:1787-1796.
Payment innovations to improve diagnostic accuracy and reduce diagnostic error.
Berenson R, Singh H. Health Aff (Millwood). 2018;37:1828-1835.
Estimating the hospital costs of inpatient harms.
Anand P, Kranker K, Chen AY. Health Serv Res. 2019;54:86-96.
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].
Best Practices for Safe Medication Administration During Anesthesia Care.
APSF Committee on Technology. Anesthesia Patient Safety Foundation.
Patient Safety in the Context of Perinatal, Neonatal, and Pediatric Care.
Bethesda, MD: Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health. May 21, 2018. PA-18-790; PA-18-791.
Making Health Care Safer in Ambulatory Care Settings and Long Term Care Facilities (R18).
Rockville, MD: Agency for Healthcare Research and Quality; April 10, 2018. PA-18-750.
2017 John M. Eisenberg Patient Safety and Quality Award Recipients Announced.
Joint Commission. March 12, 2018.
Financial incentives to reduce hospital-acquired infections under alternative payment arrangements.
Cohen CC, Liu J, Cohen B, Larson EL, Glied S. Infect Control Hosp Epidemiol. 2018;39:509-515
Patient Safety Learning Laboratories: Pursuing Safety in Diagnosis and Treatment at the Intersection of Design, Systems Engineering, and Health Services Research (R18).
Rockville, MD: Agency for Healthcare Research and Quality. RFA-HS-19-001.
Effect of a hospital-wide measure on the readmissions reduction program.
Zuckerman RB, Joynt Maddox KE, Sheingold SH, Chen LM, Epstein AM. N Engl J Med. 2017;377:1551-1558.
The business case for investing in physician well-being.
Shanafelt T, Goh J, Sinsky C. JAMA Intern Med. 2017;177:1826-1832.
From board to bedside: how the application of financial structures to safety and quality can drive accountability in a large health care system.
Austin JM, Demski R, Callender T, et al. Jt Comm J Qual Patient Saf. 2017;43:166–175.
Complication rates, hospital size, and bias in the CMS Hospital-Acquired Condition Reduction Program.
Koenig L, Soltoff SA, Demiralp B, et al. Am J Med Qual. 2017;32:611-616.
Impact of Medicare's nonpayment program on hospital-acquired conditions.
Thirukumaran CP, Glance LG, Temkin-Greener H, Rosenthal MB, Li Y. Med Care. 2017;55:447-455.
Case outcomes in a communication-and-resolution program in New York hospitals.
Mello MM, Greenberg Y, Senecal SK, Cohn JS. Health Serv Res. 2016;51(suppl 3):2583-2599.
Notice of Intent to Publish Funding Opportunity Announcements to Promote Implementation Science (R01) and Dissemination and Implementation Studies (R18).
Rockville, MD: Agency for Healthcare Research and Quality; October 25, 2016. AHRQ Publication No. NOT-HS-17-002.
Funding Announcement for Projects Targeting the Reduction of Healthcare-Associated Infections.
Rockville, MD: Agency for Healthcare Research and Quality; October 13, 2016. PA-17-007 and PA-17-008.
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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